Pushing Class

August 25

Date February 18, 2027
Time 09:00 - 13:30 PST
Instructor Sarah Lavonne
Date August 25, 2027
Time 09:00 - 13:30 PST
Instructor Sarah Lavonne
Date August 25, 2027
Time 0900-1330 PST
Instructor Sarah Lavonne
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  • Cost per person

    $179.99
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  • Discounted group rates: 10+ : $161.99 per person 40+ : $152.99 per person 70+ : $143.99 per person

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Pushing Class | An Advanced Next Step From Our Physiologic Birth Class

Step into the next level of physiologic birth support with the Pushing Class, a dynamic, evidence-based class designed specifically for labor & delivery nurses but also for doulas, CNMs, OB providers, clinical educators, preceptors, and nurse leaders. This powerful, next-step class to the foundational Physiologic Birth Class dives deep into one of the most crucial, and often misunderstood, parts of birth: the second stage.

Over 6,000 birth professionals have already transformed their practice through taking our Physiologic Birth Class. This intensive 4.5-hour live, online Pushing Class gives you the confidence, knowledge, and advocacy tools you need to support optimal pushing techniques and impact the culture on your unit and your patient’s birth experience.

In this advanced training, you’ll learn exactly what the evidence says about pushing: open vs. closed-glottis, timing, techniques, and how AWHONN and ACOG recommendations can (and should) guide our practice. We’ll break down the physiology of pushing and optimal maternal positioning, with special attention to upright and functional positions for both unmedicated and epiduralized patients.

The class ends with an interactive discussion and breakout session to help you reflect, collaborate, and return to your unit ready to lead the charge in elevating birth outcomes.

What Makes The Pushing Class Essential:

  • End the Guesswork: Master evidence-based techniques backed by current research and professional guidelines
  • Confident Advocacy: Gain powerful scripts and strategies to advocate for best practices, even when facing pushback
  • Injury Prevention: Protect your patient from future morbidity, perineal trauma & LENI
  • Culture Change: Walk away with tools to facilitate meaningful conversations that transform unit practices
  • Immediate Impact: Use what you learn in your very next shift

This is your next step in Changing the Game in Obstetrics.


Included with Your Class

  • Class length: 4.5-hour live online class with interactive discussions/breakout, demonstrations, collaboration and practical application exercises.
  • Class Recording: Receive class recording via email for 4 weeks if you can’t make it live or want to rewatch it.
  • Provided 5 contact hours (CEs) of continuing education

*We strongly recommend that you have already taken our core class: Physiologic Birth prior to taking this class. While it is not a requirement, you will learn the most if you do! If you have not taken the class, you can take it the day before, and REGISTER HERE.

Topics Covered:

  • Physiology of Second Stage Labor – hormonal influences, fetal positioning, maternal effort mechanics
  • Open-Glottis vs. Closed-Glottis Pushing – evidence, outcomes, and when to use each technique
  • Spontaneous vs. Directed Pushing – research findings and patient-centered approaches
  • AWHONN and ACOG Current Guidelines – latest recommendations and evidence-based standards
  • Timing Strategies – delayed pushing, patient-led pushing, and urge-to-push protocols
  • Positioning – evidence for functional positions and gravity-assisted birth
  • Advocacy Scripts and Language – ready-to-use communication tools for bedside advocacy
  • Multidisciplinary Collaboration – strategies for nurse-to-nurse and nurse-to-provider conversations
  • Patient Education Techniques – teaching pushing effectively to birthing families
  • Risk Reduction Strategies – preventing complications while honoring physiologic birth
  • Unit Culture Change Methods – practical approaches to shifting practice patterns

Objectives

By the end of this class, participants will be able to:

  1. Summarize current evidence and professional guidelines (AWHONN, ACOG) on pushing techniques and timing in the second stage of labor.
  2. Compare and contrast pushing techniques including but not limited to open-glottis and closed-glottis pushing, including physiological mechanisms and outcomes for both maternal and fetal wellbeing.
  3. Evaluate and apply upright and alternative pushing positions for both medicated and unmedicated patients to improve maternal and neonatal outcomes while preventing injury.
  4. Implement patient-centered advocacy strategies using evidence-based scripts and communication tools to support physiologic second-stage practices, even in resistant environments.
  5. Lead collaborative conversations with colleagues and providers to promote meaningful, evidence-aligned practice change on their unit through effective communication & leading change skills.

