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You no longer have to delay early pushing during labor, says new study

The study of 2,400 first-time mothers found there was no difference in eventual C-section rates between women who pushed early or waited an hour.

You no longer have to delay early pushing during labor, says new study

Laboring with a child is unlike anything else you will ever experience—for many reasons. Among them is the distinct feeling of needing to push during contractions. But, for many years, medical experts have advised laboring mothers to resist the desire to push until the baby has fully dropped into position.

Now, a study published this week in the Journal of the American Medical Association shows early pushing may actually improve outcomes for mothers and babies.

"First-time moms with regional anesthesia should not delay pushing with the intent that they will increase the chance they will have a vaginal delivery," lead researcher Dr. Alison Cahill, chief of maternal-fetal medicine of Washington University School of Medicine in St. Louis, tells HealthDay.

Cahill explains the popular belief was that early pushing (defined as pushing during the second stage of labor) increases the likelihood the mom will require a Cesarean birth. However, the study of 2,400 first-time mothers found there was no difference in eventual C-section rates between women who pushed early or waited an hour.

The women who did push early, however, were 40% less likely to experience significant bleeding and 30% less likely to develop an infection. While they did actively push for an average of nine minutes longer than the group that delayed pushing, their overall labor time was reduced by an average 32 minutes.

In addition to having comparable C-section rates to women who delayed pushing, there was no increase in the prevalence of forceps or a vacuum to deliver the babies of women who pushed early.

Before now, it "wasn't clear that [early pushing] was safe for mother or baby,"says Dr. Dana Gossett, a professor of obstetrics and gynecology at the University of California, San Francisco, and co-author of an editorial that accompanies the JAMA report.

Now, for the first time, this study shows that early pushing is not only safe—but it's even beneficial.

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A very important letter for new mamas

Listen, mom-guilt is a dirty liar. Yes, it's your job to fill your little human's needs, but you matter too. Don't forget to take care of yourself. Hang out with friends, take a drive blaring 90's hip hop or shower without interruptions—trust me, you'll be a better person (and mom) because of it.

Dear new mom,

You will shave again someday. Today is not that day.

Set expectations low, my friend, and set your partner's lower—at least where body hair and overall hygiene are concerned.

That conversation could go something like this: “From now on let's not consider shaving a “standard," but more like a gift that happens on birthdays and the first day of summer."

Voila, you are a gift-giving genius. You know what else is a gift? Shaving the inch and a half of skin that is between your skinny jeans and your boots. You're welcome world.

You will not be perfect at parenting.

Boom.

I have yet to meet a perfect mother, but when I do, she's going to be a tiger who is insanely good at making up songs. (Daniel Tiger's mom, we salute you.)

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Life

I never wanted to be a mom. It wasn't something I ever thought would happen until I fell madly in love with my husband—who knew very well he wanted children. While he was a natural at entertaining our nephews or our friends' kids, I would awkwardly try to interact with them, not really knowing what to say or do.

Our first pregnancy was a surprise, a much-wanted one but also a unicorn, "first try" kind of pregnancy. As my belly grew bigger, so did my insecurities. How do you even mom when you never saw motherhood in your future? I focused all my uncertainties on coming up with a plan for the delivery of my baby—which proved to be a terrible idea when my dreamed-of unmedicated vaginal birth turned into an emergency C-section. I couldn't even start motherhood the way I wanted, I thought. And that feeling happened again when I couldn't breastfeed and instead had to pump and bottle-feed. And once more, when all the stress from things not going my way turned into debilitating postpartum anxiety that left me not really enjoying my brand new baby.

As my baby grew, slowly so did my confidence that I could do this. When he would tumble to the ground while learning how to walk and only my hugs could calm him, I felt invincible. But on the nights he wouldn't sleep—whether because he was going through a regression, a leap, a teeth eruption or just a full moon—I would break down in tears to my husband telling him that he was a better parent than me.

Then I found out I was pregnant again, and that this time it was twins. I panicked. I really cannot do two babies at the same time. I kept repeating that to myself (and to my poor husband) at every single appointment we had because I was just terrified. He, of course, thought I could absolutely do it, and he got me through a very hard pregnancy.

When the twins were born at full term and just as big as singleton babies, I still felt inadequate, despite the monumental effort I had made to grow these healthy babies and go through a repeat C-section to make sure they were both okay. I still felt my skin crawl when they cried and thought, What if I can't calm them down? I still turned to my husband for diaper changes because I wasn't a good enough mom for twins.

My husband reminded me (and still does) that I am exactly what my babies need. That I am enough. A phrase that has now become my mantra, both in motherhood and beyond, because as my husband likes to say, I'm the queen of selling myself short on everything.

So when my babies start crying, I tell myself that I am enough to calm them down.

When my toddler has a tantrum, I remind myself that I am enough to get through to him.

When I go out with the three kids by myself and start sweating about everything that could go wrong (poop explosions times three), I remind myself that I am enough to handle it all, even with a little humor.


And then one day I found this bracelet. Initially, I thought how cheesy it'd be to wear a reminder like this on my wrist, but I bought it anyway because something about it was calling my name. I'm so glad I did because since day one I haven't stopped wearing it.

Every time I look down, there it is, shining back at me. I am enough.

I Am Enough bracelet 

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Life

It's science: Why your baby stops crying when you stand up

A fascinating study explains why.

When your baby is crying, it feels nearly instinctual to stand up to rock, sway and soothe them. That's because standing up to calm babies is instinctual—driven by centuries of positive feedback from calmed babies, researchers have found.

"Infants under 6 months of age carried by a walking mother immediately stopped voluntary movement and crying and exhibited a rapid heart rate decrease, compared with holding by a sitting mother," say authors of a 2013 study published in Current Biology.

Even more striking: This coordinated set of actions—the mother standing and the baby calming—is observed in other mammal species, too. Using pharmacologic and genetic interventions with mice, the authors say, "We identified strikingly similar responses in mouse pups as defined by immobility and diminished ultrasonic vocalizations and heart rate."

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