Chapter 5. Labour Rhythms

  1. Denis Walsh RM, MA, PhD Associate Professor in Midwifery1 and
  2. Soo Downe RM, BSc, PhD Professor of Midwifery Studies2
  1. Denis Walsh RM, MA, PhD Associate Professor in Midwifery

Published Online: 17 FEB 2010

DOI: 10.1002/9781444317701.ch5

Essential Midwifery Practice: Intrapartum Care

Essential Midwifery Practice: Intrapartum Care

How to Cite

Walsh, D. (2010) Labour Rhythms, in Essential Midwifery Practice: Intrapartum Care (eds D. Walsh and S. Downe), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444317701.ch5

Editor Information

  1. 1

    University of Nottingham, UK

  2. 2

    Midwifery Studies Research Unit, University of Central Lancashire, UK

Author Information

  1. University of Nottingham, UK

Publication History

  1. Published Online: 17 FEB 2010
  2. Published Print: 22 JAN 2010

ISBN Information

Print ISBN: 9781405176989

Online ISBN: 9781444317701

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Keywords:

  • labour rhythms;
  • normal labour and emerging critiques of labour progress paradigm;
  • repeated vaginal examinations (VE) - as markers of normal labour pattern;
  • women labouring at different rates and progressive rhythms and ‘dance of labour’;
  • organisational models of birth centres - free-standing and alongside;
  • rhythms in early labour - first stage of labour, latent and active being clinician-based;
  • midwifery diagnosis of labour in hospital;
  • mid labour rhythms;
  • alternative skills in assessing labour;
  • direct links between duration of the second stage and fetal health

Summary

This chapter contains sections titled:

  • Introduction

  • Origins of the progress paradigm

  • Organisational factors

  • An emergent critique

  • Rhythms in early labour

  • Rhythms in mid labour

  • Alternative skills for assessing labour

  • ‘Being with’, not ‘doing to’ labouring women

  • Definition of second stage

  • Time and fetal health

  • Early pushing

  • Attitudes and philosophy

  • Conclusion

  • References