The Labor Progress Handbook (häftad)
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Häftad (Paperback / softback)
Antal sidor
4th Edition
Hanson, Lisa/Ancheta, Ruth
216 x 137 x 17 mm
560 g
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The Labor Progress Handbook (häftad)

The Labor Progress Handbook

Early Interventions to Prevent and Treat Dystocia

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Häftad Engelska, 2017-04-21
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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.
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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.


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