[justpush]

The student clasped his legs more firmly against the stirrups and leaned his face more toward his tummy. The midwife stroked his thigh.
"Okay... Take a breath in and out again!" she countered, and he groaned in pain and grabbed Jamie's hand even tighter with a trembling hand.
"It hurts..." He whispered, but obediently began to push "Mhmmmm.... Ahhh!"