{"product_id":"simkins-labor-progress-handbook-early-interventions-to-prevent-and-treat-dystocia-paperback-softback-9781119754466","title":"Simkin's Labor Progress Handbook; Early Interventions to Prevent and Treat Dystocia (Paperback \/ softback) 9781119754466","description":"\u003cfont face=\"Georgia\"\u003e\r\n\u003cp\u003e\u003cfont size=\"6\"\u003eSimkin's Labor Progress Handbook\u003c\/font\u003e\u003cbr\u003e\r\n\u003cfont size=\"5\"\u003eEarly Interventions to Prevent and Treat Dystocia\u003c\/font\u003e\u003c\/p\u003e\r\n\r\n\r\n\r\n\r\n\u003cp\u003e\u003cfont size=\"4\"\u003eLisa Hanson (Edited by), L Hanson (Author), Emily Malloy (Edited by), Penny Simkin (Edited by)\u003c\/font\u003e\u003c\/p\u003e\r\n\r\n\u003cp\u003e\u003cfont size=\"3\"\u003e9781119754466, Wiley\u003c\/font\u003e\u003c\/p\u003e\r\n\r\n\u003cp\u003e\u003cfont size=\"3\"\u003ePaperback \/ softback, published 5 January 2024\u003c\/font\u003e\u003c\/p\u003e\r\n\r\n\u003cp\u003e\u003cfont size=\"3\"\u003e384 pages\u003cbr\u003e23.1 x 18.8 x 2 cm, 0.771 kg\u003c\/font\u003e\u003c\/p\u003e\r\n\r\n\r\n\r\n\u003cp align=\"justify\"\u003e\u003cem\u003e\u003cfont size=\"3\"\u003e\u003cp\u003e“For all those committed to supporting birthing people, \u003ci\u003eSimkin’s Labor Progress Handbook\u003c\/i\u003e is a scientifically grounded and eminently practical resource. At a time of renewed public attention to addressing birth equity across the globe, the authors provide indispensable wisdom to ensure women and families receive the care they deserve.”\u003c\/p\u003e \u003cp\u003e\u003cb\u003eDr Neel Shah, MD, MPP\u003c\/b\u003e, Assistant Professor of Obstetrics, Gynecology and Reproductive Biology at Harvard Medical School and an obstetrician-gynecologist at the Beth Israel Deaconess Medical Centre.\u003c\/p\u003e\u003c\/font\u003e\u003c\/em\u003e\u003c\/p\u003e\r\n\r\n\u003cp align=\"justify\"\u003e\u003cstrong\u003e\u003cfont size=\"3\"\u003e\u003cb\u003eSIMKIN’S LABOR PROGRESS HANDBOOK\u003c\/b\u003e \u003cp\u003e\u003cb\u003eGet ready to enhance your expertise in the world of childbirth with \u003ci\u003eSimkin’s Labor Progress Handbook\u003c\/i\u003e — a trusted resource tailored for childbirth medical practitioners\u003c\/b\u003e \u003c\/p\u003e\n\u003cp\u003eThis invaluable guide unravels the complexities of labor, equipping you with practical strategies to overcome challenges encountered along the way. Inside this comprehensive book, you’ll discover a wealth of low-technology, evidence-based interventions designed to prevent and manage difficult or prolonged labors. Grounded in research and practical experience, these approaches are tailored by doulas and clinicians to provide optimal care and achieve successful outcomes. \u003c\/p\u003e\n\u003cp\u003eThe fifth edition of this prestigious text includes information on: \u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eLabor dystocia causes and early interventions and strategies promoting normal labor and birth\u003c\/li\u003e \u003cli\u003eApplication of fetal heart rate monitoring (intermittent auscultation, continuous electronic fetal monitoring, and wireless telemetry) while promoting movement and labor progress\u003c\/li\u003e \u003cli\u003eThe role of oxytocin and labor progress, and ethical considerations in oxytocin administration\u003c\/li\u003e \u003cli\u003eProlonged prelabor and latent first through fourth stage labor, addressing factors associated with dystocia\u003c\/li\u003e \u003cli\u003ePositions, comfort measures and respectful care\u003c\/li\u003e\n\u003c\/ul\u003e \u003cp\u003eWith meticulous referencing and clear, practical instructions throughout, \u003ci\u003eSimkin’s Labor Progress Handbook\u003c\/i\u003e continues to be a timely and accessible guide for novices and experts alike, including doulas, nurses, midwives, physicians, and students.