Re: When to push? There are outward signs, and as a student having/being told to VE I feel I haven't got the enviable palpation skills of old, where midwives reported to have seldom done VE's in favour of palpation instead to assess descent, station etc...
The purple line is good but only on certain women, and if she is in the correct position to assess it, the other signs suggested earlier are good signs and hints but I wouldn't take them as read that she's fully.
Nor would I get a woman to push if the urge wasn't there, just no point is there?
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