In my third birth, my midwives acted as lifeguards, watching carefully (using some technology as tools to assist in watching) to make sure nothing pathological was happening, and encouraging me to do some preventative measures due to the risk factor of pre-labor rupture of membranes. Because of PROM, risk of infection was a good reason to limit/avoid cervical checks, and it turns out that there wasn't any reason to do them.
My midwives saw no need to check to "make sure I was complete" before pushing. They encouraged me to follow my instincts and push only when I had no other choice but to push. I instinctively bore down at the peaks of the pressure waves for a while, until I felt an unmistakable urge to push. "Urge" isn't even the right word. "Takeover" describes it better. I couldn't do anything but push.
Like I suspected when I wrote my other two posts, during my third birth, I was, in fact, a very vocal pusher. Unlike in my second birth, I was not told to hold my breath and put my chin to my chest to push. In following my instincts, I did not hold my breath or curl my head forward. I opened my mouth and let sound escape my body, and boy, did it! Watching the video now, I am even a little surprised with how loud I was. I have some technical difficulties with my digital camcorder (I think I need software to load the video, but I must have lost the CD), so I don't have the video to share, but believe me when I say I was LOUD. And no, I was not screaming in pain. Hypnobabies was absolutely working for me. There may have been some pain when I lost my rhythm in reaction to changes in how things felt as my body first began pushing, but I experienced the sensations of my baby emerging as mostly stretching and fullness, and I did not experience burning or a "ring of fire" sensation at crowning. It was really like I couldn't help making noise. It was what came naturally to me, and I wouldn't change a thing about it.