\u003c\/p\u003e\u003c\/font\u003e\u003c\/strong\u003e\u003c\/p\u003e\r\n\r\n\u003cp\u003e\u003cfont size=\"3\"\u003e\u003cp\u003eList of Contributors xvi\u003c\/p\u003e \u003cp\u003eForeword xviii\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 1: Introduction 1\u003cbr\u003e \u003c\/b\u003e\u003ci\u003eLisa Hanson, PhD, CNM, FACNM, FAAN and Emily Malloy, PhD, CNM\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eCauses and prevention of labor dystocia: a systematic approach 1\u003c\/p\u003e \u003cp\u003eNotes on this book 4\u003c\/p\u003e \u003cp\u003eNote from the authors on the use of gender-inclusive language 5\u003c\/p\u003e \u003cp\u003eConclusion 5\u003c\/p\u003e \u003cp\u003eReferences 5\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 2: Respectful Care 7\u003cbr\u003e \u003c\/b\u003e\u003ci\u003eAmber Price DNP, CNM, MSN, RN 7\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eHealth system conditions and constraints 8\u003c\/p\u003e \u003cp\u003eLGBTQ birth care 9\u003c\/p\u003e \u003cp\u003eRMC and pregnant people in larger bodies 9\u003c\/p\u003e \u003cp\u003eShared decision-making 10\u003c\/p\u003e \u003cp\u003eExpectations 11\u003c\/p\u003e \u003cp\u003eThe impact of culture on the birth experience 12\u003c\/p\u003e \u003cp\u003eTraumatic births 12\u003c\/p\u003e \u003cp\u003eTrauma survivors and prevention of PTSD 13\u003c\/p\u003e \u003cp\u003eTrauma-informed care as a universal precaution 15\u003c\/p\u003e \u003cp\u003eObstetric violence 16\u003c\/p\u003e \u003cp\u003ePatient rights 17\u003c\/p\u003e \u003cp\u003eConsent 17\u003c\/p\u003e \u003cp\u003eMaternal mortality 18\u003c\/p\u003e \u003cp\u003eReferences 19\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 3: Normal Labor and Labor Dystocia: General Considerations 22\u003cbr\u003e \u003c\/b\u003e\u003ci\u003eLisa Hanson, PhD, CNM, FACNM, FAAN, Venus Standard, MSN, CNM, LCCE, FACNM, andPenny Simkin, BA, PT, CCE, CD(DONA)\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eWhat is normal labor? 22\u003c\/p\u003e \u003cp\u003eWhat is labor dystocia? 26\u003c\/p\u003e \u003cp\u003eWhat is normal labor progress and what practices promote it? 26\u003c\/p\u003e \u003cp\u003eWhy does labor progress slow or stop? 28\u003c\/p\u003e \u003cp\u003eProstaglandins and hormonal influences on emotions and labor progress 29\u003c\/p\u003e \u003cp\u003eDisruptions to the hormonal physiology of labor 30\u003c\/p\u003e \u003cp\u003eHormonal responses and gender 30\u003c\/p\u003e \u003cp\u003e“Fight‐or‐flight” and “tend‐and‐befriend” responses to distress and fear during labor 31\u003c\/p\u003e \u003cp\u003eOptimizing the environment for birth 32\u003c\/p\u003e \u003cp\u003eThe psycho‐emotional state of the pregnant person: wellbeing or distress? 33\u003c\/p\u003e \u003cp\u003ePain versus suffering 33\u003c\/p\u003e \u003cp\u003eAssessment of pain and coping 34\u003c\/p\u003e \u003cp\u003eEmotional dystocia 34\u003c\/p\u003e \u003cp\u003ePsycho‐emotional measures to reduce suffering, fear, and anxiety 34\u003c\/p\u003e \u003cp\u003eBefore labor, what the caregiver can do 34\u003c\/p\u003e \u003cp\u003eDuring labor: tips for caregivers and doulas, especially if meeting the laboring client for the first time in labor 37\u003c\/p\u003e \u003cp\u003eConclusion 38\u003c\/p\u003e \u003cp\u003eReferences 38\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 4: Assessing Progress in Labor 41\u003cbr\u003e \u003c\/b\u003e\u003ci\u003eWendy Gordon, DM, MPH, CPM, LM, with contributions by Gail Tully, BS, CPM, andLisa Hanson, PhD, CNM, FACNM, FAAN\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eBefore labor begins 42\u003c\/p\u003e \u003cp\u003eFetal presentation and position 42\u003c\/p\u003e \u003cp\u003eAbdominal contour 42\u003c\/p\u003e \u003cp\u003eLocation of the point of maximum intensity (PMI) of the fetal heart tones via auscultation 42\u003c\/p\u003e \u003cp\u003eLeopold’s maneuvers for identifying fetal presentation and position 