English For Midwifery

CHAPTER 1
Please call me Ann!
A. CONVERSATION
Nurse Susan Johnson is meeting her patient Ms Anne Watson (52) for the first time.
Ms Watson has injured her back.
a. Listen and Practice!
Nurse : Good afternoon, Ms Watson. My name is Susan and I'll be looking after
you this afternoon.
Patient : Hello Susan. Please call me Anne – Ms Watson is so formal.
Nurse : OK! How are you feeling today, Anne?
Patient : Not so good actually, Susan. I had a bad night's sleep and my back is
really aching.
Nurse : I'm very sorry to hear that, Anne. Let me take your obs. and then I'll see
if I can do anything about your sore back. (later)
Nurse : There you go, Anne. I hope you're feeling more comfortable now.
Patient : Thanks Susan. I feel much better.
Nurse : That's great. I need to go now, but if you need me at all just use the
buzzer. See you soon.
Patient : Thanks! Bye.
b. Answer the questions based on the dialogue above!
English for Midwifery
1
1. Where does the conversation take place?
2. What is the nurse's name?
3. What is the patient's name?
4. What is Susan's last name?
5. How is Anne today?
6. What happens to Anne?
7. How does Susan respond to Anne's complaint?
8. What will patient do if she needs nurse help?
B. GRAMMAR FOCUS
To be : is, am, and are
I am Susan. I’m Susan.
My name is Susan. It’s Susan
You are Anne. You’re Anne.
Are you Ann? Yes, I am / No, I’m not.
Is she a nurse? Yes, she is / No, she isn’t
a. Put the following forms of be (am, are, is) into the gaps in the text. Do not use
short/ contraction forms!
Peter Baker . . . from Manchester, but Paul and John . . . from London.
Manchester and London . . . cities in England. Hamburg . . . a city in Germany.
Sandra . . . at school to day. Jack and Peter . . . her friend, they . . . in the same
the class.
Mr. And Ms Baker . . . on the trip to the USA to visit their cousin Anne. She. . . . a
nice girl.
Peter says : “My Grandfather . . . in hospital. I . . . at home with my grandmother”
What time . . . it? It . . . 8 o'clock, . . . . you tired? No, I . . . . Not
b. Complete the questions with is or are! Then answer the questions with your own
information!
1. You/ a nurse?
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2. Your teacher/ an American?
3. Tennis / your favorite sport?
4. Your shoes / new?
5. Your best friend / from Indonesia?
6. You / a student
Example :
1. Are you a nurse? Yes, I am or No, I am not.
2. ....................................................................
3. ....................................................................
4. ....................................................................
5. ....................................................................
6. ....................................................................
C. READING
a. Read the text carefully!
The Role of The Midwife In Primary Care
By: Heather Ferreira, CNM
References to the practice of midwifery have been found as far back in history as
notations on an Egyptian medical papyrus dated 1900 BC. Throughout human history
midwives have attended to the healthcare needs of women, focusing primarily on labor
and delivery, but over time the role of the midwife has expanded to include routine
gynecological and primary care for women.
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Certified Nurse Midwives (CNM) are registered nurses who have graduated from a
nurse-midwifery education program accredited by the Accreditation Commission for
Midwifery Education and have passed a national certification examination to receive the
professional designation of certified nurse-midwife. Nurse-midwives have been
practicing in the United States since the 1920s.
While most women are familiar with the role of today's CNM in providing pre-
natal and obstetrical care, they might not have considered choosing a CNM for their
routine primary and gynecological care, whether they plan on having children or not. A
CNM is trained and licensed to provide a far broader spectrum of services than you
might be aware, and many women are now choosing to use CNMs as their primary
healthcare provider throughout their childbearing years and well past menopause.
According to the American College of Nurse-Midwives (ACNM), 53.3% of CNMs
identify reproductive care and 33.1% identify primary care as main responsibilities in
their full-time positions.
How are CNMs trained? The Accreditation Commission for Midwifery
Education (ACME) is the official accrediting body for CNM education programs. There
are 39 ACME-accredited midwifery education programs in the United States. Most
midwifery programs require applicants to have a bachelor's degree, although some will
admit Registered Nurse without bachelor's degree and direct them through a BSN
(Bachelors of Science in Nursing) degree program before they begin their midwifery
education. CNMs must possess a master's degree from an accredited institution.
What services can CNMs provide? Not only are midwives central to providing
obstetric and newborn care, they are also qualified to provide routine primary care and
gynecological services. By choosing a CNM as their primary care provider, women's
gynecological and obstetrical needs can be seamlessly integrated into their total
healthcare plan. Many CNMs work within practices that include physicians and other
providers with whom they collaborate, and cross-disciplinary consultation is common.
CNMs can perform pelvic exams, pap smears, STD testing and education, diagnose and
treat illness, and refer to specialists when appropriate. They can also perform annual
physicals, prescribe medications, order tests, help manage chronic diseases, and follow
women all the way through conception, pregnancy, delivery, and post-partum care.
b. Answer the questions based on the text above!

