The second stage of childbirth, the pushing stage, culminates in the birth and this stage lasts from 15 minutes to 3 hours or more. The nature of your signs of labor may change during this stage. They will likely be spaced farther apart, and they’ll be accompanied by a reflex need to strain or grunt, which comes and goes three to five times per contraction.
Once the baby has dropped into position or engagement has occurred, you may feel pressure on the pelvic floor. The head of the baby is pressing very snugly against the cervix now and will continue to do so until birth.

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