The Labor Progress Handbook

Penny Simkin is a physical therapist who has specialized in childbirth education since 1968. She serves on the editorial board for Birth: Issues in Perinatal Care and the consultant boards for the International Childbirth Education Association and the Seattle Midwifery School. Ruth Ancheta is a certified DONA doula and approved trainer and has been a certified childbirth educator through ICEA for more than twenty years. She has authored numerous childbirth education materials including the Childbirth Skills Teaching Kit and the VBAC Source Book and Teaching Kit .

Foreword to the second edition xvii Foreword to the fi rst edition xxi Acknowledgments xxiii Chapter 1: Introduction 3 Penny Simkin, BA, PT, CCE, CD(DONA), and Ruth Ancheta, BA, ICCE, CD(DONA) Chapter 2: Dysfunctional Labor: General Considerations 15 Penny Simkin, BA, PT, CCE, CD(DONA), and Ruth Ancheta, BA, ICCE, CD(DONA) Chapter 3: Assessing Progress in Labor 51 Suzy Myers, LM, CPM, MPH, with contributions by Gail Tully, BS, CPM, CD(DONA), and Lisa Hanson, PhD, CNM, FACNM Chapter 4: Prolonged Prelabor and Latent First Stage 101 Penny Simkin, BA, PT, CCE, CD(DONA), and Ruth Ancheta, BA, ICCE, CD(DONA) Chapter 5: Prolonged Active Phase of Labor 124 Penny Simkin, BA, PT, CCE, CD(DONA), and Ruth Ancheta, BA, ICCE, CD(DONA) Chapter 6: Prolonged Second Stage of Labor 173 Penny Simkin, BA, PT, CCE, CD(DONA), and Ruth Ancheta, BA, ICCE, CD(DONA) Chapter 7: Optimal Newborn Transition and Third and Fourth Stage Labor Management 224 Lisa Hanson, PhD, CNM, FACNM, and Penny Simkin, BA, PT, CCE, CD(DONA) Chapter 8: Low-Technology Clinical Interventions to Promote Labor Progress 242 Lisa Hanson, PhD, CNM, FACNM Chapter 9: The Labor Progress Toolkit: Part 1. Maternal Positions and Movements 277 Penny Simkin, BA, PT, CCE, CD(DONA), and Ruth Ancheta, BA, ICCE, CD(DONA) Chapter 10: The Labor Progress Toolkit: Part 2. Comfort Measures 326 Penny Simkin, BA, PT, CCE, CD(DONA), and Ruth Ancheta, BA, ICCE, CD(DONA) Epidural Index 379 Index 381