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The Labor Progress Handbook: Early Interventions to Prevent and Treat Dystocia

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Dystocia or failure to progress in labor is the main reason for cesarean deliveries. The second edition of this successful text focuses on simple non-invasive interventions to prevent or treat difficult labor. It describes positions, movements and techniques based on principles of anatomy, physiology and psychology of childbirth.The Labor Progress Handbook is organized by stage of labor for easy reference, enabling the care giver to quickly identify appropriate low cost, low risk interventions and treat dystocia effectively, at an early stage before it becomes severe. The new edition has been thoroughly revised and updated and includes a new chapter on assessing progress in labor, together with new sections on managing labor pain, normal labor and additional positions and maneuvers. The rationale for all techniques is included based on the authors ' clinical experience and wherever possible on the underlying evidence base.

416 pages, Kindle Edition

First published January 1, 2000

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Penny Simkin

33 books47 followers

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Displaying 1 - 30 of 34 reviews
Profile Image for Robin.
303 reviews30 followers
March 9, 2011
As another reviewer stated, every labor attendant should read this. Moms-to-be would benefit from it too – although it’s technical, it’s still comprehensible and organized well, especially if you’re reading other books in tandem. My doula said it’s the one book she always has with her.
Profile Image for Myridian.
459 reviews46 followers
December 15, 2010
This book is fantastic. The information is research based (with references at the end of every chapter!) and the organization really does make it a handbook. In addition to early chapters that deal with general dytocia causes and recommendations, later chapters are divided up by the stage of labor, and with two additional chapters at the end that are references re labor positions with purposes and proscriptions, and comfort measures.

I feel my confidence in dealing with fetal malposition and tolerating labor pain has improved exponentially and I would recommend this book to all birth attendants, women who want to be informed re labor, and labor coaches. Now if I can just be sure my husband understands all the information in here too we'll be set.

My one qualification is that the second edition is now five years old and I think Simkin should give us a third edition with more updates re recent research. I would buy it!
Profile Image for Kelly Kolb.
183 reviews
October 12, 2016
Excellent book for healthcare providers, nurses, and doulas supporting women through labor. Goes into great depth on potential challenges at each stage of labor, reasons, preventions where possible, diagnostics, and ways to address them to improve birth outcomes. Very evidence-based guide and organized in such a way as to be a good reference guide to keep in the doula bag. More technical than the birth partner but was a great read to piggyback on its resources for a deeper understanding.
30 reviews
August 6, 2018
Great alternative to birth-preparation books aimed at parents. This one doesn't try to sell you any kind of specific philosophy, but simply concentrates on approaches that promote low-intervention birth and are supported by evidence or at least experience. All the advice is neatly summarized in chapters 9 and 10, so that you can review it whenever you need to.
Profile Image for Laura.
129 reviews1 follower
May 21, 2010
The book focuses on reasons for slow progress and solutions to try - including positions, comfort techniques, and resolving any emotional reasons. It's a great reference for anyone working in birthing. I liked that it included what scientific studies have said about the subject.
Profile Image for Kelli Pizarro.
Author 7 books24 followers
May 7, 2018
Must go in doula bag!