46\u003c\/p\u003e \u003cp\u003eAbdominal palpation using Leopold’s maneuvers 46\u003c\/p\u003e \u003cp\u003eEstimating engagement: The rule of fifths 49\u003c\/p\u003e \u003cp\u003eMalposition 53\u003c\/p\u003e \u003cp\u003eOther assessments prior to labor 53\u003c\/p\u003e \u003cp\u003eEstimating fetal weight 53\u003c\/p\u003e \u003cp\u003eAssessing the cervix prior to labor 54\u003c\/p\u003e \u003cp\u003eAssessing prelabor 55\u003c\/p\u003e \u003cp\u003eSix ways to progress 55\u003c\/p\u003e \u003cp\u003eAssessments during labor 55\u003c\/p\u003e \u003cp\u003eVisual and verbal assessments 55\u003c\/p\u003e \u003cp\u003eHydration and nourishment 55\u003c\/p\u003e \u003cp\u003ePsychology 56\u003c\/p\u003e \u003cp\u003eQuality of contractions 56\u003c\/p\u003e \u003cp\u003eVital signs 57\u003c\/p\u003e \u003cp\u003ePurple line 58\u003c\/p\u003e \u003cp\u003eAssessing the fetus 58\u003c\/p\u003e \u003cp\u003eFetal movements 58\u003c\/p\u003e \u003cp\u003eGestational age 58\u003c\/p\u003e \u003cp\u003eMeconium 59\u003c\/p\u003e \u003cp\u003eFetal heart rate (FHR) 59\u003c\/p\u003e \u003cp\u003eInternal assessments 67\u003c\/p\u003e \u003cp\u003eVaginal examinations: indications and timing 68\u003c\/p\u003e \u003cp\u003ePerforming a vaginal examination during labor 68\u003c\/p\u003e \u003cp\u003eAssessing the cervix 69\u003c\/p\u003e \u003cp\u003eAssessing the presenting part 70\u003c\/p\u003e \u003cp\u003eIdentifying those fetuses likely to persist in an OP position throughout labor 75\u003c\/p\u003e \u003cp\u003eThe vagina and bony pelvis 76\u003c\/p\u003e \u003cp\u003ePutting it all together 76\u003c\/p\u003e \u003cp\u003eAssessing progress in the first stage 76\u003c\/p\u003e \u003cp\u003eFeatures of normal latent phase 76\u003c\/p\u003e \u003cp\u003eFeatures of normal active phase 76\u003c\/p\u003e \u003cp\u003eAssessing progress in the second stage 77\u003c\/p\u003e \u003cp\u003eFeatures of normal second stage 77\u003c\/p\u003e \u003cp\u003eConclusion 77\u003c\/p\u003e \u003cp\u003eReferences 77\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 5: Role of Physiologic and Pharmacologic Oxytocin in Labor Progress 82\u003cbr\u003e \u003c\/b\u003e\u003ci\u003eElise Erickson, PhD, CNM, FACNM and Nicole Carlson, PhD, CNM, FACNM, FAAN\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eHistory of oxytocin discovery and use in human labor 83\u003c\/p\u003e \u003cp\u003eStructure and function of oxytocin 83\u003c\/p\u003e \u003cp\u003eOxytocin receptors 83\u003c\/p\u003e \u003cp\u003eOxytocin and spontaneous labor onset and progression 84\u003c\/p\u003e \u003cp\u003ePromoting endogenous oxytocin function in spontaneous labor 85\u003c\/p\u003e \u003cp\u003eEthical considerations in oxytocin administration 85\u003c\/p\u003e \u003cp\u003eOxytocin use 86\u003c\/p\u003e \u003cp\u003eOxytocin use during latent phase labor 87\u003c\/p\u003e \u003cp\u003eOxytocin use during active phase labor 87\u003c\/p\u003e \u003cp\u003eOxytocin use during second stage labor 88\u003c\/p\u003e \u003cp\u003eChanges in contemporary populations and labor progress 88\u003c\/p\u003e \u003cp\u003eOxytocin dosing 89\u003c\/p\u003e \u003cp\u003eHigh dose\/low dose 89\u003c\/p\u003e \u003cp\u003eVariation in oxytocin dosing among special populations 89\u003c\/p\u003e \u003cp\u003eHigher body mass index 89\u003c\/p\u003e \u003cp\u003eNullipara 90\u003c\/p\u003e \u003cp\u003eMaternal age 90\u003c\/p\u003e \u003cp\u003eEpidural 91\u003c\/p\u003e \u003cp\u003eProblems associated with higher doses or longer oxytocin infusion 91\u003c\/p\u003e \u003cp\u003ePostpartum hemorrhage 91\u003c\/p\u003e \u003cp\u003eFetal Intolerance to labor 92\u003c\/p\u003e \u003cp\u003eOxytocin holiday 92\u003c\/p\u003e \u003cp\u003eBreastfeeding and beyond 92\u003c\/p\u003e \u003cp\u003eNew areas of oxytocin research 93\u003c\/p\u003e \u003cp\u003eConclusion 93\u003c\/p\u003e \u003cp\u003eReferences 