1. When have Nurse-miwives been practicing in the united States?
2. How many acereditation commission for midwife education are there in the United
States?
3. What are the degrees of midwifery education in the United States?
4. What does the role of midwife include?
D. VOCABULARY
Complete the paragraph with the word's given!
The role of midwife
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The role of midwife is unique in the care and .......... (1) of a. education
mother and child throughout the birth process: the role is b. maternal
comprehensive and involves ..........(2), treatment and c. motherhood
collaboration with more skilled medical team. The d. poverty
safe ........ e. treatment
(3) initiative of 1987 aimed at a 50% reduction in ........ (4)
mortality by the year 2000. The root causes of maternal
mortality were identified as ................(5).
E. WRITING
What are the role and responsibility of midwife ?
F. SPEAKING WITH CONFIDENCE
1. Prepare some slides of role and responsibility of midwife!
2. Present them in front of the class!
CHAPTER 2
Where do you work?
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A. CONVERSATION
David : Where do you work, Anisa?
Anisa : I work in a hospital in Jakarta
David : Oh, really? What do yo do there?
Anisa : I am a midwife
David : How Interesting
Anisa : Yes, It's a great job.
I love it and what do you do?
David : I am a student and I have a part time job, too.
Anisa : Oh, where do you work?
David : in a cafe
Anisa : Which cafe
David : Deli Burger and Ice Cream
1. What does Anisa do ?
2. Where does Anisa work ?
3. How does Anita like her job ?
4. What does David do ?
5. Does he have part time job ?
6. Where does he work ?
B. GRAMMAR FOCUS
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Simple present WH-questions and statements
What do you do? I am a student, and I have a part time job.
Where do you work? I work in a café.
Where do you go to school? I go to the University of Washington
What does Anisa do? She is a nurse
Where does Anisa work? She works in a hospital.
What does she do there? She is a midwife. She helps patients
How does she like it? She loves it.
a. Complete this conversation. Then practice with a partner!

1. A : What ........... you ........?
B : I am a student, and I major in midwifery.
A : And ....... do ......to school?
B : I ....... to Wealth University.
A : Wow! ........ do you like your classes?
B : I ........ them a lot.
2. A : What ........................ Sandra do?

B : She's a teacher. She ........ Chemistry at a Pharmacy College.
A : And what about Jim? Where ......... he work?
B : He .......... for a big computer company in New York.
A : .................. does he do exactly?
B : He's a website designer. He .................. fantastic Websites.
3. Pair work. What do you know about these jobs. Complete the chart!
A Teacher A Doctor A Midwife
a. works for a school a. . . . . . . . . . . . . . . a. . . . . . . . . . . . . . .
b. teaches students b. . . . . . . . . . . . . . b. . . . . . . . . . . . . .
c. gives examinations c. . . . . . . . . . . . . . . c. . . . . . . . . . . . . . .
C. READING
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Baby Friendly Hospital Initiative
Baby Friendly Hospital Initiative (BFI) is a worldwide program of the WHO
and UNICEF launched in 1991. The initiative is a global effort for improving the
role of maternity services to enable mothers to breastfeed babies for the best start in
life.
There are 10 steps as standards success of BFI :

1. Have a written breastfeeding policy that is routinely communicated to all
health care staff.
2. Train all health care staff in skill necessary to implement the policy.
3. Inform all pregnant women about the benefits and management of
breastfeeding.
4. Help mothers initiate breastfeeding within a half-hour of birth.
5. Show mothers how to breastfeed and how to maintain lactation, even if
they should be separated from their infant.
6. Give newborn infant no food or drink other than breast milk, unless
medically indicated.
7. 7. Practice roaming in allow mothers and infants to remain together-24
hours a day.
8. Encourage breastfeeding on demand.
9. Give no artificial teats or pacifiers (also called dummies or soothers) to
breastfeeding infants.
10. 10. Foster the establishment of breastfeeding support groups and refer
mothers to them on charge from hospital or clinic.
Since the program's inceptions, approximately 15,000 facilities in more than 152
countries have been inspected and accredited as “ Baby-Friendly”.
b. Answers the questions based on the text above!