This book is full to the brim with useful tips, instructions, and facts to help a laboring women deliver with the least possible need for cesarean section or other intervention
Profile Image for Annemarie Plenert.
255 reviews
June 24, 2013
Incredibly helpful and well laid out as a resource both for birth assistant training and during births. Thorough, well-researched, and the diagrams are useful. Highly recommend.
Profile Image for Melissa Haley.
102 reviews
May 14, 2020
Great resource. Well organized. Such a shame that they chose to use gendered language, as if making a note about it at the beginning is acceptable penance.
Profile Image for Chantel.
5 reviews
Read
March 10, 2024
I'm not a medical professional but still found this book to be immensely valuable in reading as a parent to be. Could be particularly helpful for those who have had a belly birth before, or would like to be proactive in potentially preventing one.
Profile Image for Elisabeth.
Author 9 books26 followers
September 10, 2018
I loved reading this the pictures helped explain situations good
Profile Image for Gage Agag.
7 reviews
February 16, 2022
Good mix if clinical/non-clinical interventions and support techniques.
Profile Image for Mercer Smith.
522 reviews5 followers
May 5, 2022
Excellent book for folks that will be supporting people in birth and labor.
Profile Image for Hayley.
134 reviews15 followers
May 20, 2025
Super helpful with plenty of hands on advice for a ton of different reasons for a stalled/slow labor. The graphics were very helpful too!
Profile Image for Katja.
37 reviews
June 25, 2025
Such a helpful resource for doulas! I will be keeping this in my birth bag!
42 reviews2 followers
Read
April 30, 2016
Wow. This book is so useful, especially for someone like me whose mind works best in a linear, graphic way. Starting with definitions and moving from before labor through pre-labor, early labor, active labor, to second stage, the authors explore why and how labor can be dysfunctional and what to do to restore it to functionality. There are also sections with specific descriptions of maternal positions and movements, and comfort measures.

I do know, however, that in labor or when with a woman in labor, one doesn't necessarily use the information laid out here in such a linear A-B-C way. Intuition plays a big role, and communication, in deciding what to actually do in the moment when something is making a labor difficult and long. Oftentimes, though, I think birth attendants can feel just as "stuck" as the mom does when things are not going smoothly, and having the information in this book (or maybe even the book itself!) at hand to get some new ideas working could be a huge help at those times.
2 reviews1 follower
January 19, 2016
The information provided in the book is research based and the citations can be found at the end of every chapter, so you can read it from the source. It's laid out just like a handbook. In addition to early chapters that deal with general dytocia causes and recommendations, later chapters are divided up by the stage of labor, and with two additional chapters at the end that are references for labor positions with purposes and proscriptions, and comfort measures. I love that the updated version includes some info from Gail Tully on fetal positioning and what we can do about it.
Profile Image for Mercury1122.
40 reviews
July 30, 2014
Way more information than you could possibly need unless you're a OBGYN or neonatal nurse, but since I'm the type of person that is soothed by over-learning about the thing that's freaking me out, I liked this book a lot. Being pregnant is indeed both a super amazing and terrifying experience and even though my brain completely quit working during labor so that everything I learned about giving birth didn't matter anyway, I still really enjoyed this book.
Profile Image for Mimi.
111 reviews4 followers
August 29, 2008
so so wonderfully, clearly and succinctly written.
penny simkin is a birthing goddess. one of my heroes.
she is so grounded and direct in her suggestions, all backed by scientific evidence - hard to dispute even by the worst of the OB brigade.
124 reviews4 followers
August 26, 2014
Love this book and love the easy look ups for labor postions, transition periods, different ways to help with labor pain. I take this book with me during my doula visits to the hospital and when I am teaching classes on labor and delivery because of how easy it is to read and look things up in
Profile Image for Cori.
13 reviews3 followers
October 19, 2012
Fantastic book for any birth attendant, OB, L&D nurse, midwife, doula... considering that, as the book states, labor dystocia is the most common reason for cesarean... so having a handbook like this that is easy to reference with tons of solutions for a stalled labor is invaluable.
Profile Image for Julie.
5 reviews
October 1, 2007
Awesome book to have as a Doula, Midwife,Nurse, doctor, or birth info junkie. Just really technical and very useful.
8 reviews
June 5, 2012
Excellent resource to resolve labor dystocia (stalls), whether it be physical or emotional.
Profile Image for Madeline.
280 reviews22 followers
October 14, 2012
great information! anyone planning on being a labor support person should read it !
Profile Image for Melissa.
633 reviews9 followers
November 13, 2012
I keep this in my doula bag -- a great primer for ideas on how to help labor along naturally.
Profile Image for Danielle Rodda.
4 reviews
February 3, 2013
This is the only book I take when I go with doula clients. Could have a better "quick reference".
Displaying 1 - 30 of 34 reviews

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