93\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 6: Prolonged Prelabor and Latent First Stage 101\u003cbr\u003e \u003c\/b\u003e\u003ci\u003eEllen L. Tilden, PhD, RN, CNM, FACNM, Jesse Remer, BS, CD(DONA),BDT(DONA), LCCE, FACCE, and Joyce K. Edmonds, PhD, MPH, RN\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eThe onset of labor: key elements of recognition and response 102\u003c\/p\u003e \u003cp\u003eDefining labor onset 102\u003c\/p\u003e \u003cp\u003eSigns of impending labor 103\u003c\/p\u003e \u003cp\u003ePrelabor 103\u003c\/p\u003e \u003cp\u003ePrelabor vs labor: the dilemma 103\u003c\/p\u003e \u003cp\u003eDelaying latent labor hospital admissions 103\u003c\/p\u003e \u003cp\u003eAnticipatory guidance 104\u003c\/p\u003e \u003cp\u003eAnticipatory guidance for coping prior in prelabor 105\u003c\/p\u003e \u003cp\u003eSommer’s New Year’s Eve technique 106\u003c\/p\u003e \u003cp\u003eProlonged prelabor and the latent phase of labor 106\u003c\/p\u003e \u003cp\u003eFetal factors that may prolong early labor 107\u003c\/p\u003e \u003cp\u003eOptimal fetal positioning: prenatal features 107\u003c\/p\u003e \u003cp\u003eMiles circuit 109\u003c\/p\u003e \u003cp\u003eSupport measures for pregnant people who are at home in prelabor and the latent phase 110\u003c\/p\u003e \u003cp\u003eSome reasons for excessive pain and duration of prelabor or the latent phase 111\u003c\/p\u003e \u003cp\u003eIatrogenic factors 112\u003c\/p\u003e \u003cp\u003eCervical factors 112\u003c\/p\u003e \u003cp\u003eManagement of cervical stenosis or the “zipper” cervix 112\u003c\/p\u003e \u003cp\u003eOther soft tissue (ligaments, muscles, fascia) factors 112\u003c\/p\u003e \u003cp\u003eEmotional dystocia 113\u003c\/p\u003e \u003cp\u003eTroubleshooting Measures for Painful Prolonged Prelabor or Latent Phase 113\u003c\/p\u003e \u003cp\u003eMeasures to Alleviate Painful, Non‐progressing, Non‐dilating Contractions in Prelabor or Latent Phase 114\u003c\/p\u003e \u003cp\u003eSynclitism and asynclitism 114\u003c\/p\u003e \u003cp\u003eOpen knee–chest position 118\u003c\/p\u003e \u003cp\u003eClosed knee–chest position 119\u003c\/p\u003e \u003cp\u003eSide‐lying release 119\u003c\/p\u003e \u003cp\u003eWhen progress in prelabor or latent phase remains inadequate 120\u003c\/p\u003e \u003cp\u003eTherapeutic rest 120\u003c\/p\u003e \u003cp\u003eNipple stimulation 120\u003c\/p\u003e \u003cp\u003eMembrane sweeping 121\u003c\/p\u003e \u003cp\u003eArtificial rupture of membranes in latent labor 121\u003c\/p\u003e \u003cp\u003eCan prenatal actions prevent some postdates pregnancies, prolonged prelabors, or early labors? 121\u003c\/p\u003e \u003cp\u003ePrenatal preparation of the cervix for dilation 121\u003c\/p\u003e \u003cp\u003eReferences 125\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 7: Prolonged Active Phase 130\u003cbr\u003e \u003c\/b\u003e\u003ci\u003eAmy Marowitz, DNP, CNM\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eWhat is active labor? Description, definition, diagnosis 131\u003c\/p\u003e \u003cp\u003eWhen is active labor prolonged or arrested? 131\u003c\/p\u003e \u003cp\u003ePossible causes of prolonged active labor 132\u003c\/p\u003e \u003cp\u003eTreatment of prolonged labor 132\u003c\/p\u003e \u003cp\u003eFetopelvic factors 132\u003c\/p\u003e \u003cp\u003eHow fetal malpositions and malpresentation delay labor progress 134\u003c\/p\u003e \u003cp\u003eDetermining fetopelvic relationships 134\u003c\/p\u003e \u003cp\u003eMalpositions 134\u003c\/p\u003e \u003cp\u003eMalpresentations 134\u003c\/p\u003e \u003cp\u003eUse of ultrasound 135\u003c\/p\u003e \u003cp\u003eArtificial rupture of the membranes (amniotomy) when there is a fetal malposition or malpresentation 135\u003c\/p\u003e \u003cp\u003eEpidural analgesia and malposition or malpresentation 135\u003c\/p\u003e \u003cp\u003eMaternal positions and movements for suspected malposition, malpresentation, or any “poor fit” 136\u003c\/p\u003e \u003cp\u003eOverview and evidence 136\u003c\/p\u003e \u003cp\u003ePositions to encourage optimal fetal positioning 137\u003c\/p\u003e \u003cp\u003eForward‐leaning positions 137\u003c\/p\u003e \u003cp\u003eSide‐lying positions 137\u003c\/p\u003e \u003cp\u003eAsymmetrical positions and movements 137\u003c\/p\u003e \u003cp\u003eAbdominal lifting 142\u003c\/p\u003e \u003cp\u003e“Walcher’s” position 142\u003c\/p\u003e \u003cp\u003eFlying cowgirl 142\u003c\/p\u003e \u003cp\u003eLow technology clinical approaches to alter fetal position 144\u003c\/p\u003e \u003cp\u003eDigital or manual rotation of the fetal head 144\u003c\/p\u003e \u003cp\u003eDigital rotation 145\u003c\/p\u003e \u003cp\u003eManual rotation 146\u003c\/p\u003e \u003cp\u003eEarly urge to push, cervical edema, and persistent cervical lip 147\u003c\/p\u003e \u003cp\u003eManual reduction of a persistent cervical lip 148\u003c\/p\u003e \u003cp\u003eReducing swelling of the cervix or anterior lip 148\u003c\/p\u003e \u003cp\u003eDisruptions to the hormonal physiology of labor 150\u003c\/p\u003e \u003cp\u003eOverview 150\u003c\/p\u003e \u003cp\u003eIf emotional dystocia is suspected 150\u003c\/p\u003e \u003cp\u003ePredisposing factors theorized to contribute to emotional dystocia 151\u003c\/p\u003e \u003cp\u003ePossible indicators of emotional dystocia during active labor 151\u003c\/p\u003e \u003cp\u003eMeasures to help cope with expressed fears 151\u003c\/p\u003e \u003cp\u003eHypocontractile uterine activity 152\u003c\/p\u003e \u003cp\u003eFactors that can contribute to contractions of inadequate intensity and\/or frequency 152\u003c\/p\u003e \u003cp\u003eImmobility 152\u003c\/p\u003e \u003cp\u003eEnvironmental and emotional factors 152\u003c\/p\u003e \u003cp\u003eUterine lactate production in long labors 152\u003c\/p\u003e \u003cp\u003eSodium bicarbonate 153\u003c\/p\u003e \u003cp\u003eCalcium carbonate 154\u003c\/p\u003e \u003cp\u003eWhen the cause of inadequate contractions is unknown 154\u003c\/p\u003e \u003cp\u003eBreast stimulation 154\u003c\/p\u003e \u003cp\u003eWalking and changes in position 154\u003c\/p\u003e \u003cp\u003eAcupressure or acupuncture 154\u003c\/p\u003e \u003cp\u003eCoping and comfort issues 155\u003c\/p\u003e \u003cp\u003eIndividual coping styles 155\u003c\/p\u003e \u003cp\u003eSimkin’s 3 Rs: Relaxation, rhythm, and ritual: The essence of coping during the first stage of labor 156\u003c\/p\u003e \u003cp\u003eHydrotherapy: Warm water immersion or warm shower 156\u003c\/p\u003e \u003cp\u003eComfort measures for back pain 156\u003c\/p\u003e \u003cp\u003eExhaustion 157\u003c\/p\u003e \u003cp\u003eSterile water injections 158\u003c\/p\u003e \u003cp\u003eProcedure for subcutaneous sterile water injections 159\u003c\/p\u003e \u003cp\u003eHydration and nutrition 160\u003c\/p\u003e \u003cp\u003eConclusion 160\u003c\/p\u003e \u003cp\u003eReferences 160\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 8: Prevention and Treatment of Prolonged Second Stage of Labor 166\u003cbr\u003e \u003c\/b\u003e\u003ci\u003eKathryn Osborne, PhD, CNM, FACNM and Lisa Hanson, PhD, CNM, FACNM, FAAN\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eDefinitions of the second stage of labor 167\u003c\/p\u003e \u003cp\u003ePhases of the second stage of labor 167\u003c\/p\u003e \u003cp\u003eThe latent phase of the second stage 168\u003c\/p\u003e \u003cp\u003eEvidence-based support during the latent phase of second stage labor 169\u003c\/p\u003e \u003cp\u003eWhat if the latent phase of the second stage persists? 