February 3, 2016
Volume 18, Issue 3
Midwifery Today E-News
“Prolonged Labor”
Print Page

In This Week’s Issue

MT online storeAre you prepared for prolonged labor?

Midwifery Today’s Prolonged Labor Handbook discusses the benefits of positioning, trusting birth, and the political ramifications of time assessment and responsibility. You’ll also learn ways to prevent prolonged labor, including herbal remedies and psychological assessment. Part of the Holistic Clinical Series,the Prolonged Labor Handbook belongs in your birthbag! To order

This issue of Midwifery Today E-News is brought to you by:

Look below for more info.

Quote of the Week

Patience is not simply the ability to wait; it’s how we behave while we’re waiting.

Joyce Meyer, author and speaker

The Art of Midwifery

Labor marathons are often rooted in emotional discord. Fostering loving trust and loyal, determined commitment will usually see you through. As long as nutrition and hydration are offered freely, and vital signs remain reassuring, labor may take as long as it needs to. I don’t believe there is a time limit.

Judy Edmunds, excerpted from “Prolonged Labor: Past and Present,” Birth Wisdom, Tricks of the Trade, Vol. III, a Midwifery Today book
View table of contents / Order the book

Midwifery Today Conferences

Tine Greve and Gail Hart discuss Clinical Issues in Birth Care

In the morning, you will learn about different reasons for prolonged labor, how to detect the pathological labor from the simple prolonged labor, and how to overcome difficulties and correct problems when possible or facilitate transfer when needed. The afternoon session covers normal and complicated second stage issues. The teachers will review second stage research from a midwifery point of view, focusing on how maternal positions and associated birth environments affect childbirth outcomes. This full-day class is part of our conference in Harrisburg, Pennsylvania, April 2016.

Learn more about the Harrisburg, Pennsylvania, conference.

Carol GautschiJoin us in Fiji next June!

Plan now to attend our conference in Suva, Fiji, 20–24 June 2016. You will be able to learn from teachers such as Carol Gautschi (pictured), Gail Hart, Fernando Molina and Debra Pascali-Bonaro. Classes to choose from include Midwifery in the South Pacific, Shoulder Dystocia and Second Stage Issues, Village Prenatals, and Breech Skills.

Learn more about the Suva, Fiji, conference.

Midwifery Today E-News is just the beginning.

Subscribe to Midwifery Today, our print magazine, and you’ll receive 72-pages of midwifery information four times a year. Subscribe here.

Editor’s Corner

Making Change in Syria

Social networking, especially Facebook, is absolutely amazing to me. I have been talking with a woman in Damascus, Syria, named Bushra. She teaches English to midwives, and she has been asking me questions via Messenger from her midwife students there. Their questions were mind boggling. I decided to include several of my very experienced colleagues on our Messenger conversation to share, and mountains are being moved.

One midwife in Damascus was just told by the doctor to cut the cord now. She said, “No, the baby has not gotten all of its stem cells!” Bushra says of her, “She is so strong that she has the courage to confront the doctors and tell them what is right and that there is no need for an episiotomy and excessive intervention.” Bushra then told me that this same midwife assisted at an upright birth last week. What we can do with the Internet and Facebook is amazing. Together, we give power and rights back to the parents, who are, after all, the ones who take home the baby and live with the consequences of what others have done to them.

I suppose it is even more amazing in light of global politics that we can speak with midwives to help spread better birth practices. It shows that midwives all over the world want to help make things best for motherbaby. We can change this stubborn world, and social networking can help us do that.

— Jan Tritten, mother of Midwifery Today

Jan Tritten is the founder, editor-in-chief and mother of Midwifery Today magazine. She became a midwife in 1977 after the amazing homebirth of her second daughter. Her mission is to make loving midwifery care the norm for birthing women and their babies throughout the world. Meet Jan at our conferences around the world, or join her online, as she works to transform birth practices around the world.

Midwifery Today on Facebook
Midwifery Education: Caring and Sharing (Facebook)

Please support our advertisers
Still time to SAVE! GOLD Midwifery 2016 Early Bird Registration Extended until Feb. 5
GOLDGOLD Midwifery 2016 offers 17 hours of accredited evidence-based education by leading Researchers through a convenient and economical online format! Speakers and Topics are now online!

Not just your standard webinar! GOLD Conferences are driven by a growing online community of passionate and knowledgeable health care professionals. Receive cutting-edge education that you can immediately begin applying to your practice.

