Midwifery
Midwifery
COMMUNICATION
For
MIDWIFERY
STUDENTS
ii
MIDWIFERY
978-602-52580-3-9
iii
Preface
Welcome to the textbook named Basic Communication for Healthcare Education as Basic
Communication for Nursing Students, Midwifery Students and Pharmacy Students.
This textbook gives students more opportunities to learn and practice English. We are
condent this book will help students improve their English!. The textbook combines
topics, vocabulary, grammar, writing and communication activities.
Each book has 8 chapters divided into sections, and each section has it's own purpose.
The conversation is natural, fun dialogue that introduces new grammar. The student then
see and practice this language in Grammar Focus. In the Reading section, the students
read about various articles that enlarge students' knowledge in their eld of studies. In the
writing section, students write some denitions of certain health terms, further information
from other sources. Finally speaking with condence section, students are empowered to
use the language naturally in pair work, group work or in presentation.
We think students will enjoy using this textbook and hope them become better, more
condent learners of English.
Good Luck!
TABLE OF CONTENT
Pages
1. Chapter 1 .................................................................................................. 1-4
Please call me Ann
2. Chapter 2 .................................................................................................. 5-8
Where do you work
3. Chapter 3................................................................................................... 9 - 12
Tell me about your brother and sister !
4. Chapter 4................................................................................................... 13 - 16
How was your weekend ?
5. Chapter 5................................................................................................... 17 - 20
I have just visited granny abroad
6. Chapter 6................................................................................................... 21 - 25
You'll be alright !
7. Chapter 7................................................................................................... 26 - 29
Making an appointment
8. Chapter 8................................................................................................... 30 - 32
It had already started
9. Supplementary Materials ........................................................................... 34 - 74
10. References ................................................................................................ 75 - 77
1
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.
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. GRAMMAR FOCUS
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?
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 :
C. READING
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.
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.
4
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.
D. VOCABULARY
Complete the paragraph with the word's given!
The role of midwife
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 safe ........ d. poverty
(3) initiative of 1987 aimed at a 50% reduction in ........ (4) e. treatment
mortality by the year 2000. The root causes of maternal
mortality were identified as ................(5).
E. WRITING
Group work
CHAPTER 2
Where do you work ?
A. CONVERSATION
B. GRAMMAR FOCUS
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 cafe
Where do you go to school? I go to the University of Whashington
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.
6
b. Pair work. What do you know about these jobs. Complete the chart !
A Teacher A Doctor A Midwife
A. works for a school 1..................................... 1.....................................
b. teaches students 2..................................... 2.....................................
C. READING
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 matternity services
to enable nothers to breastfeed babies for the best start in life.
7
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. Infrom 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 loctation, even if they should be
seperated from their infant.
6. Give newborn infant no food or drink other than breastmilk, unless medically indicated.
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. 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”.
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?
7. How many countries participated in this program?
8. How many facilities have been accredited?
D. VOCABULARY
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 succes of BFI, then present it in front of class!
9
CHAPTER 3
Tell me about your brother and sister !
A. CONVERSATION
B. GRAMMAR FOCUS
Present Continuous
What are they doing ? They are looking for a medicine
Where are you working now ? I am working in a hospital
What is your brother doing these days? He is traveling in Bangkok
C. READING
What Is an Obstetrician?
J Monitor your health and your developing babies' health, including doing routine
ultrasounds, measurements, and tests
J 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
J Advise you about diet, exercise, medications, and staying healthy
J Help you cope with morning sickness, back and leg pain, heartburn, and other common
pregnancy complaints
J Answer your questions about pregnancy and your growing baby
J Explain what will happen during labor and delivery
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?
12
D. VOCABULARY
a. morning sickness
b. pregnancy
c. childbirth
d. .................................................................
e. .................................................................
f. .................................................................
g. ..................................................................
h. ..................................................................
i. ..................................................................
j. ...................................................................
E. WRITING
Group Work !
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 !
13
CHAPTER 4
How was your weekend ?
A. CONVERSATION
B. GRAMMAR FOCUS :
How long were you there ? I was there for two days
How was your weekend ? It was great
C. READING
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.
