This stage signals that you don't have long to go, and just when you think you can't make it any longer, birth is eminent. Your coach should remind the nurses to check your dilation at this point, if they haven't already. Contractions are again more wavelike, with periods of rest in between, averaging about 3-7 minutes apart and around 60 or so seconds long. Remember to push from the diaphragm downward and concentrate on relaxing the vaginal canal. You may find it easiest to work with gravity and push in an upright, or maybe even side-lying position.
Squatting is also very effective.
Lying flat on your back as you see in movies is rarely encouraged today, as it works against gravity making this stage longer and harder on you and your baby. Depending on what type of medication, if any, you have taken during labor, it's possible you will feel the baby in the birth canal during contractions, and you may experience a burning, or stretching, sensation as your perinium is widened. An incredible amount of energy is exerted at this stage, and you may be experiencing a mix of emotions as your baby approaches. Be proud of yourself, you have reached a beautiful, natural moment. The final stage also includes the birth of the placenta, or afterbirth.