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1. The passive stage (also called propulsive) - This lasts until the head of the foetus reaches the pelvic floor, at which point the woman experiences the desire to push. Rotation and flexion of the head are also completed in this stage. It typically only lasts a few minutes2. The active stage (also called expulsive) - The pressure of the foetal head on the pelvic floor results in an urge to "bear down". During this stage the woman pushes in conjunction with her contractions in order to expel the foetus

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