1. What is BFI?
2. When was it launched?
3. What is the purpose of BFI?
4. Does a mother need to know about BFI?
5. Who gives the information about BFI?
6. Is this world-wide program?
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7. How many countries participated in this program?
8. How many facilities have been accredited?
D. VOCABULARY
Look up the words in the dictionary!
1. effort : ....................
2. maternity : ....................
3. breastfeeding : ....................
4. policy : ....................
5. infants : ....................
6. roaming-in : ....................
7. demand : ....................
8. teat : ....................
9. pacifier : ....................
10. foster : ....................
E. WRITING
Please write six (6) steps for the success of BFI that can be implemented in Indonesia.

Prepare some slides about 6 steps for the success of BFI, then present it in front of class!
CHAPTER 3
Tell me about your brother and sister!
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A. CONVERSATION
a. Listen and Practice !
Sandra : Tell me about your brother and sister, Mona !

Mona : Well, my sister works at the Hospital.
Sandra : Oh, What does she do?
Mona : She is a midwife. She is taking care of pregnant women.
Sandra : Wow, and what about your brother?
Mona : He is an actor.
Sandra : What an interesting family! Can I meet them ?
Mona : Uh, no. My sister's away. She is not working here this week.
Sandra : And your brother ?
Mona : He is traveling in Bali.
b.Answer the questions based on the dialogue above!

1. What are Sandra and Mona talking about ?
2. What does Mona's sister do ?
3. What does Mona's brother do ?
4. Can Sandra meet Mona’s family ?
5. Where is Mona's brother traveling?
B. GRAMMAR FOCUS
Present Continuous
What is the doctor doing right now? He is examining the patient now.
Where is your sister working? She is working in a public hospital.
What is your brother doing these days? He is training for surgical
Are you looking for medicine? Yes, I am. / No, I am not.
Is your sister working in a public hospital? Yes, she is. / No, she isn’t.
a. Complete the sentences using the following verbs in Present Continuous!

giving preparing sleeping delivering taking
1. Are you . . . a medication for your pain?
2. Is she . . . right now?
3. The doctor is . . . a prescription to the patient.
4. The patient is . . . a baby in few minutes to go.
5. The midwife is . . . for the baby’s birth.
b. Put the verb into the correct form!
1. Please don't make so much noise. The patients . . . (try) to sleep.
2. He . . . (sit up) to build up his muscles.
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3. Sarah . . . (eat) her medicine pills because of her illness.
4. What are you doing? I . . . (buy) a medicine.
5. Tim . . . (work) this week. He's on holiday.
C. READING
What Is an Obstetrician?
An obstetrician is a doctor who specializes in pregnancy, childbirth, and a

woman's reproductive system. Although other doctors can deliver babies, many
women see an obstetrician. Your obstetrician can take care of you throughout your
pregnancy, and give you follow-up care such as annual Pap tests for years to come.
What Your Obsterician Does
During your pregnancy:
 Monitor your health and your developing babies' health, including doing
routine ultrasounds, measurements, and tests
 Check for health conditions that could cause problems during your pregnancy
or affect your babies' health, such as high blood pressure, diabetes,
infections, and genetic disorders
 Advise you about diet, exercise, medications, and staying healthy
 Help you cope with morning sickness, back and leg pain, heartburn, and
other common pregnancy complaints
 Answer your questions about pregnancy and your growing baby
 Explain what will happen during labor and delivery
b. Answer these questions based on the text above!

1. What is an Obstetrician?
2. What does the Obstetrician do?
3. What will Obstetrician do during labor?
4. ". . . . . Give you follow-up care such as annual “Pap tests” for years to come.(Line 4).
What is the other term of the underlined word?
D. VOCABULARY
Find some words related to the obstetrician!
a. morning sickness
b. pregnancy
c. childbirth
d. .................................................................
e. .................................................................
f. .................................................................
g. ..................................................................
h. ..................................................................
i. ..................................................................
j. ..................................................................
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E. WRITING
Group Work!
Write sentences using the words above!
a. Morning sickness is nausea in pregnancy, typically occurring in the first few months
b. Pregnancy is the condition of being pregnant or the period of time during which a female
is pregnant
c. Childbirth is ........................................................................................................
d. ...............................................................................................................................
e. ...............................................................................................................................
f. ...............................................................................................................................
g. ...............................................................................................................................
.

