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Doody's Review ServiceReviewer: Nancy E. Moss, PhD, RN, MSN (University of Cincinnati School of Nursing)
Description: This reference is a presentation of practical, noninterventional strategies for obstetrical care providers to reduce the incidence of and to treat dysfunctional labor. The authors offer supportive means which enhance the physiological process of labor directed toward the avoidance of more complex, costly, risky interventions.
Purpose: The purpose is to provide a reference for obstetrical care providers with a focus on the prevention of dysfunctional labor patterns and ways to treat dystocia once it has occurred. It is a compilation of labor progress strategies from a variety of care providers. These are worthy objectives, which are met by the authors.
Audience: This book is directed toward midwives, nurses, and doctors wishing to utilize a non-interventionist, physiological supportive approach to labor management. It would also benefit labor nurses, childbirth educators, and doulas as many of the supportive measures are simple and sensitive care measures designed to maintain a normal labor pattern. The authors have many years of experience and are credible within their fields of expertise.
Features: Dysfunctional labor is followed in chronological order from general considerations through the phases and stages of labor. In each chapter the problem, diagnosis, possible primary and secondary actions, results of each action, and expected outcomes are discussed. There are references provided when available. There are chapters devoted to maternal positions and movements and non-pharmacological physical comfort measures. Helpful charts and black-and-white illustrations are provided throughout.
Assessment: This is the first book of its kind and a very useful resource. It is small enough to carry as a readily available reference. For those obstetrical providers dedicated to the reduction of those costly, risky interventions, this book is ideal.