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A handbook for Midwives

For thousands of years, since long before there were doctors or hospitals, midwives have been helping women stay healthy, helping babies into the world, and helping families grow. Ask a woman why she prefers the care of a midwife and she will tell you that midwives are knowledgeable, patient, and respectful of her traditions. | HEW EDhTkON compie1eIy revised and updated A Book for Midwives Care for pregnancy birth and women s health Susan Klein SưeElen Miner and Fiona Thomson Contents Introduction Chapter 1 Words to midwives.1 Learning is lifelong.1 Work to improve women s health.8 Share what you know .3 Work for the joy of it.11 Respectful and compassionate care . . . .6 Chapter 2 Treating health problems.12 Finding the causes of health Finding root causes of problems.13 health problems.21 Finding the best treatment.16 Midwives can make change .25 Chapter 3 A woman s body in pregnancy.26 A woman s sexual and How women become pregnant.29 reproductive parts.27 Chapter 4 Helping women stay healthy.32 Eating well.33 Things to avoid during Caring for the body for good health . .42 pregnancy and breastfeeding .45 Chapter 5 Preventing infection.48 Preventing infection saves lives.49 Prevent infection by keeping germs away .52 Clean your hands and wear protective clothing .53 Clean the space and bedding .57 Clean and sterilize tools.59 Get rid of wastes safely.67 PREGNANCY Introduction.70 Chapter 6 Common changes in pregnancy.72 Changes in eating and sleeping .73 Changing feelings and emotions .82 Body changes and discomforts.76 Chapter 7 Learning a pregnant woman s health history.84 Questions in a pregnancy health history .86 Does she have signs of pregnancy . . .86 How pregnant is she now When is the baby due .88 Has she had any problems with past pregnancies or births .93 Malaria .98 HIV AIDS.99 What else in her life might affect her pregnancy and birth .104 Making a transport plan.106 Chapter 8 Prenatal checkups. Talk with the mother .109 Check the mother s body.116 Check for signs of anemia .116 Weigh the mother.118 Check the mother s temperature . . . .119 Check the mother s pulse.120 Check the mother s blood pressure . .122 Check for signs of pre-eclampsia . . . .125 Signs of bladder or kidney infection . .128 108 Check the baby.130 Measure the mother s womb .130 Find the position of the