ask the mother to place her index finger over epigastrium, take a breath in & feel the expansion in this area.
fix the ribs & increase the intrathoracic pressure,
with inspiration bear down & diaphragm will then act as a piston directed downwards towards the fundus.
place the other hand on the waist feel it expand sideways & become aware of the forward bulging of the lower abd.muscle & the relaxation of the pelvic floor.”open the door for the birth of baby”
Relaxation of the jaws should explain to the patient.
The direction of the push is downward under the pubic bone.
