The Labor Progress Handbook:... | Buy

This is the first comprehensive compilation of problem-based, low cost, low risk measures to prevent or treat difficult labor. These measures are logically used before higher-cost, higher-risk interventions. The book is arranged so that a busy midwife can find desired information quickly using flowcharts, plentiful illustrations, and minimal text presented in a systematic approach to specific conditions. The book also provides sections of more detailed text for use when the reader has time to consider the same topics more deeply. The text is carefully tied to research sources, and integrates ideas originating in both the medical model and the midwifery model of birth.

Foreword	p. xiii
Acknowledgments	p. xv
Introduction	p. 1
Some important differences in maternity care between the United States, the United Kingdom, and Canada	p. 5
Notes on this book	p. 8
Conclusion	p. 8
References	p. 9
Dysfunctional Labor: General Considerations	p. 10
What is dysfunctional labor?	p. 10
Maintaining labor progress: prevention of dysfunctional labor	p. 11
The psycho-emotional state of the woman: reducing maternal distress	p. 11
Psycho-emotional measures	p. 13
Physical comfort measures	p. 15
Physiological measures	p. 16
Why focus on maternal position?	p. 16
Monitoring the mobile woman's fetus	p. 18
Auscultation	p. 18
When electronic fetal monitoring is required: options to enhance maternal mobility	p. 19
Continuous EFM	p. 19
Intermittent EFM	p. 22
Telemetry	p. 23
Techniques to elicit stronger contractions	p. 25
Conclusion	p. 26
References	p. 26
Prolonged Pre-labor and Latent First Stage	p. 28
Is it dystocia?	p. 28
When is a woman in labor?	p. 28
The woman who has hours of contractions without dilation	p. 29
The six ways to progress in labor	p. 31
Support measures for women who are at home in pre-labor and latent phase	p. 32
Some reasons for excessive pain and duration of pre-labor or latent phase	p. 34
Physical reasons	p. 34
Psychological reasons	p. 34
Troubleshooting measures for painful prolonged pre-labor or latent phase	p. 35
Measures to alleviate painful irregular non-dilating contractions in pre-labor or latent phase	p. 37
Conclusion	p. 43
References	p. 43
Prolonged Active Phase of Labor	p. 45
What is prolonged active labor?	p. 46
Characteristics of prolonged active labor	p. 46
Possible causes of prolonged active labor	p. 47
Malposition, macrosomia and cephalo-pelvic disproportion (CPD)	p. 49
Reasons for delayed progress	p. 52
Artificial rupture of the membranes	p. 52
Specific measures to address and correct problems associated with malposition, cephalo-pelvic disproportion and macrosomia	p. 52
Maternal positions and movements for suspected occiput posterior, persistent occiput transverse, asynclitism, cephalo-pelvic disproportion or macrosomia in active labor	p. 53
Forward-leaning positions	p. 54
Sidelying positions	p. 56
Asymmetrical positions and movements	p. 58
Abdominal lifting	p. 60
An uncontrollable premature urge to push	p. 61
Hydrotherapy (baths and showers)	p. 62
Rest	p. 63
Positions for tired women	p. 64
If contractions are inadequate	p. 65
Immobility	p. 65
Medication	p. 65
Dehydration	p. 66
When the cause of inadequate contractions is unknown	p. 67
If there is a persistent cervical lip or a swollen cervix	p. 68
Position changes	p. 68
Other methods	p. 69
Manual reduction of a cervical lip	p. 69
If emotional dystocia is suspected	p. 70
Indicators of emotional dystocia	p. 70
Predisposing factors for emotional dystocia	p. 70
Helping the woman state her fears	p. 71
How to help a woman for whom emotional distress is a likely cause of labor dystocia	p. 74
Special needs of childhood abuse survivors	p. 75
Incompatibility or poor relationship with staff	p. 75
If the source of the woman's anxiety cannot be identified	p. 76
Conclusion	p. 77
References	p. 77
Prolonged Second Stage of Labor	p. 79
Definitions of the second stage	p. 79
The phases of the second stage	p. 80
The latent phase of the second stage	p. 80
The active phase of the second stage	p. 83
How long an active phase of second stage is too long?	p. 91
Possible etiologies and solutions for second-stage dystocia	p. 92
Positions and other strategies for suspected occiput posterior (OP) or persistent occiput transverse (OT) fetuses	p. 92
Manual interventions to reposition the OP fetus	p. 105
Early interventions for suspected persistent asynclitism	p. 107
If cephalo-pelvic disproportion (CPD) or macrosomia is suspected	p. 109
Positions for 'possible CPD' in second stage	p. 110
If emotional dystocia is suspected	p. 119
References	p. 121
The Labor Progress Toolkit: Part 1. Maternal Positions and Movements	p. 124
Maternal positions	p. 125
Sidelying positions	p. 126
Semi-sitting	p. 130
Sitting upright	p. 132
Sitting leaning forward with support	p. 133
Standing, leaning forward	p. 134
Kneeling, leaning forward with support	p. 136
Hands and knees	p. 138
Open knee-chest position	p. 139
Closed knee-chest position	p. 140
Asymmetrical upright (standing, kneeling, sitting) positions	p. 141
Squatting	p. 143
Supported squatting positions	p. 145
Lap squatting	p. 147
Exaggerated lithotomy (McRoberts' position)	p. 149
Supine	p. 150
Maternal movements	p. 151
Pelvic rocking (also called pelvic tilt) and other movements of the pelvis	p. 152
The lunge	p. 154
Walking or stair climbing	p. 156
Slow dancing	p. 157
Abdominal stroking	p. 158
Abdominal lifting	p. 160
The pelvic press	p. 161
Other rhythmic movements	p. 162
References	p. 164
The Labor Progress Toolkit: Part 2. Comfort Measures	p. 165
Non-pharmacological physical comfort measures	p. 167
Heat	p. 167
Cold	p. 169
Hydrotherapy	p. 170
Acupressure	p. 174
Continuous labor support from a doula, nurse, or midwife	p. 176
Psychosocial comfort measures	p. 179
Assessing the woman's emotional state	p. 179
Techniques and devices to reduce back pain	p. 182
Counterpressure	p. 182
The double hip squeeze	p. 184
The knee press	p. 185
Cold and heat	p. 187
Hydrotherapy	p. 188
Movement	p. 189
Birth ball	p. 189
Transcutaneous electrical nerve stimulation (TENS)	p. 191
Intradermal sterile water injections for back pain (I-D water blocks)	p. 193
Breathing for relaxation and a sense of mastery	p. 195
Bearing-down techniques for the second stage	p. 197
References	p. 198
Index	p. 201
Table of Contents provided by Syndetics. All Rights Reserved.

What is included with this book?

The New copy of this book will include any supplemental materials advertised. Please check the title of the book to determine if it should include any access cards, study guides, lab manuals, CDs, etc.

The Used, Rental and eBook copies of this book are not guaranteed to include any supplemental materials. Typically, only the book itself is included. This is true even if the title states it includes any access cards, study guides, lab manuals, CDs, etc.