I remember that I tried to do the birth breathing, but it felt really inefficient, so Hulda guided me to exhale with a bit more of a "squeeze". At that really moved things forward.  I was able to give birth standing up, my husband received our little son and there was no tearing, no dropping in heart rate and no other incidents one hears about so frequently. Everything went really well and smoothly and I am so happy, that I did the course and had Hulda with us.