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    The labor progress handbook : early interventions to prevent and treat dystocia / Penny Simkin, Lisa Hanson, Ruth Ancheta ; with contributions by Wendy Gordon, Suzy Myers, Gail Tully ; Illustrated by Shanna dela Cruz.

    • Title:The labor progress handbook : early interventions to prevent and treat dystocia / Penny Simkin, Lisa Hanson, Ruth Ancheta ; with contributions by Wendy Gordon, Suzy Myers, Gail Tully ; Illustrated by Shanna dela Cruz.
    •    
    • Author/Creator:Simkin, Penny, 1938- author.
    • Other Contributors/Collections:Hanson, Lisa, 1958- author.
      Ancheta, Ruth, author.
      ProQuest (Firm)
    • Published/Created:Hoboken, New Jersey : John Wiley & Sons Inc., [2017]
    • Holdings

      • Location:ONLINEWhere is this?
      • Call Number: WQ39
      • Number of Items:
        0
      • Status:No information available 
       
    • Library of Congress Subjects:Labor (Obstetrics)--Complications--Prevention--Handbooks, manuals, etc.
      Birth injuries--Prevention--Handbooks, manuals, etc.
    • Medical Subjects: Dystocia--prevention & control.
      Birth Injuries--prevention & control.
      Labor, Obstetric.
    • Edition:Fourth edition.
    • Description:1 online resource.
    • Notes:Includes bibliographical references and index.
      Print version record.
    • ISBN:9781119170471 (electronic bk.)
      1119170478 (electronic bk.)
      9781119170464
      111917046X
      9781119170501 (epub)
    • Contents:Machine generated contents note: Causes and prevention of labor dystocia: a systematic approach / Ruth Ancheta / Penny Simkin
      Differences in maternity care providers and practices in the United Kingdom, The United States, And Canada / Ruth Ancheta / Penny Simkin
      Notes on this book / Ruth Ancheta / Penny Simkin
      Changes in this fourth edition / Ruth Ancheta / Penny Simkin
      note from the authors on the use of gender-specific language / Ruth Ancheta / Penny Simkin
      Conclusion / Ruth Ancheta / Penny Simkin
      References / Ruth Ancheta / Penny Simkin
      What is normal labor? / Ruth Ancheta / Penny Simkin
      What is labor dystocia? / Ruth Ancheta / Penny Simkin
      Why does labor progress slow down or stop? / Ruth Ancheta / Penny Simkin
      Prostaglandins and hormonal influences on emotions and labor progress / Ruth Ancheta / Penny Simkin
      "Fight-or-flight" and "tend-and-befriend" responses to distress and fear during labor / Ruth Ancheta / Penny Simkin
      Optimizing the environment for birth / Ruth Ancheta / Penny Simkin
      psycho-emotional state of the woman: wellbeing or distress? / Ruth Ancheta / Penny Simkin
      Pain versus suffering / Ruth Ancheta / Penny Simkin
      Assessment of pain and distress in labor / Ruth Ancheta / Penny Simkin
      Assessment of women's ability to cope with the pain / Ruth Ancheta / Penny Simkin
      Psycho-emotional measures to reduce suffering, fear, and anxiety / Ruth Ancheta / Penny Simkin
      Before labor, what the caregiver can do / Ruth Ancheta / Penny Simkin
      During labor: tips for caregivers and doulas, especially if meeting the laboring client for the first time in labor / Ruth Ancheta / Penny Simkin
      integrated philosophy on caring for trauma survivors / Ruth Ancheta / Penny Simkin
      Trauma histories: why they matter / Ruth Ancheta / Penny Simkin
      Childhood sexual abuse (CSA) and trauma in adulthood / Ruth Ancheta / Penny Simkin
      Traumatic births / Ruth Ancheta / Penny Simkin