Bundle Birth, A Nursing Corporation, is approved by the California Board of Registered Nursing, Provider Number 17368 to provide 5 contact hours upon completion of this class.

Sarah Lavonne

Your Instructor

Sarah Lavonne

Founder, Chief Executive Officer (CEO), BSN, PHN, RNC-OB, C-EFM, CLEC, ICCE With a vision to unite patients, support persons and medical personnel together through education and support, Sarah and her team have fearlessly developed a community of learning and inspiration across labor and delivery field. Sarah has held various roles in nursing from floor nurse, peer mentor (educating and mentoring nurses as they came off orientation), childbirth educator and manager, before she built Bundle Birth. Driven by a mission to empower people to live their best lives in and outside of work, Sarah is best known for inspiring and equipping nurses to provide unconventional nursing care that changes the world. A pioneer in nursing education, Sarah Lavonne is the founder & CEO at Bundle Birth, A Nursing Corporation.

Ratings & Reviews

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39 customers reviewed this product

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Rose L. Yuba City, CA
September 6, 2025

Great class for new L&D nurses and refresher for "seasoned" L&D nurses.

Great class for new L&D nurses and refresher for "seasoned" L&D nurses. We get used to how we deliver care day in and day out, primarily when you work at the same facility. It was more than a "Pushing Class." This was my first Bundle Birth Class, and I thoroughly enjoyed it. Looking forward to the next!
Nancy L Los Angeles, CA
January 24, 2026

This class will help you learn to better help your patients

This class will help you learn to better help your patients navigate pushing and will help you communicate with coworkers and care providers about different strategies for pushing.
Melissa B Livermore, CA
January 24, 2026

Amazing amount of information

This course gives you an amazing amount of information and background information on the science behind pushing and references to resources from AWHONN and ACOG. This course helps you learn to communicate effectively with coworkers, and providers in an open communication format, to help give your patient a voice and advocate for them.
Maria A Fremont, CA
January 24, 2026

This class is engaging and comes to prove that we are never ever ever done learning

This class is engaging and comes to prove that we are never ever ever done learning. It will change the way you have been doing things for years.
Lisa B Puyallup, WA
January 24, 2026

Thank you!

Thank you for always putting together great evidence based courses for us!
Lisa B Petaluma, CA
January 24, 2026

beneficial across disciplines

beneficial across disciplines; potential to improve not just outcomes, but patient satisfaction
Kathryn P Burlington, VT
January 24, 2026

Time well spent!

well worth the time/cost, invigorating, Sarah's energy is the best :)
Jennifer R Los Angeles, CA
January 24, 2026

Absolutely a must do for L&D nurses, providers and doulas!

absolutely a must do for L&D nurses, providers and doulas! Information here can affect your C/S rate in a good way!
Erica F Minneapolis, MN
January 24, 2026

I just finished my hospital orientation to L&D

Thank you for putting this together. I just finished my hospital orientation to L&D and I feel like this class is going to prepare me to make an impact for each starfish I encounter. This class is a great resource for learning how to support evidence based pushing and understanding the discrepancies between providers and nurses.
Denise R Colfax, CA
January 24, 2026

The information was GOLD

I wish the doctors would take these classes. Love the online versions- the ease to take, not having to drive somewhere. The information was GOLD. The positions demo'd helped so much, the verbal exchange examples also GOLD.
Deborah B Webster, MA
January 24, 2026

Fabulous class with so much material. Definitely recommend it to you!

Fabulous class with so much material. Definitely recommend it to you!
Pushing Class

Ratings & Reviews


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