The third edition of The Labor Progress Handbook builds onthe success of first two editions and remains an unparalleledresource on simple, non-invasive interventions to prevent or treatdifficult labor. Retaining the hallmark features of previouseditions, the book is replete with illustrations showing position,movements, and techniques and is logically organized to facilitateease of use.This edition includes two new chapters on third and fourth stagelabor management and low-technology interventions, a completeanalysis of directed versus spontaneous pushing, and additionalinformation on massage techniques. The authors have updatedreferences throughout, expertly weaving the highest level ofevidence with years of experience in clinical practice.The Labor Progress Handbook continues to be a must-haveresource for those involved in all aspects of birth by providingpractical instruction on low-cost, low-risk interventions to manageand treat dystocia.

Foreword to the second edition xviiForeword to the fi rst edition xxiAcknowledgments xxiiiChapter 1: Introduction 3Penny Simkin, BA, PT, CCE, CD(DONA), and Ruth Ancheta, BA,ICCE, CD(DONA)Chapter 2: Dysfunctional Labor: General Considerations15Penny Simkin, BA, PT, CCE, CD(DONA), and Ruth Ancheta, BA,ICCE, CD(DONA)Chapter 3: Assessing Progress in Labor 51Suzy Myers, LM, CPM, MPH, with contributions by Gail Tully, BS,CPM, CD(DONA), and Lisa Hanson, PhD, CNM, FACNMChapter 4: Prolonged Prelabor and Latent First Stage101Penny Simkin, BA, PT, CCE, CD(DONA), and Ruth Ancheta, BA,ICCE, CD(DONA)Chapter 5: Prolonged Active Phase of Labor 124Penny Simkin, BA, PT, CCE, CD(DONA), and Ruth Ancheta, BA,ICCE, CD(DONA)Chapter 6: Prolonged Second Stage of Labor 173Penny Simkin, BA, PT, CCE, CD(DONA), and Ruth Ancheta, BA,ICCE, CD(DONA)Chapter 7: Optimal Newborn Transition and Third and FourthStage Labor Management 224Lisa Hanson, PhD, CNM, FACNM, and Penny Simkin, BA, PT, CCE,CD(DONA)Chapter 8: Low-Technology Clinical Interventions to PromoteLabor Progress 242Lisa Hanson, PhD, CNM, FACNMChapter 9: The Labor Progress Toolkit: Part 1. MaternalPositions and Movements 277Penny Simkin, BA, PT, CCE, CD(DONA), and Ruth Ancheta, BA,ICCE, CD(DONA)Chapter 10: The Labor Progress Toolkit: Part 2. ComfortMeasures 326Penny Simkin, BA, PT, CCE, CD(DONA), and Ruth Ancheta, BA,ICCE, CD(DONA)Epidural Index 379Index 381