      Trauma-informed care as a universal precaution / Ruth Ancheta / Penny Simkin
      Physical and physiologic measures to promote comfort and labor progress / Ruth Ancheta / Penny Simkin
      During labor: physical comfort measures / Penny Simkin / Ruth Ancheta
      During labor: physiologic measures / Ruth Ancheta / Penny Simkin
      Why focus on maternal position? / Ruth Ancheta / Penny Simkin
      Techniques to elicit stronger contractions / Ruth Ancheta / Penny Simkin
      Maintaining maternal mobility while monitoring contractions and fetal heart / Ruth Ancheta / Penny Simkin
      Auscultation / Ruth Ancheta / Penny Simkin
      When EFM is required: options to enhance maternal mobility / Ruth Ancheta / Penny Simkin
      Continuous EFM / Ruth Ancheta / Penny Simkin
      Intermittent EFM / Ruth Ancheta / Penny Simkin
      Wireless telemetry / Ruth Ancheta / Penny Simkin
      Conclusion / Ruth Ancheta / Penny Simkin
      References / Ruth Ancheta / Penny Simkin
      Before labor begins / Wendy Gordon / Lisa Hanson / Gail Tully / Suzy Myers
      Fetal presentation and position / Wendy Gordon / Lisa Hanson / Gail Tully / Suzy Myers
      Abdominal contour / Wendy Gordon / Lisa Hanson / Gail Tully / Suzy Myers
      Location of the point of maximum intensity (PMI) of the fetal heart tones via auscultation / Wendy Gordon / Lisa Hanson / Gail Tully / Suzy Myers
      Leopold's maneuvers for identifying fetal presentation and position / Wendy Gordon / Lisa Hanson / Gail Tully / Suzy Myers
      Abdominal palpation using Leopold's maneuvers / Wendy Gordon / Lisa Hanson / Gail Tully / Suzy Myers
      Estimating engagement / Wendy Gordon / Lisa Hanson / Gail Tully / Suzy Myers
      Malposition / Wendy Gordon / Lisa Hanson / Gail Tully / Suzy Myers
      Influencing fetal position prior to labor / Wendy Gordon / Lisa Hanson / Gail Tully / Suzy Myers
      Identifying those fetuses likely to persist in an OP position throughout labor / Wendy Gordon / Lisa Hanson / Gail Tully / Suzy Myers
      Influencing fetal position during labor / Suzy Myers / Wendy Gordon / Lisa Hanson / Gail Tully
      Other assessments prior to labor / Wendy Gordon / Suzy Myers / Gail Tully / Lisa Hanson
      Estimating fetal weight / Wendy Gordon / Lisa Hanson / Gail Tully / Suzy Myers
      Assessing the cervix prior to labor / Wendy Gordon / Lisa Hanson / Gail Tully / Suzy Myers
      Bishop scoring system / Wendy Gordon / Lisa Hanson / Gail Tully / Suzy Myers
      Assessments during labor / Wendy Gordon / Lisa Hanson / Gail Tully / Suzy Myers
      Visual and verbal assessments / Wendy Gordon / Lisa Hanson / Gail Tully / Suzy Myers
      Hydration and nourishment / Wendy Gordon / Lisa Hanson / Gail Tully / Suzy Myers
      Psychology / Wendy Gordon / Lisa Hanson / Gail Tully / Suzy Myers
      Quality of contractions / Wendy Gordon / Lisa Hanson / Gail Tully / Suzy Myers
      External assessments / Wendy Gordon / Lisa Hanson / Gail Tully / Suzy Myers
      Vital signs / Wendy Gordon / Lisa Hanson / Gail Tully / Suzy Myers
      Quality of contractions / Wendy Gordon / Lisa Hanson / Gail Tully / Suzy Myers
      Abdominal palpation (Leopold's maneuvers) / Wendy Gordon / Lisa Hanson / Gail Tully / Suzy Myers
      Assessing the fetus / Wendy Gordon / Lisa Hanson / Gail Tully / Suzy Myers
      Gestational age / Wendy Gordon / Lisa Hanson / Gail Tully / Suzy Myers
      Meconium / Suzy Myers / Wendy Gordon / Lisa Hanson / Gail Tully
