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, PhD, 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, PhD, CNM, FACNM, and Penny Simkin, BA, PT, CCE, CD(DONA) Chapter 8: Low-Technology Clinical Interventions to Promote Labor Progress 242 Lisa Hanson, PhD, 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