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close this book Preparation for childbirth - A health workers manual
View the document Acknowledgements
View the document Foreword
View the document About the authors
View the document Introduction
Open this folder and view contents Part I First prenatal class
Open this folder and view contents Part II - Second prenatal class
Open this folder and view contents Part III Third prenatal class review
Open this folder and view contents Part IV - Fourth prenatal class
Open this folder and view contents Part V - Labor and delivery: Information for health workers
View the document Conclusion
View the document Bibliography
Open this folder and view contents Appendix


Many women, especially in the lower socio-economic level of society, view pregnancy as an illness and approach childbirth with dread. This fear is not only a product of ignorance about the normal process of pregnancy, labor and delivery but also a lack of knowledge about how to cope with their accompanying discomforts. The purpose of this manual is to show the health worker how to prepare these uninformed women for a comfortable and satisfying childbirth experience. The objectives of this book are:

1. to educate expectant mothers about the physical aspects of childbearing,

2. to develop specific skills in these women for managing the discomforts of pregnancy and childbirth,

3. to help these mothers think of childbearing as a natural function which can include some elements of pleasure, and

4. to encourage mothers who have attended classes to communicate their enthusiasm to their families and the rest of the community.

The form of this guide shows the health worker how to plan and conduct three or four prenatal classes with expectant mothers ant how to incorporate the skills learned in these meetings into the childbirth experience. The classes could be held at the same time as prenatal visits or at a different time and place. Ideally, the mothers would have taken the first three classes during the last trimester of pregnancy; the fourth class can be given either pre or post-nasally. Included in the Appendix are suggested teaching aids to go along with the content of each class. The outline is sufficiently flexible to allow the teacher to make it suitable for her mothers and particular situation. Mothers exposed to the information and training in this book can be expected to approach pregnancy and childbirth with confidence and optimism.