      Fetal heart rate (FHR) / Wendy Gordon / Lisa Hanson / Gail Tully / Suzy Myers
      Internal assessments / Wendy Gordon / Lisa Hanson / Gail Tully / Suzy Myers
      Vaginal examinations: indications and timing / Wendy Gordon / Lisa Hanson / Gail Tully / Suzy Myers
      Performing a vaginal examination during labor / Wendy Gordon / Lisa Hanson / Gail Tully / Suzy Myers
      Assessing the cervix / Wendy Gordon / Lisa Hanson / Gail Tully / Suzy Myers
      Assessing the presenting part / Wendy Gordon / Lisa Hanson / Gail Tully / Suzy Myers
      vagina and bony pelvis / Wendy Gordon / Lisa Hanson / Gail Tully / Suzy Myers
      Putting it all together / Wendy Gordon / Lisa Hanson / Gail Tully / Suzy Myers
      Assessing progress in the first stage / Wendy Gordon / Lisa Hanson / Gail Tully / Suzy Myers
      Features of normal latent phase / Wendy Gordon / Lisa Hanson / Gail Tully / Suzy Myers
      Features of normal active phase / Wendy Gordon / Lisa Hanson / Gail Tully / Suzy Myers
      Assessing progress in the second stage / Wendy Gordon / Lisa Hanson / Gail Tully / Suzy Myers
      Features of normal second stage / Wendy Gordon / Lisa Hanson / Gail Tully / Suzy Myers
      Conclusion / Wendy Gordon / Lisa Hanson / Gail Tully / Suzy Myers
      References / Wendy Gordon / Lisa Hanson / Gail Tully / Suzy Myers
      onset of labor: key elements in diagnosis / Penny Simkin / Ruth Ancheta
      Prelabor vs labor: the dilemma for expectant parents / Ruth Ancheta / Penny Simkin
      Symptoms that differentiate prelabor from early labor / Ruth Ancheta / Penny Simkin
      six ways to progress in labor-prelabor to birth / Ruth Ancheta / Penny Simkin
      Bishop Score / Ruth Ancheta / Penny Simkin
      Use of the "Six Ways to Progress" and the Bishop Score to help parents differentiate prelabor from labor / Ruth Ancheta / Penny Simkin
      Prolonged prelabor and latent phase of labor / Ruth Ancheta / Penny Simkin
      Can prenatal actions prevent some postdates pregnancies, prolonged prelabors, or early labors? / Ruth Ancheta / Penny Simkin
      Prenatal preparation of the cervix for dilation / Ruth Ancheta / Penny Simkin
      Attention to fetal factors that may prolong early labor / Ruth Ancheta / Penny Simkin
      Optimal fetal positioning: prenatal features / Ruth Ancheta / Penny Simkin
      Prenatal assessment and correction of suboptimal maternal musculoskeletal variations / Ruth Ancheta / Penny Simkin
      woman who has hours of latent labor contractions without dilation / Ruth Ancheta / Penny Simkin
      Support measures for women who are at home in prelabor and the latent phase / Penny Simkin / Ruth Ancheta
      Some reasons for excessive pain and duration of prelabor or the latent phase / Ruth Ancheta / Penny Simkin
      Iatrogenic factors / Penny Simkin / Ruth Ancheta
      Cervical factors / Penny Simkin / Ruth Ancheta
      Other soft tissue (ligaments, muscles, fascia) factors / Penny Simkin / Ruth Ancheta
      Emotional factors / Ruth Ancheta / Penny Simkin
      Troubleshooting measures for painful prolonged prelabor or latent phase / Ruth Ancheta / Penny Simkin
      Measures to alleviate painful, non-progressing, non-dilating contractions in prelabor or the latent phase / Penny Simkin / Ruth Ancheta
      Synclitism and asynclitism / Ruth Ancheta / Penny Simkin
      Open knee-chest position / Penny Simkin / Ruth Ancheta
      Closed knee-chest position / Ruth Ancheta / Penny Simkin
      Side-lying release / Penny Simkin / Ruth Ancheta
      Conclusion / Ruth Ancheta / Penny Simkin