Sign up today! Learn more here.

Conference Chatter

Prolonged Labor Class at Harrisburg Conference

Prolonged labor is such an important issue, which is why it is a topic we try to cover at each Midwifery Today conference. We often have different teachers teach on prolonged labor in order to get different views on this important subject. At Harrisburg, Pennsylvania, speakers Tine Greve and Gail Hart are facilitating a three-hour class on this essential topic. Please join us if you can! Here is the write up about it:

Prolonged Labor: Long labors may be associated with complications ranging from social or emotional issues to physical problems. The teachers will discuss different reasons for prolonged labor, how to detect the pathological labor from the simple prolonged labor, and how to overcome difficulties and correct problems when possible or facilitate transfer when needed.

— Jan Tritten

Keep up to date with conference news on Facebook:

Please support our advertisers
Save 40–50% on Your Surgical Needs and Supplies!

eSutureseSutures is a discount distributor of over 1 million Ethicon, Covidien and Dermabond items—all available by the box or individual unit. No contracts or minimum order requirements. Use code MID10 at checkout and receive $10 off your order. Visit our website or call 888-416-2409 for pricing and availability! Offer expires 12/31/16.

Featured Article

Prolonged Labor—Caught in the Middle

Prolonged labor requires so much of a midwife in terms of endurance, patience, labor support skills and professional judgment. A surprising thing about it is how babies, after delaying interminably, can birth so fast, and conversely, how the second stage can be as grueling as the first.

Twice in my midwifery career I have come to the home of a multip and found her fully dilated, membranes ruptured, with painful contractions, yet unable to push. The head was high and in direct occipitoposterior position. The woman turned on her hands and knees, and the baby rotated and came out in one or two contractions. This was an unforgettable demonstration of the importance of a baby’s presentation in helping it fit smoothly through the pelvis.

Other factors in prolonged labor are the strength of the uterine action, resistance of soft tissues, size of the baby, and size and shape of the pelvis. Evidence shows that some women are genetically predisposed to prolonged labor.

Prolonged labor is never a desired outcome—not for the mother, her family or her caregiver. As a midwife, I have been criticized both for intervening and for failing to intervene soon enough in the same labor.

Marion Toepke McLean
Excerpted from “Prolonged Labor: Caught in the Middle,” Midwifery Today, Issue 46
View table of contents / Order the back issue

Please support our advertisers!
Become a Nurse-Midwife: Frontier Nursing University Accepts Registered Nurses with an ADN or Bachelor’s Degree.

Frontier Nursing UniversityFrontier Nursing University’s nurse-midwifery program is the longest-running midwifery program in the United States and is ranked by U.S. News & World Report as the #1 program. Through our distance education model, you can complete coursework online and clinical work in your own community. Earn a Master of Science in Nursing degree online today.


Featured Products

Birth Wisdom from Michel Odent

MT e-book This e-book is a collection of 24 articles by French obstetrician and natural childbirth advocate Michel Odent. Dr. Odent has been influencing the history of childbirth and health research for several decades and is familiarly known as the obstetrician who introduced the concept of birthing pools and home-like birthing rooms. When you buy this e-book, you’ll be able to read articles such as When Love Hormones Become Useless, Dispelling Disempowering Birth Vocabulary, and Childbirth from a Bacteriological Perspective. Available on Amazon or on Smashwords in a variety of formats.

On the Journey to Becoming a Mother

MT store Summer Solstice features a flower-crowned pregnant woman standing among fruiting branches. The rich browns, greens and yellows give this original fine art by Amy Swagman a warm glow that will enrich any room in your home or office. Available as a 6 × 6 or 8 × 8 inch digital print on 9.5 × 12.5 inch archival, acid-free artist paper. See a larger picture on our website. To order

See how birth should be

MT store “nacer con amor cambia el mundo,” a 4-disc DVD set from La Primavera Maternidad Clinica, gives you over 7 hours of birth footage. Jan Tritten says: “The births shown in this DVD set are the most beautiful births I have ever seen on film. They are so gentle and work so well with nature, they show how birth should be conducted in a very gentle, hands-off kind of way.” The set is in Spanish only, but our shared humanity makes them completely relatable. To order

Please support our advertisers
Natural Products to Help Couples Conceive
advertiserFairhaven Health is the leading supplier of natural, doctor-designed products to help couples conceive. We offer a broad range of products including clinically validated supplements and ovulation prediction tools that provide a natural alternative to more expensive and invasive infertility treatments.

