Chapter 20: The pelvic exam: How to examine a woman’s vagina and womb.. 372
When to do a pelvic exam . . . . . . . . . . 374 The speculum exam . . . . . . . . . . . . . . . 377
Before the exam . . . . . . . . . . . . . . . . . . 375 Tests for infections and cancer . . . . . . 379
The visual exam . . . . . . . . . . . . . . . . . . 376 The bimanual exam (2-hand exam) . . 385
Chapter 21: How to insert an IUD.............................................................................. 388
Help a woman decide if the IUD
is right for her . . . . . . . . . . . . . . . . . . 390
Before you insert the IUD . . . . . . . . . . 391
Inserting the IUD . . . . . . . . . . . . . . . . . 392
After you insert the IUD . . . . . . . . . . . 398
Removing the IUD . . . . . . . . . . . . . . . . 399
Chapter 22: Helping a woman after a pregnancy ends early.............................. 400
Problems from a pregnancy
that ends early . . . . . . . . . . . . . . . . . . 401
Emergency care for problems after
miscarriage or abortion . . . . . . . . . . 406
Infection . . . . . . . . . . . . . . . . . . . . . . . . 409
Bleeding . . . . . . . . . . . . . . . . . . . . . . . . 412
Shock . . . . . . . . . . . . . . . . . . . . . . . . . . 414
Work with the community to
prevent unsafe abortions . . . . . . . . . 415
Chapter 23: Manual vacuum aspiration................................................................... 416
Deciding when to do MVA . . . . . . . . . 418 Problems with the MVA . . . . . . . . . . . . 428
Getting ready for the MVA . . . . . . . . . 419 After the MVA . . . . . . . . . . . . . . . . . . . . 430
Doing the MVA . . . . . . . . . . . . . . . . . . 422
Chapter 24: Getting medical help............................................................................. 432
What medical centers and hospitals
Working with medical centers
can provide . . . . . . . . . . . . . . . . . . . . 433
and doctors . . . . . . . . . . . . . . . . . . . . 438
Getting to a medical center . . . . . . . . . 438
Chapter 25: Homemade tools and teaching materials......................................... 442
Low-cost equipment . . . . . . . . . . . . . . 443 Teaching materials . . . . . . . . . . . . . . . . 447
Medicines (green pages): uses, dosage, and precautions.................................... 463
When to use medicines . . . . . . . . . . . . 463 Alphabetical list of medicines . . . . . . . 473
How to take medicines safely . . . . . . . 464 Oral contraceptives . . . . . . . . . . . . . . . 490
How to take medicines . . . . . . . . . . . . 467 Medicines for HIV and AIDS . . . . . . . . 492
Kinds of medicine . . . . . . . . . . . . . . . . 470
Problem index . . . . . . . . . . . . . . . . . . . 472
To learn more................................................................................................................. 499
Technical and medical words..................................................................................... 503
Index (yellow pages).................................................................................................... 505
Due date calculator. ..................................................................................................... 527
A Book for Midwives (2010)