Simkin's Labor Progress Handbook (eBook, ePUB)

Early Interventions to Prevent and Treat Dystocia
Redaktion: Hanson, Lisa; Simkin, Penny; Malloy, Emily

• Format: ePub

Produktbeschreibung

SIMKIN'S LABOR PROGRESS HANDBOOK Get ready to enhance your expertise in the world of childbirth with Simkin's Labor Progress Handbook -- a trusted resource tailored for childbirth medical practitioners This invaluable guide unravels the complexities of labor, equipping you with practical strategies to overcome challenges encountered along the way. Inside this comprehensive book, you'll discover a wealth of low-technology, evidence-based interventions designed to prevent and manage difficult or prolonged labors. Grounded in research and practical experience, these approaches are tailored by doulas and clinicians to provide optimal care and achieve successful outcomes. The fifth edition of this prestigious text includes information on: * Labor dystocia causes and early interventions and strategies promoting normal labor and birth * Application of fetal heart rate monitoring (intermittent auscultation, continuous electronic fetal monitoring, and wireless telemetry) while promoting movement and labor progress * The role of oxytocin and labor progress, and ethical considerations in oxytocin administration * Prolonged prelabor and latent first through fourth stage labor, addressing factors associated with dystocia * Positions, comfort measures and respectful care With meticulous referencing and clear, practical instructions throughout, Simkin's Labor Progress Handbook continues to be a timely and accessible guide for novices and experts alike, including doulas, nurses, midwives, physicians, and students.

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Produktdetails

• Verlag: John Wiley & Sons
• Seitenzahl: 384
• Erscheinungstermin: 8. Dezember 2023
• Englisch
• ISBN-13: 9781119754497
• Artikelnr.: 69661176

Autorenporträt

Lisa Hanson PhD, CNM, FACNM, FAAN is Klein Professor and Associate Director of the Marquette University College of Nursing, Midwifery Program, Milwaukee, WI, USA. She practiced as a midwife for 30 years in Milwaukee, WI, USA. Lisa is an active midwifery researcher who has authored numerous scientific articles. Emily Malloy PhD, CNM is a nurse-midwife in full scope midwifery practice and a midwife researcher who conducts clinical research in Milwaukee, WI, USA. She is a participating faculty at Marquette University College of Nursing, Midwifery program. Penny Simkin BA, PT, CCE, CD(DONA) is a physical therapist who has specialized in childbirth education and labor support since 1968. She estimates she has prepared over 15,000 pregnant people, couples, and siblings for childbirth, and assisted hundreds as a doula. She is author of several books for both parents and professionals.

Inhaltsangabe

List of Contributors xvi

Foreword xviii

Chapter 1: Introduction 1
Lisa Hanson, PhD, CNM, FACNM, FAAN and Emily Malloy, PhD, CNM

Causes and prevention of labor dystocia: a systematic approach 1

Notes on this book 4

Note from the authors on the use of gender-inclusive language 5

Conclusion 5

References 5

Chapter 2: Respectful Care 7
Amber Price DNP, CNM, MSN, RN 7

Health system conditions and constraints 8

LGBTQ birth care 9

RMC and pregnant people in larger bodies 9

Shared decision-making 10

Expectations 11

The impact of culture on the birth experience 12

Traumatic births 12

Trauma survivors and prevention of PTSD 13

Trauma-informed care as a universal precaution 15

Obstetric violence 16

Patient rights 17

Consent 17

Maternal mortality 18

References 19

Chapter 3: Normal Labor and Labor Dystocia: General Considerations 22
Lisa Hanson, PhD, CNM, FACNM, FAAN, Venus Standard, MSN, CNM, LCCE, FACNM, andPenny Simkin, BA, PT, CCE, CD(DONA)

What is normal labor? 22

What is labor dystocia? 26

What is normal labor progress and what practices promote it? 26

Why does labor progress slow or stop? 28

Prostaglandins and hormonal influences on emotions and labor progress 29

Disruptions to the hormonal physiology of labor 30

Hormonal responses and gender 30

"Fight-or-flight" and "tend-and-befriend" responses to distress and fear during labor 31

Optimizing the environment for birth 32

The psycho-emotional state of the pregnant person: wellbeing or distress? 33

Pain versus suffering 33

Assessment of pain and coping 34

Emotional dystocia 34

Psycho-emotional measures to reduce suffering, fear, and anxiety 34

Before labor, what the caregiver can do 34

During labor: tips for caregivers and doulas, especially if meeting the laboring client for the first time in labor 37

Conclusion 38

References 38

Chapter 4: Assessing Progress in Labor 41
Wendy Gordon, DM, MPH, CPM, LM, with contributions by Gail Tully, BS, CPM, andLisa Hanson, PhD, CNM, FACNM, FAAN

Before labor begins 42

Fetal presentation and position 42

Abdominal contour 42

Location of the point of maximum intensity (PMI) of the fetal heart tones via auscultation 42

Leopold's maneuvers for identifying fetal presentation and position 46

Abdominal palpation using Leopold's maneuvers 46

Estimating engagement: The rule of fifths 49

Malposition 53

Other assessments prior to labor 53

Estimating fetal weight 53

Assessing the cervix prior to labor 54

Assessing prelabor 55

Six ways to progress 55

Assessments during labor 55

Visual and verbal assessments 55

Hydration and nourishment 55

Psychology 56

Quality of contractions 56

Vital signs 57

Purple line 58

Assessing the fetus 58

Fetal movements 58

Gestational age 58

Meconium 59

Fetal heart rate (FHR) 59

Internal assessments 67

Vaginal examinations: indications and timing 68

Performing a vaginal examination during labor 68

Assessing the cervix 69

Assessing the presenting part 70

Identifying those fetuses likely to persist in an OP position throughout labor 75

The vagina and bony pelvis 76

Putt

Rezensionen

"For all those committed to supporting birthing people, Simkin's Labor Progress Handbook is a scientifically grounded and eminently practical resource. At a time of renewed public attention to addressing birth equity across the globe, the authors provide indispensable wisdom to ensure women and families receive the care they deserve."

Dr Neel Shah, MD, MPP, Assistant Professor of Obstetrics, Gynecology and Reproductive Biology at Harvard Medical School and an obstetrician-gynecologist at the Beth Israel Deaconess Medical Centre.