Visit Fairhaven Health today for more information or to request brochures, samples or pricing for your patients.

Website Update

Read this article excerpt from the Winter 2015 issue of Midwifery Today magazine, now on our website:

  • Babysafe Mode—Getting Smarter about Smart Technology and Pregnancy—by Mary Esther Malloy

    Excerpt: “Learning about the BabySafe Project has made me realize how ill-informed I’ve been about smart technology. I now take the extra moment to toggle my smart phone and devices between wi-fi (for when I need to be connected) and airplane mode (for when I don’t). I’m discovering that I need to be connected much less than I had thought…”

What is MIDWIFERY TODAY magazine?

A 72-page quarterly print publication filled with in-depth articles, birth stories from around the world, stunning birth photography, news, reviews and more. Subscribe.

Midwifery Today Magazine

Classified Advertising

Tell our readers about your business. Just $48/issue ($135 for four) gives you 35 words to promote your products or services. Go here to learn more or write ads@midwiferytoday.com

Manage Your E-News Subscription

To subscribe

Just go here and fill out the form:

Change your e-mail address

If you are a current subscriber and you want to change the e-mail address to which the newsletter is delivered, please click the “update subscription preferences” link at the bottom of any mailed issue and then make your changes.

If you are a current subscriber and want to stop receiving the newsletter, please click the “unsubscribe from this list” link at the bottom of any mailed issue and then make your changes.

If you have difficulty, please send a complete description of the problem, including any error messages, to newsletters@midwiferytoday.com.

Learn your subscription status

If you are not receiving your issues, but have subscribed, contact newsletters@midwiferytoday.com with the address you used to subscribe and we will look into it for you.

Learn even more about birth.

Midwifery Today Magazine—mention code 940 when you subscribe.

 1-Year Subscription2-Year Subscription
United States$55$105
All other countries$75$145

E-mail inquiries@midwiferytoday.com or call 800-743-0974 to learn how to order.

Or subscribe online.

RSS Feed Subscribe to the Web Updates RSS feed to stay on top of what’s new or highlighted on the Midwifery Today website. Be alerted when conference programs go online, new articles are posted and more.

How to order our products mentioned in this issue:

Secure online shopping

We accept Visa and MasterCard at the Midwifery Today Storefront.

Order by postal mail

We accept Visa; MasterCard; and check or money order in U.S. funds.

Midwifery Today, Inc.
PO Box 2672
Eugene, OR 97402, USA

Order by phone or fax

We accept Visa and MasterCard.

Phone (U.S. and Canada; orders only):  800-743-0974

Phone (worldwide):  +1-541-344-7438

Fax:  +1-541-344-1422

E-News subscription questions or problems

Editorial submissions, questions or comments for E-News

Editorial for print magazine



For all other matters

All questions and comments submitted to Midwifery Today E-News become the property of Midwifery Today, Inc. They may be used either in full or as an excerpt, and will be archived on the Midwifery Today website.

Midwifery Today E-News is published electronically every other Wednesday. We invite your questions, comments and submissions. We’d love to hear from you. Write to us at: mtensubmit@midwiferytoday.com. Please send submissions in the body of your message and not as attachments.


This publication is presented by Midwifery Today, Inc., for the sole purpose of disseminating general health information for public benefit. The information contained in or provided through this publication is intended for general consumer understanding and education only and is not intended to be, and is not provided as, a substitute for professional medical advice, diagnosis or treatment.

Midwifery Today, Inc., does not assume liability for the use of this information in any jurisdiction or for the contents of any external Internet sites referenced, nor does it endorse any commercial product or service mentioned or advertised in this publication. Always seek the advice of your midwife, physician, nurse or other qualified health care provider before you undergo any treatment or for answers to any questions you may have regarding any medical condition.

Copyright Notice

The content of E-News is copyrighted by Midwifery Today, Inc., and, occasionally, other rights holders. You may forward E-News by e-mail an unlimited number of times, provided you do not alter the content in any way and that you include all applicable notices and disclaimers. You may print a single copy of each issue of E-News for your own personal, noncommercial use only, provided you include all applicable notices and disclaimers. Any other use of the content is strictly prohibited without the prior written permission of Midwifery Today, Inc., and any other applicable rights holders.

© 2016 Midwifery Today, Inc. All Rights Reserved.

Midwifery Today: Each One Teach One!