Group Work!
Prepare some slides about obstetrician job description and present it in front of the class!
CHAPTER 4
How was your weekend?
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A. CONVERSATION
Amanda : Hi, Belinda. How was your weekend?
Belinda : It was great. I went to Bandung with my parents. We had wonderful time.
Amanda : Lucky you. How long were you there?
Belinda : About two days
Amanda : Fantastic! Was the weather ok?
Belinda : Not really. It was cloudy most of the time. But we went to floating market. It
was exciting. How was your weekend Amanda?
Amanda : It was terrible. I didn't go anywhere. I worked over time on Saturday. We
helped a mother delivering the baby.

1. How was Belinda's weekend?
2. Where did she go on her weekend?
3. How long was she in Bandung?
4. How was Amanda's weekend?
5. What did Amanda do on her weekend?
B. GRAMMAR FOCUS:
Past with be, regular and irregular verb
Was your weekend ok? Yes, it was
Was the weather ok? No, it wasn't
Were your parents there? Yes, they were
Were you and your parents there? No, we weren't
How long were you there? I was there for two days
How was your weekend? It was great
Did you work on weekend? Yes, I did. I worked all day.

No, I didn't. I didn't work on weekend.
What did you do on your weekend? I stayed home. I didn't go anywhere.
We went to Bandung. We had a great time
Regular verbs Irregula Verbs

r
work - worked do - did
invite - invited forget - forgot
stop - stopped go - went
Use the simple past form to complete the sentences!

1. A : How long...................................you in Bandung?
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B : We.................................there for a week .
2. A :......................................they in hospital long ?
B : No, they ........ They............................there only two days.
3. A :....................................were you last vacation?
B : We............................in Palembang.
A : Really? How long..................................you there?
B : For almost a month. We.........................there on business too.
4. A : .........................you.......(stay)... home on Sunday?
B : No, I didn't .....(stay) .... . I..........................(check) the patient.
5. A : How ......you...........................(spend) your last holiday?
B : I .....(have).. a great time. We.........................(go) to Medan.
6. A : ..... you ...(do)........................anything special on your vacation ?
B : Yes, I ....... I..........................(go) shopping with my classmate.
C. READING
1. Female Reproductive System
2. Male Reproductive system

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Reproductive System
The reproductive system or genital system is a system of sex organs within
an organism which work together for the purpose of sexual reproduction. Many
non-living substances such as fluids, hormones, and pheromones are also important
accessories to the reproductive system. The system of organs involved with the
reproduction of an organism, especially sexual reproduction. It consists mainly of
the ovaries, uterus, and vagina in females and the testes and penis in males.
The major function of the reproductive system is to ensure survival of the
species. Other systems in the body, such as the endocrine and urinary systems,
work continuously to maintain homeostasis for survival of the individual. An
individual may live a long, healthy, and happy life without producing offspring, but
if the species is to continue, at least some individuals must produce offspring.
Within the context of producing offspring, the reproductive system has four
functions: to produce egg and sperm cells; to transport and sustain these cells; to
nurture the developing offspring; to produce hormones.
b. Answer the following questions based on the text!

1. What is a reproductive system?
2. Mention some important accessories to the reproductive system!
3. What does “ it refer to in sentence line 5 paragraph 1?
4. What is the major function of reproductive system?
5. Mention the other four functions of reproductive system!
D. VOCABULARY
1. Complete the following group words based on the text above!
No. Female Reproductive System Parts Male Reproductive System Parts

1
2
3
4
5
6
2. Complete the paragraph with words provided !
a. glands
English for Midwifery b. cervix c. ovum d. scrotum e. sperm
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How reproductive systems work
The male reproductive system consists of two major parts: the testes, where .........
(1)... are produced, and the penis, according to Merck Manuals. The penis and
urethra belong to both the urinary and reproductive systems in males. The testes
are carried in an external pouch known as the ..........(2). , where they normally
remain slightly cooler than body temperature to facilitate sperm production.
The external structures of the female reproductive system include the clitoris,
labia minora, labia majora and Bartholin's ..........(3). , according to the Cleveland
Clinic. The major internal organs of the female reproductive system include the
vagina and uterus — which act as the receptacle for semen — and the ovaries,
which produce the female's ova. The vagina is attached to the uterus through the
.........(4). , while the fallopian tubes connect the uterus to the ovaries. In
response to hormonal changes, one ........(5). , or egg — or more in the case of
multiple births — is released and sent down the fallopian tube during ovulation. If
not fertilized, this egg is eliminated during menstruation.
E. WRITING
Group work !
Write the function of these reproductive systems?
1. Testes (male)
2. Vagina and uterus (female)