      References / Penny Simkin / Ruth Ancheta
      What is active labor? Description, definition, diagnosis / Penny Simkin / Ruth Ancheta / Lisa Hanson
      When is active labor prolonged? / Penny Simkin / Ruth Ancheta / Lisa Hanson
      Observable characteristics of prolonged active labor / Ruth Ancheta / Penny Simkin / Lisa Hanson
      Possible causes of prolonged active labor / Penny Simkin / Ruth Ancheta / Lisa Hanson
      Fetal and fetopelvic factors / Penny Simkin / Ruth Ancheta / Lisa Hanson
      Malposition, macrosomia, malpresentation, and cephalopelvic disproportion / Ruth Ancheta / Penny Simkin / Lisa Hanson
      Contents note continued: Persistent asynclitism / Penny Simkin / Ruth Ancheta / Lisa Hanson
      Occiput posterior / Penny Simkin / Ruth Ancheta / Lisa Hanson
      How fetal malpositions delay labor progress / Penny Simkin / Ruth Ancheta / Lisa Hanson
      Problems in diagnosis of fetal position during labor / Penny Simkin / Ruth Ancheta / Lisa Hanson
      Artificial rupture of the membranes with a malpositioned fetus / Penny Simkin / Ruth Ancheta / Lisa Hanson
      Specific measures to address and correct problems associated with a "poor fit"-malposition, cephalopelvic disproportion, and macrosomia / Ruth Ancheta / Lisa Hanson / Penny Simkin
      Maternal positions and movements for suspected malposition, cephalopelvic disproportion, or macrosomia / Penny Simkin / Ruth Ancheta / Lisa Hanson
      Forward-leaning positions / Penny Simkin / Ruth Ancheta / Lisa Hanson
      Side-lying positions / Penny Simkin / Ruth Ancheta / Lisa Hanson
      Asymmetrical positions and movements / Penny Simkin / Ruth Ancheta / Lisa Hanson
      Abdominal lifting / Penny Simkin / Ruth Ancheta / Lisa Hanson
      uncontrollable premature urge to push / Penny Simkin / Ruth Ancheta / Lisa Hanson
      If contractions are inadequate / Penny Simkin / Ruth Ancheta / Lisa Hanson
      Immobility / Penny Simkin / Ruth Ancheta / Lisa Hanson
      Medication / Penny Simkin / Ruth Ancheta / Lisa Hanson
      Dehydration and fear of dehydration / Penny Simkin / Ruth Ancheta / Lisa Hanson
      Overhydration-excessive oral and/or intravenous fluids / Penny Simkin / Ruth Ancheta / Lisa Hanson
      Exhaustion / Penny Simkin / Ruth Ancheta / Lisa Hanson
      Uterine lactic acidosis as a cause of inadequate contractions / Penny Simkin / Ruth Ancheta / Lisa Hanson
      When the cause of inadequate contractions is unknown / Penny Simkin / Ruth Ancheta / Lisa Hanson
      Breast stimulation / Penny Simkin / Ruth Ancheta / Lisa Hanson
      Walking and changes in position / Penny Simkin / Ruth Ancheta / Lisa Hanson
      Acupressure or acupuncture / Penny Simkin / Lisa Hanson / Ruth Ancheta
      Hydrotherapy (baths and showers) / Penny Simkin / Lisa Hanson / Ruth Ancheta
      If there is a persistent anterior cervical lip or a swollen cervix / Penny Simkin / Lisa Hanson / Ruth Ancheta
      Positions to reduce an anterior cervical lip or a swollen cervix / Penny Simkin / Lisa Hanson / Ruth Ancheta
      Other methods / Penny Simkin / Lisa Hanson / Ruth Ancheta
      Manual reduction of a persistent cervical lip / Penny Simkin / Lisa Hanson / Ruth Ancheta
      If emotional dystocia is suspected / Penny Simkin / Lisa Hanson / Ruth Ancheta
      Assessing the woman's coping / Penny Simkin / Lisa Hanson / Ruth Ancheta
      Western cultural attitudes on coping with labor / Penny Simkin / Lisa Hanson / Ruth Ancheta
