Logo of the osteo-health blog with paediatric osteopathy.

Pressing methods for the expulsion phase during birth

Eine schwangere Frau wird in Hamburg von einem Osteopathen vorgeburtlich betreut.
Pressing methods for the expulsion phase during birth

Übersicht der Pressmethoden


bei jeder Presswehe tief Luft holen und während der gesamten Wehendauer pressen

spontanes Pressen

Frauen folgen ihren eigenen Instinkten, idR 3-5 mal/ Wehe.

verzögertes Pressen

Frauen pressen erst dann, wenn sie dem Pressdrang nicht mehr standhalten können oder wenn die Leitstelle den Damm erreicht hat.

Unterschiede der Pressmethoden

spontanes Pressen im Vergleich mit Powerpressen

Kaum Unterschiede

Verzögertes Pressen im Vergleich mit sofortigem Pressen (beide mit Epidural­anästhesie)

  • bei verzögertem Pressen Verlängerung der Austreibungsphase um etwa 56 Minuten (Evidenz niedrig)
  • Verzögern des Pressvorgangs bei Frauen mit Epiduralanästhesie verkürzt Pressdauer und erhöht Wahrscheinlichkeit einer spontanen vaginalen Entbindung
  • bei verzögertem Pressen häufiger niedriger pH-Wert des Nabelschnurbluts
Lemos et al 2017

Pressing methods for the expulsion phase of birth

Power pushing

take a deep breath with each contraction and push for the entire duration of the contraction.

Spontaneous pushing

Women follow their own instincts, usually 3-5 times per contraction.

Delayed pushing

Women push only when they can no longer withstand the urge to push or when the control centre has reached the perineum.

Differences in Pressing methods

spontaneous pushing compared with power pushing

Hardly any differences

Delayed pushing compared with immediate pushing (both with epidural anaesthesia)

  • Delayed pushing prolongs the expulsion phase by about 56 minutes (evidence low).
  • Delayed pushing in women with epidural anaesthesia reduces duration of pushing and increases likelihood of spontaneous vaginal delivery.
  • Delayed pushing more likely to result in low pH of cord blood.
Lemos et al 2017

Biological effects following Osteopathic Manipulative Treatment

In a groundbreaking review, Dal Farra et al. (2024) systematically map the biological effects of Osteopathic Manipulative Treatment (OMT) across various body systems, with a particular focus on neurophysiological and musculoskeletal changes. The study, which followed rigorous scoping review guidelines and included 146 studies, underscores the growing interest in OMT research over the past two decades. While the findings suggest that OMT has significant therapeutic potential, particularly in neurophysiological and musculoskeletal health, the review also highlights the need for more standardized research to confirm these effects and their clinical relevance. Explore the detailed insights and future research directions outlined in this comprehensive review.

Read article


Palpation of the knot of muscle at the corner of the mouth (Fig. 2.86), the point where the following facial muscles meet: orbicularis oris, levator anguli oris, depressor anguli oris, buccinator, risorius, zygomaticus major.

Read article

Reduce Cancer Risk by 31-32%: The Power of Small, Intense Activity Bursts

Did you know that just a few minutes of daily, intense physical activity can significantly reduce your cancer risk? A new study by Stamatakis et al. (2023) reveals that even 3.4 to 3.7 minutes of vigorous intermittent lifestyle physical activity (VILPA) per day can reduce the risk of activity-related cancers by an impressive 31-32%. This discovery could be particularly beneficial for those who lack the time or motivation for regular exercise. Read on to learn how you can incorporate these effective mini-workouts into your daily routine and improve your health.

Read article


Entdecken Sie die Vorteile der Plank Jacks Übung und lernen Sie, wie diese einfache Bewegung Ihre Kraft und Ausdauer steigern kann. Perfekt für Anfänger und ...
In a groundbreaking review, Dal Farra et al. (2024) systematically map the biological effects of Osteopathic Manipulative Treatment (OMT) across various body systems, with a ...
Erfahren Sie, wie die Superman-Übung-mit-Leglift Ihre Rückenmuskulatur stärkt, die Körperhaltung verbessert und die allgemeine Fitness fördert. ...
Osteohealth Newsletter

Subscribe to our newsletter

We send out a newsletter at regular intervals with videos, podcasts and articles on the topic of health.