Group work!
Report in front of the class the function of the reproductive systems!
CHAPTER 5
I have just visited granny abroad
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A. CONVERSATION
Abby : Hi Allison, I haven't seen you for ages. Where have you been?
Allison : Hi, Abby. I have just visited my granny abroad.
Abby : Oh, I see. But wait… I think you've visited your grandma before, haven't you?
Allison : Yes, I have visited her three times this year. She was sick two weeks ago so we
went to America again.
Abby : How is your grandma?
Allison: She is better. She is in my house now.
Abby : Really? How long has she been here?
Allison: She has been here for three days. Actually she has missed her children and
grandchildren. That's why she was sick.
Abby : Oh, sickness because of missing people she loves. I guess she will be well soon.
Send my warm regard to your grandmother.
Allison : I think so. Okay, I will send it to her. Thanks, Abby.
Abby : You're welcome.

a. Who has Allison just visited?
b. How often has Allison visited her?
c. Where was his grandmother?
d. How long has she been here?
e. Why has she been sick?
B. GRAMMAR FOCUS
Present Perfect Tense

 I haven't seen you for ages.
 Where have you been?
 I have just visited my granny abroad.
 How long has she been here?
 She has been here for three days.
 She has missed her children and grand-children.
1. Change the verb into the correct form!

a. We . . . . .(consult) some doctors about this.
b. People . . . . (cause) much destruction.
c. I . . . . (meet) Debbi in the last week.
d. She . . . . (be) sick since Sunday.
e. Allison . . . (find) a new problem with your plan.
f. Man . . . . (invent) many great inventions.
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2. Change into question!
a. Alice has already visited doctor.
Has Alice visited doctor yet?
Yes, she has.
No. She hasn't. She hasn't visited doctor yet.
b. You have been here for five years.

..................................?
Yes, ..........................
No, ............................
c. My grandma has been sick since last week

..................................?
Yes, ..........................
No, ............................
d. Abby and Allison have been to America.

..................................?
Yes, ..........................
No, ............................
e. The doctor has visited patients

..................................?
Yes, ..........................
No, ............................
f. Nurses have joined the training for 3 years

..................................?
Yes, ..........................
No, ............................
C. READING
NORMAL PREGNANCY
By: KARINA RICHANU,
BACKGROUND: The complement system, a major component of innate

immunity, has recently been implicated in the mechanisms of fetal loss and
placental inflammation in the anti-phospholipid antibody syndrome. Inhibition of
complement has been proposed as an absolute requirement for normal pregnancy.
Yet, pregnancy is characterized by a generalized activation of the innate immune
system. This study was conducted to determine whether normal pregnancy is
associated with complement activation in the maternal circulation.
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CONCLUSION: 1) Normal human pregnancy is associated with evidence of
complement activation, as determined by increased concentrations of the
anaphylatoxins C3a, C4a and C5a in the maternal circulation; and 2) We propose
that physiologic activation of the complement system during pregnancy is a
compensatory mechanism aimed to protect the host against infection.
b. Answer the questions based on the test above!

1. What is pregnancy characterized?
2. What was the study in this article conducted to?
3. What is the conclusion of study?
4. “We propose that physiologic activation.........” (paragraph 2)
What does the underlined word refer to ?
5. “ This study was conducted to determine whether normal pregnancy. ”
What is the similar meaning of the underlined word?
D. VOCABULARY
Look these words up in dictionary!
a. innate immunity : ...................................
b. phicental inflamation : ...................................
c. anti-phospholopid : ...................................
d. antibody syndrome : ...................................
e. complement activation: ...................................
f. maternal circulation : ...................................
g. anaphytatoxins : ...................................
h. gestational age : ...................................
E. WRITING
Browse the information or a short article about normal pregnancy!
CHAPTER 6
YOU’LL BE ALRIGHT!
A. CONVERSATION
DR. Peterson : Good morning Susan, how are doing today?
Susan : Not very well, I 've been some stomach pain recently.
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DR. Peterson : Well, we'll take a look. Lie on the bed please.
.............That's good.
Susan : (after being examined) How does it look?
DR Peterson : You'll be alright....
Susan : Is there anything wrong with the baby?
DR Peterson : No, it's just common symptom. You are too tired recently, so your
stomach has much contraction.
Susan : What should I do then, doctor?
DR Peterson : You should be in bed and get lot of rest.
I'll give some prescription for you.

