Penny Simkin & Ruth Ancheta 
The Labor Progress Handbook 
Early Interventions to Prevent and Treat Dystocia

The third edition of The Labor Progress Handbook builds on
the success of first two editions and remains an unparalleled
resource on simple, non-invasive interventions to prevent or treat
difficult labor. Retaining the hallmark features of previous
editions, the book is replete with illustrations showing position,
movements, and techniques and is logically organized to facilitate
ease of use.

This edition includes two new chapters on third and fourth stage
labor management and low-technology interventions, a complete
analysis of directed versus spontaneous pushing, and additional
information on massage techniques. The authors have updated
references throughout, expertly weaving the highest level of
evidence with years of experience in clinical practice.

The Labor Progress Handbook continues to be a must-have
resource for those involved in all aspects of birth by providing
practical instruction on low-cost, low-risk interventions to manage
and treat dystocia.

Inhoudsopgave

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, Ph D, 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, Ph D, CNM, FACNM, and Penny Simkin, BA, PT, CCE,
CD(DONA)

Chapter 8: Low-Technology Clinical Interventions to Promote
Labor Progress 242

Lisa Hanson, Ph D, 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

Over de auteur

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.