Unit I – Attitudes and Perspectives

1. Introduction

A Word to Midwives
Women and Midwifery
How to Choose a Midwife
Selected References

2. Legislation Regarding Midwifery

3. Abortion

4. Better Sit Down For This One

Misunderstanding the Marriage Act
Marriage Counseling
A Word to Husbands
Intercourse During Pregnancy
Family Planning and Birth Control
The Eternal Perspective

5. Medication and the Midwife

Drug Use in Pregnancy and Childbirth
Inducing Labor
Natural Management of Pregnancy

Unit II – Prenatal

6. Obstetrical Anatomy

The Birth Canal
The Pelvis
The Vagina
The Perineum
The Vulva
The Bladder
The Uterus
The Conceptus
The Placenta
The Amniotic Sac and Fluid
The Umbilical Cord
Development of the Embryo

7. Determining Home Birth Feasibility

Ascertaining Pregnancy
Determining a Due Date
Initial Screening
Prenatal Questionnaire
Commentary on Prenatal Questionnaire
Pelvic and Vaginal Assessment

8. Prenatal Tests and Visits

Nature of Prenatal Care
Prenatal Tests
Laboratory Tests
Prenatal Visits
Blood Pressure
Fundal Height
Fetal Heart Rate
Vaginal Exams
Diagnosis of Multiple Pregnancy
Diagnosis of Death In Utero
Diagnosis of Pre-eclampsia (Toxemia)

9. The Good Program

Seasons Point the Way
Avoid Harmful Substances
Herbs and Supplements
Preventive Supplementation
Hormone Helpers
Polly-Jean Five-Week Antenatal Formula
Pelvic Floor Exercise
Abdominal Breathing Exercise
Stomach and Back Exercises
Pelvic Rocks
Sitting and Squatting
The Sitz Bath

10. Changes During Pregnancy

Physical Changes
Breast Changes
Stretch Marks
Weight Gain
Physical Complaints
Frequent Urination
Back Ache
Leg Cramps
Excessive Hunger
Anemia, Other Deficiencies
Hemorrhoids, Other Varicosities
Vaginal Discharge
Yeast Infection

11. Disorders in Pregnancy

Danger Signals
Vaginal Bleeding, Abdominal Pain
Abruptio Placenta
Placenta Previa
Ectopic Pregnancy
Unexplained Spontaneous Abortion
Threatened Spontaneous Abortion
Conditions Mistaken for Threatened Miscarriage
Severe, Continuous Headache
Visual Disturbances
Persistent Vomiting
Premature Membrane Rupture
Chills and Fever

12. Conditions Affecting Pregnancy

Rh Factor and Hemolytic Disease
Diabetes Mellitus
Venereal Disease

13. Birthing Supplies

Portable Maternity Kit for the Car
Home Birth Supplies
The Midwife’s Kit

14. Antenatal Preparation for Birth

Preparing for Controlled Crowning
Determining Fetal Position
Determining Engagement
Understanding the Process of Labor
Mechanism of Labor: Vertex Presentations

Unit III – Parturition

15. First Stage of Labor: Begins with the Onset of Labor and Ends with Full Dilation

When to Call the Midwife
The Midwife Arrives
Keeping a Labor Log
Timing Contractions
Noting Vital Signs
Position and Engagement
Dilation and Effacement
Enemas and “Prepping”
Setting the (First) Stage
Aids for the Laboring Mother
Femoral Pressure Points
Sacral Pressure Points

Back Adjustments
Cervical Rimming
Foot Therapy: The Uterine Reflex
Lobelia Tincture
Resting Between Contractions

Coaching: The Relax-Rhythm Method
Progression of Labor
Uterine Inertia
Obstructed Labor

16. Second Stage of Labor: Begins with Full Dilation of the Cervix and Ends with the Birth of the Baby

Early Second Stage
Therapies for Birth Canal Expansion

Pelvic (-0- Station) Expansion

Cervical and Perineal Expansion

Anticipating, Preventing, and Correcting Problems
Anterior Lip
Narrow Build
Meconium Staining
Excessive Bleeding
Transverse Head Arrest

Shoulder Arrest
Cord Stress
Cord Knots
Prolapsed Cord
Delivery Positions for the Mother
Late Second Stage
Rupturing the Amniotic Sac

About Tearing
Controlled Crowning and Delivery

17. Third Stage of Labor: Begins with the Birth of the Baby and Ends with Delivery of the Placenta

Early Third Stage
Suctioning the Baby
Apgar Evaluation
Establishing Respiration
Cutting the Umbilical Cord

Delivering the Placenta
Possible Third Stage Complications
Retained Placenta
Uterine Retraction Ring
Adhered Placenta
Avoiding Hemorrhage: Points to Memorize
Kinds and Causes of Bleeding
Summary: Kinds and Causes of Bleeding
Controlling Postpartum Hemorrhage: Points to Memorize
Treatment Following Postpartum Hemorrhage
Evaluating the Placenta and Membrane

18. Fourth Stage of Parturition

Keeping the Fundus Hard
Suturing Materials
Suturing Techniques
Wound Healing
Removing Stitches
Care of the Mother
Care of the Baby
Weighing and Measuring the Baby
Examining and Dressing the Baby
Newborn Evaluation

19. Postpartum

Postpartum Instructions

Milk Loss
Excess Milk
Let-Down Reflex
Sore Nipples
Suggestions for the Newborn’s Care and Comfort