a. Where does the dialogue take place?
b. What are they talking about?
c. What will the doctor do with Susan
d. Is there anything wrong with Susan
e. Why does Susan get pain her stomach
f. What should Susan do then?
g. What will the doctor give to Susan?
B. GRAMMAR FOCUS
Future with “be going to” and “will”
Use ”be going to‘ + verb for plans You’ve Use “will” + verb
decided For possible plans before you’ve made a
decision
What are you going to do? What are you going to do?
 I’m going to relax at the beach.  I’m not sure, I guess, I’ll just stay home
 We’re going to go surfing everyday.  Maybe I’ll watch some movies.
 I’m not going to do anything special.  I don’t know, I think I’ll go camping.
 I probably won’t go anywhere
Complete the conversation with appropriate forms of “be going to” or “will”!
A : Have you made any vacation plans?
B : Well, I've decided on one thing. I . . . go camping.
A : That's great! For how long!
B : I . . . . be away for a week.
I only have five days of vacation
A : So, when are you living?
B : I'm not sure. I . . . . probably leave around the end of May
A : And where . . . you . . . . go?
B : I haven't thought about that yet. I guess I . . . . go to one of the National park.
A : That sound like fun
B : Yeah, maybe I . . . . go hiking and do some fishing
A : . . . you . . . . rent a camper?
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B : I'm not sure. Actually. I probably . . . . rent a camper. It's too expensive.
A : . . . . you . . . . go with anyone?
B : No. I need some time alone. I . . . . travel by myself
C. READING
Delivering Baby
Few things in life are more exciting than the birth of a new baby. This has been the case
throughout human history, but childbirth options for new mothers have advanced to make
the experience more safe.
Since 1900, trends have changed dramatically with the increase of technology and modern
medical practices. For instance, in 1900 almost all U.S. births occurred outside a
hospital. But by 1940, more than half of births were taking place in hospitals. The trend
continued exponentially and by 1969 only 1% of births occurred outside a hospital.
Medical technology has made childbirth a much safer experience over the past century for
both mother and baby. Hospitals have responded to trends in childbirth, such as the need
for a more home-like environment in the hospital. Many hospitals now offer comfortable
maternity suites that convert into state of the art delivery rooms.
An easy birth and a perfectly executed birth plan is ideal. But we know that even the most
carefully planned birth can take twists and turns. In those cases, it's important to be
prepared for alternative delivery methods.
Different Kinds of Childbirth and Delivery Methods
1. Vaginal Delivery
In a vaginal birth, the baby is born through the birth canal. It's hard to know when
exactly you will go into labor, but most women give birth at around 38-41 weeks of
pregnancy.
The nation's largest ob-gyn organization recommends that pregnant women plan for
vaginal birth unless there is a medical reason for a cesarean. In new guidelines issued in
2013, The American College of Obstetricians and Gynecologists says maternal-request
cesareans are especially not recommended for women planning to have several
children, nor should they be performed before 39 completed weeks of pregnancy.
Benefits of vaginal delivery:
· shorter hospital stays
· lower infection rates
· quicker recovery
· babies born vaginally have a lower risk of respiratory problems
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2. Cesarian Section (C-Section)
Of course, we know that not all births happen the way we plan. When complications
arise, other methods of delivery are available.
A cesarean section or C-section is the delivery of a baby through a surgical incision in
the mother's abdomen and uterus. In certain circumstances, a C-section is scheduled in
advance. In others, it's done in response to an unforeseen complication.
Events that may require C-Section:
· Multiples (twins, triplets, etc)
· A very large baby
· Previous surgery, C-Sections, or other uterine conditions
· Baby is in breech (bottom first) or transverse (sideways) position
· Placenta previa (when the placenta is low in the uterus and covers the cervix)
· Fibroid or other large obstruction
3. Vaginal Birth After Cesarian
In the past, a C-section ended any hope of future vaginal deliveries. But today, thanks
largely to changes in surgical technique, VBAC is possible in many cases. In fact, an
estimated 75 percent of women who try VBAC have a successful vaginal delivery.
VBAC isn't right for everyone, though. Sometimes a pregnancy complication or
underlying condition prevents the possibility of a successful VBAC. Many local
hospitals don't offer VBAC because they don't have the staff or resources to handle
emergency C-sections.
4. Vacuum Extraction
A vacuum extraction is a procedure sometimes done during the course of vaginal
childbirth. During vacuum extraction, a health care provider applies the vacuum (a soft
or rigid cup with a handle and a vacuum pump) to the baby's head to help guide the
baby out of the birth canal.
5. Forceps Delivery
A forceps delivery is a type of operative vaginal delivery. It's sometimes needed in the
course of vaginal childbirth. In a forceps delivery, a health care provider applies forceps
(an instrument shaped like a pair of large spoons or salad tongs) to the baby's head to
help guide the baby out of the birth canal
22
Answer the questions based on the text!
a. How many types of childbirth are there?
b. What does often refer to?
c. How many parts are the format of a prescription?
d. What a the definition of prescription?
e. Into how do physicians send prescriptions to pharmacist?
f. What is the advantage of transmitting prescription to pharmacist orally?
g. What does a prescription include?
h. What is the different between prescription in the past and now?
i. What does prescription also contain?
j. As the conclusion, What is prescription in short!
D. VOCABULARY
Look the words up in dictionary!
1. the childbirth : ...............................................
2. dramatically : ...............................................
3. medical practices : ...............................................
4. occur : ...............................................
5. home-like environment : ...............................................
6. comfortable maternity suites : ...............................................
7. delivery rooms : ...............................................
Complete the chart below based on the text above!
Childbirth & Some characteristics of each method

