A Book For Midwives: Care For Pregnancy, Birth, And Women's health

by Klein, Susan; Miller, Suellen; THOMSON, FIONA

• ISBN13: 9780942364231
• ISBN10: 0942364236
• Format: Paperback
• Copyright: 2000-03-30
• Publisher: Hesperian Foundation

Table of Contents

Introduction
Words to midwives	1	(11)
Learning is lifelong	1	(2)
Share what you know	3	(3)
Respectful and compassionate care	6	(2)
Work to improve women's health	8	(3)
Work for the joy of it	11	(1)
Treating health problems	12	(14)
Finding the causes of health problems	13	(3)
Finding the best treatment	16	(5)
Finding root causes of health problems	21	(4)
Midwives can make change	25	(1)
A woman's body in pregnancy	26	(6)
A woman's sexual and reproductive parts	27	(2)
How women become pregnant	29	(3)
Helping women stay healthy	32	(16)
Eating well	33	(9)
Caring for the body for good health	42	(3)
Things to avoid during pregnancy and breastfeeding	45	(3)
Preventing infection	48	(24)
Preventing infection saves lives	49	(3)
Prevent infection by keeping germs away	52	(1)
Clean your hands and wear protective clothing	53	(4)
Clean the space and bedding	57	(2)
Clean and sterilize tools	59	(8)
Get rid of wastes safely	67	(3)
PREGNANCY
Introduction	70	(2)
Common changes in pregnancy	72	(12)
Changes in eating and sleeping	73	(3)
Body changes and discomforts	76	(6)
Changing feelings and emotions	82	(2)
Learning a pregnant woman's health history	84	(24)
Questions in a pregnancy health history	86	(1)
Does she have signs of pregnancy?	86	(2)
How pregnant is she now? When is the baby due?	88	(5)
Has she had any problems with past pregnancies or births?	93	(5)
Malaria	98	(1)
HIV/AIDS	99	(5)
What else in her-life might affect her pregnancy and birth?	104	(2)
Making a transport plan	106	(2)
Prenatal checkups	108	(40)
Talk with the mother	109	(7)
Check the mother's body	116	(1)
Check for signs of anemia	116	(2)
Weigh the mother	118	(1)
Check the mother's temperature	119	(1)
Check the mother's pulse	120	(2)
Check the mother's blood pressure	122	(3)
Check for signs of pre-eclampsia	125	(3)
Signs of bladder or kidney infection	128	(2)
Check the baby	130	(1)
Measure the mother's womb	130	(5)
Find the position of the baby	135	(4)
Listening to the baby's heartbeat	139	(3)
What to do if you find warning signs	142	(2)
After the checkup	144	(1)
Record of prenatal care	145	(1)
LABOR AND BIRTH
Introduction	146	(2)
Getting ready for labor and birth	148	(6)
Signs that labor will start soon	149	(2)
When to go to the birth	151	(1)
What to bring to a birth	151	(2)
Sterilize your tools and wash up	153	(1)
Giving good care during labor and birth	154	(12)
What happens during labor and birth	155	(2)
Care for the mother during labor	157	(6)
Be ready for emergencies	163	(1)
Keep a record of what happens during labor	164	(2)
Opening: stage 1 of labor	166	(28)
What happens during stage 1	167	(1)
When you first arrive	168	(1)
Helping the mother relax in stage 1	169	(1)
Signs for the midwife to check in stage 1	170	(1)
The baby's position	170	(2)
The baby's heartbeat	172	(2)
The bag of waters	174	(4)
The mother's pulse	178	(1)
The mother's temperature	178	(2)
The mother's blood pressure	180	(3)
Bleeding during labor	183	(1)
Pain in the womb	183	(2)
Watch for signs of progress	185	(6)
Safe ways to encourage labor	191	(3)
Pushing: stage 2 of labor	194	(28)
Watch for signs that stage 2 is near or starting	195	(2)
What happens during stage 2	197	(2)
Help the mother have a safe birth	199	(3)
Watch for warning signs	202	(4)
Help the mother give birth	206	(9)
Baby is breech	215	(4)
Delivering twins	219	(2)
Baby is very small or more than 5 weeks early	221	(1)