      Relaxation, Rhythm, and Ritual: The essence of "coping" during the first stage of labor / Penny Simkin / Lisa Hanson / Ruth Ancheta
      Indicators of emotional dystocia during active labor / Penny Simkin / Lisa Hanson / Ruth Ancheta
      Predisposing factors for emotional dystocia / Penny Simkin / Lisa Hanson / Ruth Ancheta
      Helping the woman state her fears / Penny Simkin / Lisa Hanson / Ruth Ancheta
      How to help a laboring woman in distress / Penny Simkin / Lisa Hanson / Ruth Ancheta
      Special needs of childhood abuse survivors / Penny Simkin / Lisa Hanson / Ruth Ancheta
      Incompatibility or poor relationship with staff / Penny Simkin / Lisa Hanson / Ruth Ancheta
      If the source of the woman's anxiety cannot be identified / Penny Simkin / Lisa Hanson / Ruth Ancheta
      Conclusion / Penny Simkin / Lisa Hanson / Ruth Ancheta
      References / Penny Simkin / Lisa Hanson / Ruth Ancheta
      Definitions of the second stage of labor / Penny Simkin / Ruth Ancheta / Lisa Hanson
      Phases of the second stage of labor / Lisa Hanson / Penny Simkin / Ruth Ancheta
      latent phase of the second stage / Penny Simkin / Ruth Ancheta / Lisa Hanson
      Avoid directing the woman to push during the latent phase of the second stage / Penny Simkin / Ruth Ancheta / Lisa Hanson
      What if the latent phase of the second stage persists? / Penny Simkin / Ruth Ancheta / Lisa Hanson
      active phase of the second stage / Penny Simkin / Ruth Ancheta / Lisa Hanson
      Support of spontaneous bearing down / Penny Simkin / Ruth Ancheta / Lisa Hanson
      Physiologic effects of prolonged breath-holding and straining / Penny Simkin / Ruth Ancheta / Lisa Hanson
      Effects on the woman / Penny Simkin / Ruth Ancheta / Lisa Hanson
      Effects on the fetus / Penny Simkin / Ruth Ancheta / Lisa Hanson
      Spontaneous expulsive efforts / Penny Simkin / Ruth Ancheta / Lisa Hanson
      Diffuse pushing / Penny Simkin / Ruth Ancheta / Lisa Hanson
      Second stage time limits / Penny Simkin / Ruth Ancheta / Lisa Hanson
      Possible etiologies and solutions for second stage dystocia / Penny Simkin / Ruth Ancheta / Lisa Hanson
      Maternal positions and other strategies for suspected occiput posterior or persistent occiput transverse fetuses / Penny Simkin / Ruth Ancheta / Lisa Hanson
      Why not the supine position? / Penny Simkin / Lisa Hanson / Ruth Ancheta
      Differentiating between pushing positions and birth positions / Penny Simkin / Lisa Hanson / Ruth Ancheta
      Leaning forward while kneeling, standing, or sitting / Penny Simkin / Lisa Hanson / Ruth Ancheta
      Squatting positions / Lisa Hanson / Penny Simkin / Ruth Ancheta
      Asymmetrical positions / Penny Simkin / Lisa Hanson / Ruth Ancheta
      Lateral positions / Lisa Hanson / Ruth Ancheta / Penny Simkin
      Supported squat or "dangle" positions / Lisa Hanson / Penny Simkin / Ruth Ancheta
      Other strategies for malposition and back pain / Penny Simkin / Ruth Ancheta / Lisa Hanson
      Manual interventions to reposition the occiput posterior fetus / Ruth Ancheta / Lisa Hanson / Penny Simkin
      Early interventions for suspected persistent asynclitism / Penny Simkin / Ruth Ancheta / Lisa Hanson
      Positions and movements for persistent asynclitism in second stage / Lisa Hanson / Ruth Ancheta / Penny Simkin
      Nuchal hand or hands at vertex delivery / Penny Simkin / Lisa Hanson / Ruth Ancheta
      If cephalopelvic disproportion or macrosomia ("poor fit") is suspected / Penny Simkin / Lisa Hanson / Ruth Ancheta
