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Extracted from Survival Guide to Midwifery, 2nd Edition (2012) Diane M. Fraser and Margaret A. Cooper, Oxford; Churchill Livingstone: 2012. Courtesy Elsevier
The Valsalva manoeuvre describes the process of managed active pushing accompanied by breath holding in the second stage of labour. It is now accepted that this process may have adverse consequences and should not be encouraged.
The Practising Midwife featured article
Supporting women's instinctive pushing behaviour during birth TPM 2015;18(6):13 - 15 Author: Reed R