Praise for the previous edition: "This...edition is timely, useful, well organized, and should be in the bags of all doulas, nurses, midwives, physicians, and students involved in childbirth." -Journal of Midwifery and Women's Health The Labor Progress Handbook: Early Interventions to Prevent and Treat Dystocia is an unparalleled resource on simple, non-invasive interventions to prevent or treat difficult or prolonged labor. Thoroughly updated and highly illustrated, the book shows how to tailor one's care to the suspected etiology of the problem, using the least complex interventions first, followed by more complex interventions if necessary. This new edition now includes a new chapter on reducing dystocia in labors with epidurals, new material on the microbiome, as well as information on new counselling approaches specially designed for midwives to assist those who have had traumatic childbirths. Fully referenced and full of practical instructions throughout, The Labor Progress Handbook continues to be an indispensable guide for novices and experts alike who will benefit from its concise and accessible content.

Auteur

Penny Simkin, Senior Faculty at Simkin Center for Allied Birth, Vocations at Bastyr University, Independent Practice of Childbirth Education and Labor Support, USA.

Lisa Hanson, Professor and Director, Midwifery Program, College of Nursing, Marquette University, USA.

Ruth Ancheta, DONA-Approved Doula Trainer, Independent Practice of Childbirth Education and Labor Support, USA.

Texte du rabat

Review of the previous edition:

"Thisedition is timely, useful, well organized, and should be in the bags of all doulas, nurses, midwives, physicians, and students involved in childbirth."
Journal of Midwifery and Women's Health

The Labor Progress Handbook: Early Interventions to Prevent and Treat Dystocia is an unparalleled resource on simple, non-invasive interventions to prevent or treat difficult or prolonged labor. Thoroughly updated and highly illustrated, the book shows how to tailor one's care to the suspected etiology of the problem, using the least complex interventions first, followed by more complex interventions if necessary.

This edition includes a new chapter on reducing dystocia in labors with epidurals, new material on the microbiome, as well as information on new counselling approaches specially designed for midwives to assist those who have had traumatic childbirths.

Fully referenced and full of practical instructions throughout, The Labor Progress Handbook continues to be an indispensable guide for novices and experts alike who will benefit from its concise and accessible content.

Contenu

Foreword to the Fourth Edition xvii

Acknowledgments xx

**Chapter 1: Introduction 1
**Penny Simkin, BA, PT, CCE, CD(DONA) and Ruth Ancheta, MA, ICCE, CD(DONA)

Causes and prevention of labor dystocia: a systematic approach 1

Differences in maternity care providers and practices in the united kingdom, the united states, and canada 5

Notes on this book 5

Changes in this fourth edition 6

A note from the authors on the use of genderspecific language 6

Conclusion 7

References 7

**Chapter 2: Normal Labor and Labor Dystocia: General Considerations 9
**Penny Simkin, BA, PT, CCE, CD(DONA) and Ruth Ancheta, MA, ICCE, CD(DONA)

What is normal labor? 10

What is labor dystocia? 14

Why does labor progress slow down or stop? 15

Prostaglandins and hormonal influences on emotions and labor progress 17

Fightorflight and tendandbefriend responses to distress and fear during labor 19

Optimizing the environment for birth 21

The psychoemotional state of the woman: wellbeing or distress? 21

Pain versus suffering 21

Assessment of pain and distress in labor 22

Assessment of women's ability to cope with the pain 23

Psychoemotional measures to reduce suffering, fear, and anxiety 24

Before labor, what the caregiver can do 24

During labor: tips for caregivers and doulas, especially if meeting the laboring client for the first time in labor 26

An integrated philosophy on caring for trauma survivors 27

Trauma histories: why they matter 27

Childhood sexual abuse (CSA) and trauma in adulthood 27

Traumatic births 28

Traumainformed care as a universal precaution 31

Physical and physiologic measures to promote comfort and labor progress 32

During labor: physical comfort measures 32

During labor: physiologic measures 32

Why focus on maternal position? 33

Techniques to elicit stronger contractions 35

Maintaining maternal mobility while monitoring contractions and fetal heart 36

Auscultation 36

When EFM is required: options to enhance maternal mobility 37

Continuous EFM 37

Intermittent EFM 39

Wireless telemetry 40

Conclusion 42

References 42

**Chapter 3: Assessing Progress in Labor 49
**Wendy Gordon, LM, CPM, MPH, Suzy Myers, LM, CPM, MPH, with contributions by Gail Tully, BS, CPM, CD(DONA) and Lisa Hanson, PhD, CNM, FACNM

Before labor begins 50

Fetal presentation and position 50

Abdominal contour 52

Location of the point of maximum intensity (PMI) of the fetal heart tones via auscultation 53

Leopold's maneuvers for identifying fetal presentation and position 55

Abdominal palpation using Leopold's maneuvers 55

Estimating engagement 58

Malposition 62

Influencing fetal position prior to labor 62

Identifying those fetuses likely to persist in an OP position throughout labor 63

Influencing fetal position during labor 63

Other assessments prior to labor 64