      influence of time on cephalopelvic disproportion / Penny Simkin / Lisa Hanson / Ruth Ancheta
      Fetal head descent / Penny Simkin / Lisa Hanson / Ruth Ancheta
      Positions for suspected "cephalopelvic disproportion" (CPD) in second stage / Lisa Hanson / Ruth Ancheta / Penny Simkin
      use of supine positions / Penny Simkin / Lisa Hanson / Ruth Ancheta
      Use of the exaggerated lithotomy position / Penny Simkin / Lisa Hanson / Ruth Ancheta
      Shoulder dystocia / Ruth Ancheta / Penny Simkin / Lisa Hanson
      If contractions are inadequate / Penny Simkin / Lisa Hanson / Ruth Ancheta
      If emotional dystocia is suspected / Penny Simkin / Lisa Hanson / Ruth Ancheta
      essence of coping during the second stage of labor / Ruth Ancheta / Penny Simkin / Lisa Hanson
      Signs of emotional distress in second stage / Penny Simkin / Lisa Hanson / Ruth Ancheta
      Triggers of emotional distress unique to the second stage / Penny Simkin / Ruth Ancheta / Lisa Hanson
      Conclusion / Penny Simkin / Ruth Ancheta / Lisa Hanson
      References / Penny Simkin / Ruth Ancheta / Lisa Hanson
      Overview of the normal third and fourth stages of labor for unmedicated mother and baby / Penny Simkin / Lisa Hanson
      Third stage management: care of the baby / Penny Simkin / Lisa Hanson
      Oral and nasopharynx suctioning / Penny Simkin / Lisa Hanson
      Delayed clamping and cutting of the umbilical cord / Penny Simkin / Lisa Hanson
      Management of delivery of an infant with a tight nuchal cord / Penny Simkin / Lisa Hanson
      Third stage management: the placenta / Penny Simkin / Lisa Hanson
      Physiologic (expectant) management of the third stage of labor / Penny Simkin / Lisa Hanson
      Active management of the third stage of labor / Penny Simkin / Lisa Hanson
      fourth stage of labor / Penny Simkin / Lisa Hanson
      Keeping the mother and baby together / Penny Simkin / Lisa Hanson
      Baby-friendly (breastfeeding) practices / Penny Simkin / Lisa Hanson
      Supporting microbial health of the infant / Penny Simkin / Lisa Hanson
      Routine newborn assessments / Penny Simkin / Lisa Hanson
      Conclusion / Penny Simkin / Lisa Hanson
      References / Penny Simkin / Lisa Hanson
      Intermediate-level interventions for management of problem labors / Lisa Hanson
      When progress in prelabor or latent phase remains inadequate / Lisa Hanson
      Therapeutic rest / Lisa Hanson
      Nipple stimulation / Lisa Hanson
      Management of cervical stenosis or the "zipper" cervix / Lisa Hanson
      When progress in active phase remains inadequate / Lisa Hanson
      Artificial rupture of the membranes (AROM) / Lisa Hanson
      Digital or manual rotation of the fetal head / Lisa Hanson
      Digital rotation / Lisa Hanson
      Manual rotation / Lisa Hanson
      Manual reduction of a persistent cervical lip / Lisa Hanson
      Reducing swelling of the cervix or anterior lip / Lisa Hanson
      Fostering normality in birth / Lisa Hanson
      Perineal management / Lisa Hanson
      Prenatal perineal massage / Lisa Hanson
      Perineal management during second stage / Lisa Hanson
      Verbal support of spontaneous bearing-down efforts / Lisa Hanson
      Maternal birth positions / Lisa Hanson
      Guiding women through crowning of the fetal head / Lisa Hanson
      Contents note continued: Hand skills to protect the perineum / Lisa Hanson
      Differentiating perineal massage from other interventions / Lisa Hanson
