Pushing the baby out
I find this stage of labor to be easier than the earlier stages. Some women have the urge to push but others do not, I haven't always had the urge to push right away and I am expecting my ninth child this year. The reason it hurts so much is because there is intense pressure and your vagina is opening to let the baby come out. I've always told people to push as if you are having the biggest bowel movement of your life.