Chapter 13: The birth of the placenta: stage 3 of labor........................................ 222
Check the mother’s physical signs . . . 223 Help her push out the placenta . . . . . . 227
Bleeding after birth . . . . . . . . . . . . . . . 224
Watch for signs the placenta
has separated . . . . . . . . . . . . . . . . . . . 226
Watch for bleeding after the
placenta is born . . . . . . . . . . . . . . . . . 236
What to do for the baby . . . . . . . . . . . 240
Chapter 14: The first few hours after the birth....................................................... 246
What to do for the mother . . . . . . . . . 247 Breathing, heartbeat, temperature . . . 254
What to do for the baby . . . . . . . . . . . 252 The baby’s body . . . . . . . . . . . . . . . . . . 256
General appearance . . . . . . . . . . . . . . . 253 Clean up and answer questions . . . . . 267
Chapter 15: The first weeks after the birth.............................................................. 268
What to do for the mother . . . . . . . . . 269
Watch her womb and bleeding . . . . . . 270
Watch for signs of womb infection . . 271
Watch for signs of vaginal infection . . 272
What to do for the baby . . . . . . . . . . . 274
Encourage the baby to breastfeed
and watch how she grows . . . . . . . . 274
Care for the cord . . . . . . . . . . . . . . . . . 277
Look for signs of infection . . . . . . . . . 277
Watch the color of the baby’s skin
and eyes . . . . . . . . . . . . . . . . . . . . . . . 279
Chapter 16: Breastfeeding. ........................................................................................ 280
Breast is best . . . . . . . . . . . . . . . . . . . . . 281
How to breastfeed . . . . . . . . . . . . . . . . 282
When the mother works
Common difficulties while
breastfeeding . . . . . . . . . . . . . . . . . . . 286
Situations that affect breastfeeding . . . 291
outside the home . . . . . . . . . . . . . . . 284 Alternatives to breastfeeding . . . . . . . . 294
HEALTH SKILLS
Introduction................................................................................................................... 296
Chapter 17: Family planning...................................................................................... 298
Choosing a family planning method . 300
Chart: family planning methods . . . . 301
Making family planning work for
the community . . . . . . . . . . . . . . . . . 318
Chapter 18: Sexually transmitted infections (STIs)................................................ 320
What are STIs? . . . . . . . . . . . . . . . . . . . 321
Discharge from the vagina . . . . . . . . . 323
Sores on the genitals . . . . . . . . . . . . . . 329
STIs that affect the whole body . . . . . . 334
Teaching women how to
prevent STIs . . . . . . . . . . . . . . . . . . . . 336
How to help stop STIs in your
community . . . . . . . . . . . . . . . . . . . . 337
Chapter 19: Advanced skills for pregnancy and birth. ......................................... 338
Vaginal exams during labor . . . . . . . . 339 Episiotomy . . . . . . . . . . . . . . . . . . . . . . 354
Home methods for starting labor . . . . 341 Sewing a tear or an episiotomy . . . . . . 356
Injections . . . . . . . . . . . . . . . . . . . . . . . 345
How to give fluid through a vein . . . . 350
Catheters . . . . . . . . . . . . . . . . . . . . . . . . 352
Caring for a woman after female
genital cutting (circumcision) . . . . . 367
Turning a breech or sideways baby . . . 369
A Book for Midwives (2010)