D. VOCABULARY
1. Complete the folowing group words based on the text above !
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 !
1. Testes (male)
Group work !
CHAPTER 5
I have just visited granny abroad
A. CONVERSATION
a. Listen and Practice!
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.
B. GRAMMAR FOCUS
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.
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.
D. VOCABULARY
E. WRITING
Group Work !
Group Work !
Report in front of the class the short article about normal pregnancy !
21
CHAPTER 6
You'll be alright !
A. CONVERSATION
B. GRAMMAR FOCUS
Future with “be going to” and “will”
Use ”be going to‘ + verb for plans Use “will” + verb
You’ve 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
We’re going to go surfing everyday home
I’m not going to do anything special. Maybe I’ll watch some movies.
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”!
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.
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
D. VOCABULARY
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 : ................................................
2. pharmaceutical product : ................................................
3. directions : ................................................
E. WRITING
Group work!
1. .........................................................................................................................
2. .........................................................................................................................
3. .........................................................................................................................
4. .........................................................................................................................
5. .........................................................................................................................
26
CHAPTER 7
Making an appointment
A. CONVERSATION
B. GRAMMAR FOCUS
b. Read the situations and complete the dialogues. Use " be going to" !
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 ...............,..........................................................................
28
C. READING
B. VOCABULARY
Match the words in colum A and the definitions in colum B. Then practice questions with a
patner !
A. What's ...? B. It's ....
1. due date a. When you are pregnant, you sometimes feel sick in the
2. emergency morning.
3. parental care b. The day that you will have your baby.
4. folic acid c. Taking care of a baby before it is born.
29
E. WRITING
Group Work !
1. On the first visit the obstetrician takes history, performs physical examanition, looks for
clinical signs of anaemia, tests urine for bacteruria protein, gives tetanus toxoid and iron
folate, advises on individua birth plan and healthy lifestyle , and tells her about danger signs.
Group Work !
Prepare some slides about the obstetrician's activities during the pregnant woman visits
and present it in front of the class !
30
CHAPTER 8
It had already started
A. CONVERSATION
Anton : Why didn't Maria want to take English Class last semester?
Betti : Because she had taken English Class the semester before.
Anton : Had she completely finished the textbook?
Betti : Yes, and she had memorized most of the conversations.
Anton : But I heard she didn't pass the final exam.
Betti : That's right. By the time she got to the exam, it had already started.
B. GRAMMAR FOCUS
Past Perfect
Past perfect expresses an activity that was completed before another activity or time in the
past.
C. READING
Postpartum Care
Postpartum care periode refers to the first six week after childbirth. It is a periode of
adjustment and healing for mothers. During three weeks, you'll bound with your baby and
you'll have a post delivery check up with
your doctor.
D. VOCABULARY
1. postpartum 5. Fatigue
2. healing 6. Maintain
3. hesitate 7. Seek
4. maintain 8. Fed
1. Some women suffer from .......(a).....depression, feeling down after giving birth
2. My dad always told me not to ......(b).... when something feels right.
3. After her surgery, Jane could not walk far without experiencing ....(c)... from the
effort.
4. While taking part in the science experiment, students will ....(d)... answers about why
bacteria grows quicker in damp areas.
5. It is easy to ....(e)..... a friendship with someone, but very difficult to take that
friendship to the next level of love.
E. WRITING
Group Work !
Prepare some slides for a presentation about postpartum periode in power point
And present it in front of class !
33
Intentionally Blank
34
Hello, I am Sasha
75
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77
References
1. Allender, Judith Ann, Rector, Cheric, & Warner, Kristine D, Community & Public Health
Nursing Promoting the Public's Health, 8th Edition, Walters Kluwer Health, Lippincott Williams
& Wilkins, California, 2014
2. Allum, Virginia, English for Careers Book 1 Beginer Level, Oxford University Press, UK, 2016.
3. Allum, Virginia, & McGarr, Patricia, Cambridge English for Nursing Pre Intermediate Teacher's
Notes, Cambridge University Press. 2010.
4. Carter, Pamela J., Nursing Assistants, A Humanistic Approach to Caregiving, Walters Kluwer
Business, Lippicott, Utah USA , 2008.
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