What Is Crowning?
Once your baby crowns, you push out the rest of their body. Your doctor may ask you to do it gently or more slowly if your tissues need more time to stretch.
If your infant is too big, your doctor may widen your vaginal opening with a small cut called an episiotomy. But you usually won’t need this. Your doctor could also use a tool that looks like large spoons called forceps to guide your baby out. Another option called a vacuum extraction uses suction to help.
What Crowning Feels Like
You may feel a lot of pressure on your rectum like you need to poop. Your baby’s exit may stretch and irritate your vaginal nerves and the tissue between your vagina and anus (perineum). They may burn, tingle, and sting as your newborn makes their way out. Some women call this feeling a “ring of fire birth.”
But you might not feel much of any pain if you’ve taken medication for pain during your labor. The most common option in the U.S. is the epidural block. It helps numb feelings in your lower body through a tube in your lower back.
If you haven’t received an epidural or need more pain relief, your doctor may give you a shot called a pudendal nerve block to help you through the crowning.
You also may be able to push through your pain without any medication. Your partner, family members, or support person can put something warm on your back or a cool cloth on your forehead to lessen your discomfort.
How to Prepare
It’s natural if you feel nervous about giving birth. Remember that labor feels different for every woman. But some tips may help you better prepare for your delivery. You can:
- Go to a childbirth class
- Practice breathing, relaxation, and distraction techniques
- Ask your doctor or midwife questions beforehand