The birth of the placenta: stage 3 of labor	222	(24)
Check the mother's physical signs	223	(1)
Bleeding after birth	224	(2)
Watch for signs the placenta has separated	226	(1)
Help her push out the placenta	227	(9)
Watch for bleeding after the placenta is born	236	(4)
What to do for the baby	240	(6)
The first few hours after the birth	246	(22)
What to do for the mother	247	(5)
What to do for the baby	252	(1)
General appearance	253	(1)
Breathing, heartbeat, temperature	254	(2)
The baby's body	256	(11)
Clean up and answer questions	267	(1)
The first weeks after the birth	268	(12)
What to do for the mother	269	(1)
Watch her womb and bleeding	270	(1)
Watch for signs of womb infection	271	(1)
Watch for signs of vaginal infection	272	(2)
What to do for the baby	274	(1)
Encourage the baby to breastfeed and watch how she grows	274	(3)
Care for the cord	277	(1)
Look for signs of infection	277	(2)
Watch the color of the baby's skin and eyes	279	(1)
Breastfeeding	280	(18)
Breast is best	281	(1)
How to breastfeed	282	(2)
When the mother works outside the home	284	(2)
Common difficulties while breastfeeding	286	(5)
Situations that affect breastfeeding	291	(3)
Alternatives to breastfeeding	294	(2)
HEALTH SKILLS
Introduction	296	(2)
Family planning	298	(22)
Choosing a family planning method	300	(1)
Chart: family planning methods	301	(17)
Making family planning work for the community	318	(2)
Sexually transmitted infections (STIs)	320	(18)
What are STIs?	321	(2)
Discharge from the vagina	323	(6)
Sores on the genitals	329	(5)
STIs that affect the whole body	334	(2)
Teaching women how to prevent STIs	336	(1)
How to help stop STIs in your community	337	(1)
Advanced skills for pregnancy and birth	338	(34)
Vaginal exams during labor	339	(2)
Home methods for starting labor	341	(4)
Injections	345	(5)
How to give fluid through a vein	350	(2)
Catheters	352	(2)
Episiotomy	354	(2)
Sewing a tear or an episiotomy	356	(11)
Caring for a woman after female genital cutting (circumcision)	367	(2)
Turning a breech or sideways baby	369	(3)
The pelvic exam: How to examine a woman's vagina and womb	372	(16)
When to do a pelvic exam	374	(1)
Before the exam	375	(1)
The visual exam	376	(1)
The speculum exam	377	(2)
Tests for infections and cancer	379	(6)
The bimanual exam (2-hand exam)	385	(3)
How to insert an IUD	388	(12)
Help a woman decide if the IUD is right for her	390	(1)
Before you insert the IUD	391	(1)
Inserting the IUD	392	(6)
After you insert the IUD	398	(1)
Removing the IUD	399	(1)
Helping a woman after a pregnancy ends early	400	(16)
Problems from a pregnancy that ends early	401	(5)
Emergency care for problems after miscarriage or abortion	406	(3)
Infection	409	(3)
Bleeding	412	(2)
Shock	414	(1)
Work with the community to prevent unsafe abortions	415	(1)
Manual vacuum aspiration	416	(16)
Deciding when to do MVA	418	(1)
Getting ready for the MVA	419	(3)
Doing the MVA	422	(6)
Problems with the MVA	428	(2)
After the MVA	430	(2)
Getting medical help	432	(10)
What medical centers and hospitals can provide	433	(5)
Getting to a medical center	438	(1)
Working with medical centers and doctors	438	(4)
Homemade tools and teaching materials	442	(21)
Low-cost equipment	443	(4)
Teaching materials	447	(16)
Medicines (green pages): uses, dosage and precautions	463	(36)
When to use medicines	463	(1)
How to take medicines safely	464	(3)
How to take medicines	467	(3)
Kinds of medicine	470	(2)
Problem index	472	(1)
Alphabetical list of medicines	473	(17)
Oral contraceptives	490	(2)
Medicines for HIV/AIDS	492	(7)
To learn more	499	(4)
Technical and medical words	503	(2)
Index (yellow pages)	505	(22)
Due date calculator	527