Ay anak, ito talaga ang common concern ng maraming first-time moms, nakakasakit talaga yung pushing mabigat! Siguro best approach is to relax your pelvic floor habang nag-eexert kasi pag tension lahat, mas malakas ang straining; inhale muna deeply then exhale lang slowly habang ginagawa mo, ganyan ginagawa ng ilan sa circle ko at nakatulong. But honestly, if it's painful talaga, mas safe mag-check ka sa OB mo kasi baka may technique issue or something else na kailangan i-address, lalo na since first baby mo pa lang. Huwag mag-alala, normal concern ito but better safe na may peace of mind ka from the doctor mismo!