Chapter 19
Advanced skills for pregnancy and birth
In this chapter:
Vaginal exams during labor........................................................................................ 339
How to do a vaginal exam . . . . . . . . . 340
Home methods for starting labor.............................................................................. 341
Enemas (rectal fluids) . . . . . . . . . . . . . 342 Plant medicines . . . . . . . . . . . . . . . . . . 344
Castor oil drink . . . . . . . . . . . . . . . . . . 343
Injections........................................................................................................................ 345
How to give fluid through a vein (intravenous solution, or IV)............................ 350
Catheters (a tube to help urine come out)............................................................... 352
Episiotomy. .................................................................................................................... 354
Sewing a tear or an episiotomy.................................................................................. 356
How to judge if a tear needs
How to sew tears . . . . . . . . . . . . . . . . . 362
to be stitched . . . . . . . . . . . . . . . . . . . 356
Caring for a woman after female genital cutting (circumcision)......................... 367
To open a genital scar . . . . . . . . . . . . . 367 Emergency care for FGC . . . . . . . . . . . 368
To repair the cut . . . . . . . . . . . . . . . . . . 367
Turning a breech or sideways baby........................................................................... 369
338