The labor progress handbook : early interventions to prevent and treat dystocia /: early interventions to prevent and treat dystocia. (2017)

• Record Type: Book
• Further Information: Note: Penny Simkin, Ruth Ancheta, Lisa Hanson.
• Authors: Simkin, Penny, 1938-; Ancheta, Ruth; Hanson, Lisa, 1958-
• Contents: 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 gender‐specific 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 Hormonal influences on emotions and labor progress 17 “Fight‐or‐flight” and “tend‐and‐befriend” responses to distress and fear during labor 19 Optimizing the environment for birth 21 The psycho‐emotional 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 Psycho‐emotional 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 Trauma‐informed 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 Estimating fetal weight 64 Assessing the cervix prior to labor 64 The Bishop scoring system 65 Assessments during labor 66 Visual and verbal assessments 66 Hydration and nourishment 66 Psychology 67 Quality of contractions 68 External assessments 69 Vital signs 69 Quality of contractions 69 Abdominal palpation (Leopold’s maneuvers) 70 Assessing the fetus 70 Gestational age 71 Meconium 71 Fetal heart rate (FHR) 71 Internal assessments 75 Vaginal examinations: indications and timing 77 Performing a vaginal examination during labor 77 Assessing the cervix 79 Assessing the presenting part 81 The vagina and bony pelvis 87 Putting it all together 87 Assessing progress in the first stage 87 Features of normal latent phase 88 Features of normal active phase 88 Assessing progress in the second stage 88 Features of normal second stage 88 Conclusion 89 References 89 Chapter 4: Prolonged Prelabor and Latent First Stage 95; Penny Simkin, BA, PT, CCE, CD(DONA) and Ruth Ancheta, MA, ICCE, CD(DONA) The onset of labor: key elements in diagnosis 96 Prelabor vs labor: the dilemma for expectant parents 96 Symptoms that differentiate prelabor from early labor 97 The six ways to progress in labor—prelabor to birth 99 The Bishop Score 100 Use of the “Six Ways to Progress” and the Bishop Score to help parents differentiate prelabor from labor 100 Prolonged prelabor and latent phase of labor 101 Can prenatal actions prevent some postdates pregnancies, prolonged prelabors, or early labors? 102 Prenatal preparation of the cervix for dilation 102 Attention to fetal factors that may prolong early labor 107 Optimal fetal positioning: prenatal features 107 Prenatal assessment and correction of suboptimal maternal musculoskeletal variations 109 The woman who has hours of latent labor contractions without dilation 109 Support measures for women who are at home in prelabor and the latent phase 109 Some reasons for excessive pain and duration of prelabor or the latent phase 112 Iatrogenic factors 112 Cervical factors 112 Other soft tissue (ligaments, muscles, fascia) factors 113 Emotional factors 113 Troubleshooting measures for painful prolonged prelabor or latent phase 114 Measures to alleviate painful, non‐progressing, non‐dilating contractions in prelabor or the latent phase 115 Synclitism and asynclitism 116 Open knee–chest position 119 Closed knee-chest position 120 Side‐lying release 120 Conclusion 121 References 121 Chapter 5 Prolonged Active Phase of Labor 125; Penny Simkin, BA, PT, CCE, CD(DONA), Ruth Ancheta, MA, ICCE, CD(DONA), and Lisa Hanson, PhD, CNM, FACNM What is active labor? Description, definition, diagnosis 126 When is active labor prolonged? 127 Observable characteristics of prolonged active labor 127 Possible causes of prolonged active labor 128 Fetal and fetopelvic factors 129 Malposition, macrosomia, malpresentation, and cephalopelvic disproportion 129 Persistent asynclitism 130 Occiput posterior 130 How fetal malpositions delay labor progress 132 Problems in diagnosis of fetal position during labor 133 Artificial rupture of the membranes with a malpositioned fetus 134 Specific measures to address and correct problems associated with a “poor fit”—malposition, cephalopelvic disproportion, and macrosomia 135 Maternal positions and movements for suspected malposition, cephalopelvic disproportion, or macrosomia 135 Forward‐leaning positions 136 Side‐lying positions 138 Asymmetrical positions and movements 140 Abdominal lifting 141 An uncontrollable premature urge to push 143 If contractions are inadequate 145 Immobility 145 Medication 147 Dehydration and fear of dehydration 147 Overhydration—excessive oral and/or intravenous fluids 148 Exhaustion 149 Uterine lactic acidosis as a cause of inadequate contractions 149 When the cause of inadequate contractions is unknown 150 Breast stimulation 150 Walking and changes in position 151 Acupressure or acupuncture 151 Hydrotherapy (baths and showers: Fig. 5.20) 151 If there is a persistent anterior cervical lip or a swollen cervix 153 Positions to reduce an anterior cervical lip or a swollen cervix 153 Other methods 154 Manual reduction of a persi
• Edition: Fourth edition
• Publisher Details: Chichester, West Sussex : Wiley Blackwell
• Publication Date: 2017
• Extent: 1 online resource, illustrations
• Subjects: 618.5; Labor (Obstetrics) -- Complications -- Handbooks, manuals, etc
• Languages: English
• ISBNs: 9781119170501; 9781119170471
• Related ISBNs: 9781119170464
• Notes: Note: Includes bibliographical references and index.; Note: Description based on CIP data; item not viewed.
• Access Rights: Legal Deposit; Only available on premises controlled by the deposit library and to one user at any one time; The Legal Deposit Libraries (Non-Print Works) Regulations (UK).
• Access Usage: Restricted: Printing from this resource is governed by The Legal Deposit Libraries (Non-Print Works) Regulations (UK) and UK copyright law currently in force.