Four important points

1.     Try to listen to what the midwife is saying. Try to cooperate but don’t be afraid of saying what you feel and think.

2.     You can choose whatever position you like during the first stage of delivery and almost all second stage of delivery. BUT: during the last minutes of the second stage of delivery you should be in a position where the midwife can see your perineum.

3.     Support of the perineum. This means that the midwife/doctor with one hand holds around the perineum and with the other hand on the baby’s head. During a point in time you will be asked to breathe rapidly through the contractions.  

4.     If a cut in the perineum has to be made, it should be directed correctly away from the anal opening.