The contractions for me got their worst when I was dilated to a 7. You just have to find something to take your mind off of the pain. Music, hypnobirth, a focal point, massage from a partner or anything that helps you relax. When the baby is crowning you will feel lots of pressure and burning. This is when most women say I can't do it and they get scared. Just breathe and push through the pain. You push down in your bottom like your going to the bathroom. Perineal massage does help avoid tearing and so does the water if you do a waterbirth. I've had one natural and three with epidural. With this one I'm planning on natural.
Hey, im a high risk pregnant but im looking into natural delivery, i have ready about perineum massage during 36 weeks. Says will help avoid episiotomy.