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Florida Perinatal Quality Collaborative

Labor Support Skills to Promote Vaginal Birth

Labor Support Skills to Promote Vaginal Birth

Thank you for your interest in expanding and sharing your labor support skills! The following is an outline of the course and core videos that you may utilize in your own hospital. It is important to both present the evidence and perform hands-on practice/simulations as outlined. Including and incorporating a community doula to assist with this course is ideal. You may utilize the agenda, training slides, videos, and other resources found below. Remember to check back for updates!

Before You Begin

We encourage you to download the following materials:

Download the Train-the-Trainer Guide

Slide handouts for attendees:

  1. Introduction
  2. Latent Labor
  3. Active Labor
  4. Second Stage
  5. Fetal Well-Being 

Train-the-Trainer Workshop Agenda (2022)

Class materials include: Birthing Bed, Squat Bar, Peanut Ball, Birthing Ball, Rebozo, & Labor Support Cart

Core Videos for Class

The entire video playlist for the Labor Support Skills Trainings can be found on our YouTube playlist. Individual video links can be found below. Jessica Brumley, CNM, PhD is the Director, Division of Midwifery, Obstetrics and Gynecology at USF Health and an expert in evidence-based non-medical laboring practices.

  1. Introduction by Jessica Brumley, CNM, PhD, (13 min video) with updated slides on rankings
  2. Latent Labor by Jessica Brumley, CNM (47 min video)
  3. Active Labor by Jessica Brumley, CNM (45 min video)
  4. IA by Jessica Brumley, CNM (31 min video)
  5. 2nd Stage Labor by Jessica Brumley, CNM (18 min video)

FPQC Educational snippets folder to reinforce content

  1. How to use the Peanut Ball (5 min)
  2. Rotating A Malpositioned Baby, Miles Circuit (3 min)
  3. Why Maternal Positioning Helps Prevent Cesareans (5 min)

Additional Patient Education Videos

  1. Let Labor Begin On Its Own (3:18)
    Lamaze (Mother’s Advocate)
  2. Walk, Move & Change Positions (2:14)
  3. Hip Dip (4:38)
    Poor audio but excellent content
  4. Mid Pelvis 7 cm stall (2.5 min)
    Side-lying release 
  5. Cupid Shuffle (3 min)
  6. Get Upright & Follow Urges to Push (3:30)
  7. Avoid Unnecessary Interventions (3 min)
    Discusses IA

Class Handouts, Algorithms

Practice Scenarios (print out for class)

  1. Power of Language
  2. Comfort Techniques in Active Labor
  3. Comfort Techniques in Latent Labor


  1. Induction
  2. Augmentation
  3. FHR Concerns

Additional Resources

  1. PQI Intermittent Auscultation (IA) competencies for nurses (
  2. AWHONN Position Statement on “Continuous Labor Support for Every Woman“ (2018)
  3. Spinning Babies (
  4. Bundle Births (
  5. (Lamaze)
  8. Penny Simkin’s Labor Progress Handbook