Delivery
Methods
1 The baby is born through the birth canal, 38-41 weeks of pregnancy. 4 Benefits are :
Vaginal 1..........................
Delivery 2 ..........................
3 ..................................
4 ..................................
2 the delivery of a baby through.................It is because of :
Cesarian 1. ................................................ 5...........................................
Section (C- 2. ................................................ 6................................................
Section) 3. ..................................................... 7. .................................................
4. .........................................................
3 .................................................................................VBAC have a successful vaginal
Vaginal Birth delivery because of ......................................
After Cesarian
4 During vacuum extraction, ..........................
Vacuum
Extraction
5 It is type of ...................................... It needs..............................instrument.
Forceps The isntrument is like ............................................. and the function is ...............................
Delivery
1. jurisdictions : ................................................
23
2. pharmaceutical product : ................................................
3. directions : ................................................
E. WRITING
Write in short the steps of a vacuum extraction method!
CHAPTER 7
Making an appointment
A. CONVERSATION
a. Listen and Practice
Clinic : Good morning. Community Clinic. How can I help you?

Sasha : Hello. I am going to make an appointment.
Clinic : All right. What's the problem?
Sasha : There's something wrong with my period. It's 25 days late. And I am going to
meet a doctor.
Clinic : All right. What's your name, please ? Sasha: Sasha Lee.
Clinic : Yes, Mrs. Lee. Could you come on Tuesday at 5:30?
Sasha : I'm sorry. It is very painful. Is there a sooner appointment?
Clinic : Sure. How about on Monday at 3:15 for you?
Sasha : Well. That's much better. I am going to be there on Monday at 3:15.
Clinic : Please, come 30 minutes early to fill out a medical history form.
Sasha : OK. Thanks.
24
Clinic : You're welcome.
b. Answer the question based on the conversation!

1. Where does the conversation take a place?
2. What's wrong with Sasha?
3. When is Sasha going to see a doctor?
4. Is Sasha going to see the doctor at 3:15?
5. Why should Sasha come early?
B. GRAMMAR FOCUS
Future with "be going to"

What is she going to do tomorrow? She is going to work until five.
What is he going to do after the class? He is going to meet his lecturer.
What are you going to do tonight? I am going to meet a doctor.
What are they going to do tonight? They are going to see a movie.
Is she going to study English? Yes, she is / No, she is not.

Is he going to go camping? Yes, he is / No, he is not.
Are they going to go shopping? Yes, they are / No, they are not
Are you doing anything tomorrow? Yes, I am /No, I am not
Time expression
 Tonight
 Tomorrow
 on Friday
 this weekend
 next week
a. Complete these sentences using “ be going to”!