169\u003c\/p\u003e \u003cp\u003eThe active phase of the second stage 169\u003c\/p\u003e \u003cp\u003ePhysiologic effects of prolonged breath‐holding and straining 170\u003c\/p\u003e \u003cp\u003eEffects on the birth giver 170\u003c\/p\u003e \u003cp\u003eEffects on the fetus 170\u003c\/p\u003e \u003cp\u003eSpontaneous expulsive efforts 171\u003c\/p\u003e \u003cp\u003eDiffuse pushing 172\u003c\/p\u003e \u003cp\u003eSecond stage time limits 173\u003c\/p\u003e \u003cp\u003ePossible causes and physiologic solutions for second stage dystocia 174\u003c\/p\u003e \u003cp\u003ePosition changes and other strategies for suspected occiput posterior or persistent occiput transverse fetuses 174\u003c\/p\u003e \u003cp\u003eThe use of supine positions 174\u003c\/p\u003e \u003cp\u003eWhy not the supine position? 176\u003c\/p\u003e \u003cp\u003eUse of the exaggerated lithotomy position 177\u003c\/p\u003e \u003cp\u003eDifferentiating between pushing positions and birth positions 178\u003c\/p\u003e \u003cp\u003eKnees together pushing 178\u003c\/p\u003e \u003cp\u003eLeaning forward while kneeling, standing, or sitting 178\u003c\/p\u003e \u003cp\u003eSquatting positions 178\u003c\/p\u003e \u003cp\u003eAsymmetrical positions 180\u003c\/p\u003e \u003cp\u003eLateral positions 181\u003c\/p\u003e \u003cp\u003eSupported squat or “dangle” positions 181\u003c\/p\u003e \u003cp\u003eOther strategies for malposition and back pain 182\u003c\/p\u003e \u003cp\u003eEarly interventions for suspected persistent asynclitism 183\u003c\/p\u003e \u003cp\u003ePositions and movements for persistent asynclitism in second stage 188\u003c\/p\u003e \u003cp\u003eNuchal hand or hands at vertex delivery 190\u003c\/p\u003e \u003cp\u003eIf cephalopelvic disproportion or macrosomia (“poor fit”) is suspected 190\u003c\/p\u003e \u003cp\u003eThe influence of time on cephalopelvic disproportion 191\u003c\/p\u003e \u003cp\u003eFetal head descent 191\u003c\/p\u003e \u003cp\u003eVerbal support of spontaneous bearing‐down efforts 192\u003c\/p\u003e \u003cp\u003eGuiding the birthing person through crowning of the fetal head 192\u003c\/p\u003e \u003cp\u003eHand skills to protect the perineum 192\u003c\/p\u003e \u003cp\u003ePerineal management during second stage 194\u003c\/p\u003e \u003cp\u003eTopical anesthetic applied to the perineum 194\u003c\/p\u003e \u003cp\u003eDifferentiating perineal massage from other interventions 194\u003c\/p\u003e \u003cp\u003eWaterbirth 194\u003c\/p\u003e \u003cp\u003ePositions for suspected “cephalopelvic disproportion” (CPD) in second stage 197\u003c\/p\u003e \u003cp\u003eShoulder dystocia 197\u003c\/p\u003e \u003cp\u003ePrecautionary measures 202\u003c\/p\u003e \u003cp\u003eTwo step delivery of the fetal head 204\u003c\/p\u003e \u003cp\u003eWarning signs 204\u003c\/p\u003e \u003cp\u003eShoulder dystocia maneuvers 205\u003c\/p\u003e \u003cp\u003eThe McRoberts’ maneuver 206\u003c\/p\u003e \u003cp\u003eSuprapubic pressure 206\u003c\/p\u003e \u003cp\u003eHands and knees position, or the Gaskin maneuver 207\u003c\/p\u003e \u003cp\u003eShrug maneuver 207\u003c\/p\u003e \u003cp\u003ePosterior axilla sling traction (PAST) 208\u003c\/p\u003e \u003cp\u003eTully’s FlipFLOP pneumonic 208\u003c\/p\u003e \u003cp\u003eSomersault maneuver 208\u003c\/p\u003e \u003cp\u003eDecreased contraction frequency and intensity 210\u003c\/p\u003e \u003cp\u003eIf emotional dystocia is suspected 211\u003c\/p\u003e \u003cp\u003eThe essence of coping during the second stage of labor 211\u003c\/p\u003e \u003cp\u003eSigns of emotional distress in second stage 211\u003c\/p\u003e \u003cp\u003eTriggers of emotional distress unique to the second stage 211\u003c\/p\u003e \u003cp\u003eConclusion 213\u003c\/p\u003e \u003cp\u003eReferences 213\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 9: Optimal Newborn Transition and Third and Fourth Stage Labor Management 219\u003cbr\u003e \u003c\/b\u003e\u003ci\u003eEmily Malloy, PhD, CNM, Lisa Hanson, PhD, CNM, FACNM, and Karen Robinson, PhD,\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eCnm, Facnm\u003c\/p\u003e \u003cp\u003eOverview of the normal third and fourth stages of labor for unmedicated mother and baby 219\u003c\/p\u003e \u003cp\u003eThird stage management: care of the baby 220\u003c\/p\u003e \u003cp\u003eOral and nasopharynx suctioning 220\u003c\/p\u003e \u003cp\u003eDelayed clamping and cutting of the umbilical cord 221\u003c\/p\u003e \u003cp\u003eManagement of delivery of an infant with a tight nuchal cord 222\u003c\/p\u003e \u003cp\u003eThird stage management: the placenta 222\u003c\/p\u003e \u003cp\u003ePhysiologic (expectant) management of the third stage of labor 223\u003c\/p\u003e \u003cp\u003eActive management of the third stage of labor 224\u003c\/p\u003e \u003cp\u003eThe fourth stage of labor 226\u003c\/p\u003e \u003cp\u003eBaby‐friendly (breastfeeding) practices 227\u003c\/p\u003e \u003cp\u003eSupporting microbial health of the infant 228\u003c\/p\u003e \u003cp\u003eRoutine newborn assessments 229\u003c\/p\u003e \u003cp\u003eConclusion 230\u003c\/p\u003e \u003cp\u003eReferences 230\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 10: Epidural and Other Forms of Neuraxial Analgesia for Labor: Review of Effects, with Emphasis on Preventing Dystocia 235\u003cbr\u003e \u003c\/b\u003e\u003ci\u003eSharon Muza, BS, CD\/BDT(DONA), LCCE, FACCE, CLE and Robin Elise Weiss,Ph.D., MPH, CLC, LCCE, FACCE, AdvCD\/BDT(DONA)\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eIntroduction: analgesia and anesthesia—an integral part of maternity care in many countries 235\u003c\/p\u003e \u003cp\u003eNeuraxial (epidural and spinal) analgesia—new terms for old approaches to labor pain? 236\u003c\/p\u003e \u003cp\u003ePhysiological adjustments that support maternal-fetal wellbeing 237\u003c\/p\u003e \u003cp\u003eMultisystem effects of epidural analgesia on labor progress 237\u003c\/p\u003e \u003cp\u003eThe endocrine system 237\u003c\/p\u003e \u003cp\u003eThe musculoskeletal system 238\u003c\/p\u003e \u003cp\u003eThe genitourinary system 239\u003c\/p\u003e \u003cp\u003eCan changes in labor management reduce problems of epidural analgesia? 239\u003c\/p\u003e \u003cp\u003eDescent vaginal birth 243\u003c\/p\u003e \u003cp\u003eGuided physiologic pushing with an epidural 244\u003c\/p\u003e \u003cp\u003eCentering the pregnant person during labor 245\u003c\/p\u003e \u003cp\u003eConclusion 246\u003c\/p\u003e \u003cp\u003eReferences 246\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 11: Guide to Positions and Movements 249\u003cbr\u003e \u003c\/b\u003e\u003ci\u003eLisa Hanson, PhD, CNM, FACNM, FAAN and Emily Malloy, PhD, CNM\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eMaternal positions and how they affect labor 250\u003c\/p\u003e \u003cp\u003eSide‐lying positions 250\u003c\/p\u003e \u003cp\u003ePure side‐lying and semiprone (exaggerated Sims’) 250\u003c\/p\u003e \u003cp\u003eThe “semiprone lunge” 256\u003c\/p\u003e \u003cp\u003eSide‐lying release 257\u003c\/p\u003e \u003cp\u003eSitting positions 259\u003c\/p\u003e \u003cp\u003eSemisitting 259\u003c\/p\u003e \u003cp\u003eSitting upright 261\u003c\/p\u003e \u003cp\u003eSitting, leaning forward with support 262\u003c\/p\u003e \u003cp\u003eStanding, leaning forward 263\u003c\/p\u003e \u003cp\u003eKneeling positions 264\u003c\/p\u003e \u003cp\u003eKneeling, leaning forward with support 264\u003c\/p\u003e \u003cp\u003eHands and knees 266\u003c\/p\u003e \u003cp\u003eOpen knee–chest position 266\u003c\/p\u003e \u003cp\u003eClosed knee–chest position 269\u003c\/p\u003e \u003cp\u003eAsymmetrical upright (standing, kneeling, sitting) positions 269\u003c\/p\u003e \u003cp\u003eSquatting positions 270\u003c\/p\u003e \u003cp\u003eSquatting 270\u003c\/p\u003e \u003cp\u003eSupported squatting (“dangling”) positions 272\u003c\/p\u003e \u003cp\u003eHalf‐squatting, lunging, and swaying 274\u003c\/p\u003e \u003cp\u003eLap squatting 274\u003c\/p\u003e \u003cp\u003eSupine positions 277\u003c\/p\u003e \u003cp\u003eSupine 277\u003c\/p\u003e \u003cp\u003eSheet “pull‐to‐push” 278\u003c\/p\u003e \u003cp\u003eExaggerated lithotomy (McRoberts’ position) 279\u003c\/p\u003e \u003cp\u003eMaternal movements in first and second stages 280\u003c\/p\u003e \u003cp\u003ePelvic rocking (also