      When progress in second stage labor remains inadequate / Lisa Hanson
      Duration of second stage labor / Lisa Hanson
      Precautionary measures / Lisa Hanson
      Warning signs / Lisa Hanson
      Shoulder dystocia maneuvers / Lisa Hanson
      McRoberts' maneuver / Lisa Hanson
      Suprapubic pressure / Lisa Hanson
      Gaskin maneuver / Lisa Hanson
      Somersault maneuver / Lisa Hanson
      Non-pharmacologic and minimally invasive pharmacologic techniques for intrapartum pain relief / Lisa Hanson
      Acupuncture / Lisa Hanson
      Sterile Water Injections / Lisa Hanson
      Procedure for subcutaneous sterile water injections / Lisa Hanson
      Nitrous oxide / Lisa Hanson
      Topical anesthetic applied to the perineum / Lisa Hanson
      Conclusion / Lisa Hanson
      References / Lisa Hanson
      Introduction: analgesia and anesthesia-an integral part of maternity care in many countries / Penny Simkin
      Neuraxial (epidural and spinal) analgesia-new terms for old approaches to labor pain? / Penny Simkin
      Physiological adjustments that support fetal growth and wellbeing / Penny Simkin
      Multisystem effects of epidural analgesia on labor progress / Penny Simkin
      endocrine system / Penny Simkin
      central nervous system and peripheral nervous system (sensory, motor, and autonomic, including the sympathetic and parasympathetic nervous systems) / Penny Simkin
      musculoskeletal system / Penny Simkin
      genitourinary system / Penny Simkin
      Can changes in labor management reduce problems of epidural analgesia? / Penny Simkin
      1. Inform the woman ahead of time / Penny Simkin
      2. Shorten the duration of exposure / Penny Simkin
      3. Treat the woman as much as possible like a person who does not have an epidural / Penny Simkin
      4. Attend to the woman's emotional needs / Penny Simkin
      Restoring women to a central role / Penny Simkin
      Conclusion / Penny Simkin
      References / Penny Simkin
      Maternal positions and how they affect labor / Ruth Ancheta / Penny Simkin
      Side-lying positions / Ruth Ancheta / Penny Simkin
      Pure side-lying and semiprone (exaggerated Sims') / Ruth Ancheta / Penny Simkin
      "semiprone lunge" / Ruth Ancheta / Penny Simkin
      Side-lying release / Ruth Ancheta / Penny Simkin
      Sitting positions / Ruth Ancheta / Penny Simkin
      Semisitting / Ruth Ancheta / Penny Simkin
      Sitting upright / Ruth Ancheta / Penny Simkin
      Sitting leaning forward with support / Ruth Ancheta / Penny Simkin
      Standing, leaning forward / Ruth Ancheta / Penny Simkin
      Kneeling positions / Ruth Ancheta / Penny Simkin
      Kneeling, leaning forward with support / Ruth Ancheta / Penny Simkin
      Hands and knees / Ruth Ancheta / Penny Simkin
      Open knee-chest position / Ruth Ancheta / Penny Simkin
      Closed knee-chest position / Ruth Ancheta / Penny Simkin
      Asymmetrical upright (standing, kneeling, sitting) positions / Ruth Ancheta / Penny Simkin
      Squatting positions / Ruth Ancheta / Penny Simkin
      Squatting / Ruth Ancheta / Penny Simkin
      Supported squatting ("dangling") positions / Ruth Ancheta / Penny Simkin
      Half-squatting, lunging, and swaying / Ruth Ancheta / Penny Simkin
      Lap squatting / Ruth Ancheta / Penny Simkin
      Supine positions / Ruth Ancheta / Penny Simkin
      Supine / Ruth Ancheta / Penny Simkin
      Sheet "pull-to-push" / Penny Simkin / Ruth Ancheta
      Exaggerated lithotomy (McRoberts' position) / Ruth Ancheta / Penny Simkin
