While giving birth to her infant during labor, the safest and the most effective pushing technique taught to a woman during contractions is grasping knees, head elevated and breathing out.
During labor, it is very important for the mother to keep breathing. If she holds her breath, it will put pressure on the vena cava and lead to a reduction in the blood return. The head is kept elevated and the back is rounded which aids the abdominal muscles to help the uterus to push the baby out. Grasping the knees also helps in pushing and encouraging the movement of the infant outside the body.
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I believe it's both C and D
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