Care of the Umbilical Stump
Solid Foods
Unusual Baby Odors
Umbilical Hernia
Yeast Infection (Thrush)
Healing and Security Benefits of Bonding Postnatal Exercises
Feeling Beautiful Because You Are



20. Higher Risk Deliveries

Using Landmarks
Breech Births
Breech Version (Turning the Fetus)
Some Important Points
Delivery Management of Breech Births
Multiple Births
Some Important Points
Delivery Management of Multiple Births
Triplets (Or More!)
Uncommon Presentations
Arm and Shoulder Presentations

Face Presentations

21.  Malformations, Injuries, and Abnormalities

Birth Defects
Cleft Palate and Cleft Lip
Spinal Defects
Birth Injuries
Laceration of the Liver
Erb’s Paralysis (Erb’s Palsy)
Uterine Abnormalities
Anteflected Uterus
Prolapsed Uterus
Inverted Uterus
“Hyaline Membrane Disease” (Respiratory Distress Syndrome)

22. Cesarean Sections



A. Aseptic Technique

B. Vital Signs

Vascular and Circulatory Systems
Heart and Pulse Rates
Blood Pressure
Shock: Symptoms and Treatment

C. Sample Recipes for the Good Program

Transition Diet
Breakfasts Will Never Be the Same Again!
Petra’s Auflauf
Whole Grain Cereals
Grapenut Crunch
Apple Topping
Pancake Toppings
Maple Syrup
Fruits are Fun!
Pineapple Gondola

Watermelon Basket
Fruit Malts
Main Dishes
LentiI Loaf
Cooking With Soybeans
Baked Soybeans
Tomato Cups
Green Pepper Cups (Raw)
Green Pepper Cups (Cooked)
Vegetable Plate Pinwheel
Summer Fair Salad
Ruby Delight Salad
Tossed Salad Supreme
Basic Recipe for Soy Mayonnaise
Golden Harvest Salad Dressing
Thousand Island Dressing
Mustard Variation
Avocado Dip
Oil and Vinegar Dressing
Nut Log
Carob Bread Pudding
Candy Bars
Trail Mix
Green Drinks
Basic Green Drink
Jeanne’s Blend Green Drink
Canning Recipes
Freezer Jams and Jellies
Iris’s Home Canning Method
Herbal Preparations
Herbs for Female Problems
Female Corrective Formula
To Rebuild an Unhealthy Vaginal Floor
For Varicosities of the Vulva
Herbs for IlIness, Infection
Herbal Composition Powder
Black Walnut Tincture

Garlic Powder Douche
Garlic and Cayenne Enema
LB Formula
For Bladder and Kidney Ailments, Toxemia
For Mastitis
Herbs for Hydrotherapy
Herbs for Childbirth
For with the Five-Week Antenatal Formula
For Use with Pressure Points
Herbs for the Newborn
Mucus-Cutting Formula, Stools
Mucus-Cutting Formula, Nose and Throat
For Hematomas
For Feeding Problems
Sore Baby Bottoms




I. Female Pelvis, Front View
2. Inlet and Outlet of the Bony Birth Canal
3. Pelvic Cavity Divisions
4. Female Reproductive Organs, Side View
5. The Vulva
6. The Uterus
7. Cervical Os, Bottom View
8. The Conceptus
9. Internal Anatomy of a Pregnant Uterus
10. The Umbilical Cord (Funis)
11. Internal Ballottement
12. External Pelvimetry
13. First Vaginal Exam
14. Internal Pelvimetry
15. Fundal Height Measurement
16. Breakfast Plate Volume
17. Dinner Plate Volume
18. Prenatal Exercises
19. Pelvic Rock
20. The Sitz Bath
21. The Birthing Bed
22. Instruments from the Midwife’s Kit
23. The FetaI Head, Side and Top Views
24. Occipital Positions
25. Mechanism of Labor: LOA Position
26. Directional Force of Contractions
27. Stations of Progress in the Birth Canal
28. Anterior Rotation: ROP Position

29. The Curve of Carus
30. The Mucous Plug
31. Forewaters Assist Dilation
32. Effacement of the Cervix
33. Measuring Dilation of the Cervix
34. The Drive Angle in Labor
35. Femoral Pressure Points

36. Sacral Pressure Points
37. Upper Back Adjustment
38. Foot Therapy
39. Inferior Symphysis Pubis Touch
40. Inferior Sacral Pressure Points
41. Knee-Chest Position
42. Catheter for Reinserting Prolapsed Cord
43. Transporting Support for Prolapsed Cord
44. Squat Position In Parturition
45. Left LateraI Position in Parturition
46. Controlled Crowning: Preventing Premature Extension
47. Controlled Crowning: AnaI Push Technique
48. Controlled Crowning: PerineaI Press Technique
49. Apgar Scoring System
50. Establishing Respiration: Thorax Rub
51. Establishing Respiration: Byrd’s Method
52. FetaI Circulation
53. Cutting the Umbilical Cord
54. Fundal Mobility
55. Placental Abnormality
56. Retained Placenta
57. Uterine Retraction Ring
58. Uterine Activity in Parturition
59. Examining the Afterbirth
60. “Shiny” Schultze Placental Separation
61. “Dirty” Duncan Placental Separation
62. Suturing Techniques
63. Swaddling
64. Care of the Newborn’s Scalp
65. Hip Dislocation
66. Uterine Reflex Points (Neuro-Vascular Dynamics)
67. Postnatal Exercises
68. Breech Presentations
69. Management of Breech Birth
70. Face Presentation
71. Erb’s Paralysis and Treatment

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