      Maternal movements in first and second stages / Ruth Ancheta / Penny Simkin
      Pelvic rocking (also called pelvic tilt) and other movements of the pelvis / Penny Simkin / Ruth Ancheta
      Hip sifting / Penny Simkin / Ruth Ancheta
      Flexion of hips and knees in hands and knees position / Penny Simkin / Ruth Ancheta
      lunge / Ruth Ancheta / Penny Simkin
      Walking or stair climbing / Penny Simkin / Ruth Ancheta
      Slow dancing / Ruth Ancheta / Penny Simkin
      Abdominal lifting / Penny Simkin / Ruth Ancheta
      Abdominal jiggling with a rebozo / Ruth Ancheta / Penny Simkin
      pelvic press / Penny Simkin / Ruth Ancheta
      Other rhythmic movements / Ruth Ancheta / Penny Simkin
      References / Penny Simkin / Ruth Ancheta
      Introduction: the state of the science regarding non-pharmacologic, complementary, and alternative methods to relieve labor pain / Penny Simkin / Ruth Ancheta
      General guidelines for comfort during a slow labor / Penny Simkin / Ruth Ancheta
      Non-pharmacologic methods to relieve labor pain / Penny Simkin / Ruth Ancheta
      Non-pharmacologic physical comfort measures / Penny Simkin / Ruth Ancheta
      Heat / Penny Simkin / Ruth Ancheta
      Cold / Penny Simkin / Ruth Ancheta
      Hydrotherapy / Penny Simkin / Ruth Ancheta
      Touch and massage / Penny Simkin / Ruth Ancheta
      How to give simple brief massages for shoulders and back, hands, and feet / Penny Simkin / Ruth Ancheta
      Acupressure / Penny Simkin / Ruth Ancheta
      Acupuncture / Penny Simkin / Ruth Ancheta
      Continuous labor support from a doula, nurse, or midwife / Penny Simkin / Ruth Ancheta
      How the doula helps / Penny Simkin / Ruth Ancheta
      What about staff nurses and midwives as labor support providers? / Penny Simkin / Ruth Ancheta
      Psychosocial comfort measures / Penny Simkin / Ruth Ancheta
      Assessing the woman's emotional state / Penny Simkin / Ruth Ancheta
      Techniques and devices to reduce back pain / Penny Simkin / Ruth Ancheta
      Counterpressure / Penny Simkin / Ruth Ancheta
      double hip squeeze / Penny Simkin / Ruth Ancheta
      knee press / Penny Simkin / Ruth Ancheta
      Cook's counterpressure technique No. 1: ischial tuberosities (IT) / Penny Simkin / Ruth Ancheta
      Cook's counterpressure technique No. 2: perilabial pressure / Penny Simkin / Ruth Ancheta
      Techniques and devices to reduce back pain / Penny Simkin / Ruth Ancheta
      Cold and heat / Penny Simkin / Ruth Ancheta
      Cold and rolling cold / Penny Simkin / Ruth Ancheta
      Warm compresses / Penny Simkin / Ruth Ancheta
      Hydrotherapy / Penny Simkin / Ruth Ancheta
      Maternal movement and positions / Penny Simkin / Ruth Ancheta
      Birth ball / Penny Simkin / Ruth Ancheta
      Transcutaneous electrical nerve stimulation (TENS) / Penny Simkin / Ruth Ancheta
      Sterile water injections for back pain / Penny Simkin / Ruth Ancheta
      Breathing for relaxation and a sense of mastery / Penny Simkin / Ruth Ancheta
      Simple breathing rhythms to teach on the spot in labor / Penny Simkin / Ruth Ancheta
      Bearing-down techniques for the second stage / Penny Simkin / Ruth Ancheta
      Spontaneous bearing down (pushing) / Penny Simkin / Ruth Ancheta
      Self-directed pushing / Penny Simkin / Ruth Ancheta
      Directed pushing / Penny Simkin / Ruth Ancheta
      Conclusion / Penny Simkin / Ruth Ancheta
      References / Penny Simkin / Ruth Ancheta.
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