Pushing is the part of labor that many women don't dread. It's often described as empowering to finally be able to physically control one aspect of the labor process. I know for me, pushing was the one time when I felt that there was a definite end in sight. And with a renewed sense of energy, I was actually excited to push with all my strength until my little girl arrived. But what about when you opt for a medicated birth with an epidural or other pain medication? Is pushing any different? Even if you plan to have a natural birth, knowing a few pushing tips for a medicated birth can come in handy, in case things don't go exactly as planned (and, in my experience, they rarely do.)
Since you can't feel the contractions with an epidural (the obvious upside,) you also can't feel when it's time to push (the downside,) so pushing is a bit different with medication. According to Babble, getting an epidural may increase your pushing time and increase your risk for needing forceps, a vacuum, or an episiotomy. However, pushing with an epidural is definitely possible and there are a few things you can do to increase the likelihood of a safe and quicker pushing period.