1. I . . . (have) an appointment with the obstetric physiotherapist.
2. We . . . (not operate) on patient.
3. My sister . . . (watch) TV tonight.
4. My mother. . . .( see) the midwife.
5. Jane . . . . (not, go) to the office next Sunday.
6. They . . . (take a walk) to the medical center.
7. His brother . . . . (write) a letter to his uncle soon.
8. She . . . . (call) her midwife.
9. I . . . (do) my homework after school.
10. 10. Sophie and Nick . . . . (visit )their friend at the hospital.
b. Read the situations and complete the dialogues. Use " be going to"!
1. You have decided to promote your product this morning.
Friend : Are you going out this morning?
You : No, I'm going to promote the product this morning.
25
2. You bought a sweater, but it doesn't fit you very well. You have decided to take it
back.
Friend : That sweater is too big for you.
You : I know . . . . . . . . . . . . . . . . . . . .
3. You are in a restaurant. The food is awful and you've decided to complain.
Friend : The food is awful, isn't it?
You : Yes, it's disgusting . . . . . . . . . . . . . . . . . . . .
4. You have been offered a job, but you have decided not to accept it.
Friend : I hear you have been offered a job.
You : Yes, but . . . . . . . . . . . . . . . . . . . .
C. READING
FOCUSED ANTENATAL CARE
FIRST VISIT ( as soon as wthin 3 months) SECOND VISIT (6-7 months)
 Take history  Perform physical examination

 Perform physical examination,  Listen for fetal heart sounds
including vaginal exam  Test urine for bacteriuria, protein
 Look for clinical signs of anemia  Give iron folate and mebendazole
 Test urine for bacteria, protein  Review individual birth plan, advise
 Screen for syphilis on healthy lifestyle
 Give tetanus toxoid, iron folate  Refer if necessary
 Advise on individual birth plan,  Complete clinic & home based recorded
healthy lifestyle
 Tell her about danger signs
 Refer if necessary
THIRD VISIT ( 8 months) FOURTH ( 9 months )

 Perform physical examination, check  Perform physical examination,
for twins check fetal lie and presentation
 Listen for the fetal heart sounds  Listen for the fetal heart sounds
 Test urine for bacteria, protein  Test urine for bacteria, protein
 Give iron folate  Give iron folate
 Tell her about signs of labor  Tell her about signs of labor
 Review individual birth plan, what to  Review individual birth plan, what to
do if not delivered by end of week 41 do if not delivered by end of week 41
 Refer if necessary  Refer if necessary
 Complete clinic & home based records  Complete clinic & home based records
b. Answer the questions based on the text above !

1. What is the text about?
2. How many times does the pregnant woman visit the doctor?
26
3. When does the doctor give tetanus toxoid?
4. Does the doctor listen to the fetal heart sounds on the first visit?
5. Does the doctor give test urine for bacteria, protein on every visit?
D. VOCABULARY
Mathch the words in column A and the definition in column B.
A. What’s . . . ? B. It’s . . . . .
1. Due date a. When you are pregnant, you sometimes feel sick in the
morning.
2. Emergency b. The day that you will have your baby.
3. Parental care c. Taking care of a baby before it is born.
4. Folic acid d. A vitamin that pregnant woman needs to take.
5. Epidural e. Something that hurts or feels uncomfortable.
6. Pain f. The last part of pregnancy, when your baby comes out.
7. Labor g. When something dangerous happens and need help
quickly.
8. Miscarriage h. A type medicine that makes childbirth less painful.
9. Womb size i. The expulsion of a fetus from the womb before it is able to
survive independently, especially spontaneously.
10. Morning sickness j. The narrow, lower portion of the uterus is the cervix; the
broader, upper part is the corpus.
E. WRITING
Write the obstetrician's activities during the pregnant woman visits !.
1. On the first visit the obstetrician takes history, performs physical examination, looks for
clinical signs of anemia, tests urine for bacteria protein, gives tetanus toxoid and iron
folate, advises on individual birth plan and healthy lifestyle , and tells her about danger
signs.
2. On the second visit............................................................................................
3. On the third visit ..............................................................................................
4. On the fourth visit ...........................................................................................
27

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CHAPTER 1

Please call me Ann!

b. Answer the questions based on the dialogue above!