The document provides guidance on how to push effectively during labor and delivery. It explains that pushing is similar to having a bowel movement and involves bearing down using only pelvic floor muscles. It recommends taking deep breaths, leaning forward while pushing for 10 seconds without exhaling, then quickly leaning back and exhaling before the next push. Support from a partner and nurse is suggested for squatting or sitting up positions instead of laying down. Daily practice of breathing techniques without pushing is also advised to prepare for the delivery.