called pelvic tilt) and other movements of the pelvis 281\u003c\/p\u003e \u003cp\u003eHip sifting 282\u003c\/p\u003e \u003cp\u003eFlexion of hips and knees in hands and knees position 283\u003c\/p\u003e \u003cp\u003eThe lunge 284\u003c\/p\u003e \u003cp\u003eWalking or stair climbing 285\u003c\/p\u003e \u003cp\u003eSlow dancing 286\u003c\/p\u003e \u003cp\u003eAbdominal lifting 288\u003c\/p\u003e \u003cp\u003eAbdominal jiggling with a shawl 289\u003c\/p\u003e \u003cp\u003eThe pelvic press 290\u003c\/p\u003e \u003cp\u003eOther rhythmic movements 292\u003c\/p\u003e \u003cp\u003eReferences 293\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 12: Guide to Comfort Measures 294\u003cbr\u003e \u003c\/b\u003e\u003ci\u003eEmily Malloy, PhD, CNM and Lisa Hanson, PhD, CNM, FACNM, FAAN\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eIntroduction: the state of the science regarding non‐pharmacologic, complementary, and alternative\u003c\/p\u003e \u003cp\u003emethods to relieve labor pain 295\u003c\/p\u003e \u003cp\u003eGeneral guidelines for comfort during a slow labor 295\u003c\/p\u003e \u003cp\u003eNon‐pharmacologic physical comfort measures 296\u003c\/p\u003e \u003cp\u003eHeat 296\u003c\/p\u003e \u003cp\u003eCold 297\u003c\/p\u003e \u003cp\u003eHydrotherapy 299\u003c\/p\u003e \u003cp\u003eHow to monitor the fetus in or around water 301\u003c\/p\u003e \u003cp\u003eTouch and massage 302\u003c\/p\u003e \u003cp\u003eHow to give simple brief massages for shoulders and back, hands, and feet 302\u003c\/p\u003e \u003cp\u003eAcupuncture 307\u003c\/p\u003e \u003cp\u003eAcupressure 307\u003c\/p\u003e \u003cp\u003eContinuous labor support from a doula, nurse, or midwife 307\u003c\/p\u003e \u003cp\u003eHow the doula helps 308\u003c\/p\u003e \u003cp\u003eWhat about staff nurses and midwives as labor support providers? 309\u003c\/p\u003e \u003cp\u003eAssessing the laboring person’s emotional state 310\u003c\/p\u003e \u003cp\u003eTechniques and devices to reduce back pain 312\u003c\/p\u003e \u003cp\u003eCounterpressure 312\u003c\/p\u003e \u003cp\u003eThe double hip squeeze 312\u003c\/p\u003e \u003cp\u003eThe knee press 314\u003c\/p\u003e \u003cp\u003eCook’s counterpressure technique No. 1: ischial tuberosities (IT) 315\u003c\/p\u003e \u003cp\u003eCook’s counterpressure technique No. 2: perilabial pressure 316\u003c\/p\u003e \u003cp\u003eTechniques and devices to reduce back pain 318\u003c\/p\u003e \u003cp\u003eCold and heat 318\u003c\/p\u003e \u003cp\u003eCold and rolling cold 318\u003c\/p\u003e \u003cp\u003eWarm compresses 319\u003c\/p\u003e \u003cp\u003eMaternal movement and positions 319\u003c\/p\u003e \u003cp\u003eBirth ball 320\u003c\/p\u003e \u003cp\u003eTranscutaneous electrical nerve stimulation (TENS) 321\u003c\/p\u003e \u003cp\u003eSterile water injections for back labor 323\u003c\/p\u003e \u003cp\u003eProcedure for subcutaneous sterile water injections 324\u003c\/p\u003e \u003cp\u003eBreathing for relaxation and a sense of mastery 324\u003c\/p\u003e \u003cp\u003eSimple breathing rhythms to teach on the spot in labor 325\u003c\/p\u003e \u003cp\u003eBearing‐down techniques for the second stage 325\u003c\/p\u003e \u003cp\u003eSpontaneous bearing down (pushing) 325\u003c\/p\u003e \u003cp\u003eSelf‐directed pushing 326\u003c\/p\u003e \u003cp\u003eConclusion 326\u003c\/p\u003e \u003cp\u003eReferences 326\u003c\/p\u003e \u003cp\u003eIndex 329\u003c\/p\u003e\u003c\/font\u003e\u003c\/p\u003e\r\n\r\n\u003cp\u003e\u003cfont size=\"3\"\u003eSubject Areas: Nursing \u0026amp; ancillary services [\u003ca title=\"See our other books on Nursing \u0026amp; ancillary services\" href=\"https:\/\/freshlyprintedbooks.co.uk\/search?q=%22Nursing%20\u0026amp;%20ancillary%20services%20%5BMQ%5D%22\"\u003eMQ\u003c\/a\u003e]\u003c\/font\u003e\u003c\/p\u003e\r\n\r\n\r\n\u003c\/font\u003e","brand":"Wiley-Blackwell","offers":[{"title":"Brand 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