I am a new doula and aspire to continue my education to obtain my Bachelors Degree in Midwifery. I have attended a few births, all of which I have learned tremendously from. One aspect in particular I have seen that I have questions about is the rule about 10 cm dilation before pushing. I have found an article in regards to this topic in Midwifery Today. The observation that I have made is women who have been laboring beautifully and have reached 6 - 8 cm suddenly have the urge to push and are told not to, in case of swelling the cervix. These women then have struggled through breathing and no pushing with their urges, in turn causing all their muscles to tense. My question is: Is this a valid reason for not pushing ? where and how was this "rule" made ? and if a women is naturally laboring without intervention and her body is telling her to push should she not listen to that urge ? I would imagine that the pushing force of these early urges would not be as intense as the later urges to push her baby out. Any insight you have I would greatly appreciate.