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A book for midwives part two:Chapter 7: 5 important questions to ask would be: How far along are you/when was your LNMP? Do you have any known diseases/conditions? Please tell me about your past pregnancies- problems with bleeding, miscarriage, eclampsia? Did her babies survive birth? Is she taking any medications or herbs? I don’t think they should. These are all things that a midwife should know. For the most part out of these questions, all the information should be known, you may be able to wait to find out more about bleeding or if her babies survived birth, but should start to be planned for and help given where needed. But do you know that you will see her again soon? Chapter 8: You first start by talking with the mother, asking questions, acquiring information, then proceed to check the mother’s body, followed by checking the baby’s body. Does she look healthy, does she have energy, is she thinking and talking clearly, very skinny or overweight? Routine prenatal questions could include the following: Do you feel nauseous, have you been vomiting? How are you feeling? Has she had any bleeding? Unusual pain? How her diet has been/what has she been eating? How much water has she been drinking? Does she have any concern, questions, or fears? Warning signs include: High blood pressure, headaches, swelling, protein in the urine-for preeclampsia. Weak, tired, dizzy, fainting- possible anemia. Bleeding, especially with cramps, could be sign of miscarriage, placenta previa, separation of the placenta. Unusual pain in legs- clots. Back pain- kidney infection. Constant pain in lower abdomen- tubal pregnancy. Thirsty all the time, frequent urination, larger womb- diabetes. High temperature- infection. Bleeding, unusual pain/tenderness, vitals, eyelids, tongue, sores, feel of her skin. 90/60-140/90 is the normal range.High BP is 140/90 or more. 12-16 is fairly normal for respirations. Rapid breathing could be sign of allergies, anemia, heart problems, tuberculosis, heart problems, lung infection, blood clot in the lung. Average pulse is 60 to 80. Chapter 18: The difference between HIV and AIDs is that HIV is the virus, AIDS is developed from having HIV. AIDS is a condition of a largely compromised immune system, whereas HIV is the virus that made the body more susceptible to infections and other diseases and caused damage to the immune system. HIV can spread from blood, breast milk, secretions from the vagina or through semen. HIV is spread through sexual intercourse, coming into contact with an infected individual’s blood, dirty needles for an example, and the mother can spread it to her baby during birth or while breast feeding. Have protected sex, or don’t have multiple partners, and don’t reuse needles or unclean blades. Midwives can teach and educate about disease, risks, germs, and symptoms, and they can help this to start with a younger generation so that they will already know. They can make sure their instruments are clean to make sure they aren’t a cause for the spread of HIV. They could also provide testing so that people would know, and hopefully the spread of it would be lessened. The only way to stop HIV is to stop it from happening. After that you’re just trying to help the body to stay strong for a stronger life. If the mother is more susceptible to disease, it’s possible those diseases may also impact the baby, and it is said that 25% of babies born to HIV mothers will also acquire the virus. If medicine is taken by the mother, it may help protect the baby from HIV during birth. Chapter 20: Gonorrhea and chlamydia are both sexually transmitted diseases caused by bacteria that is spread during sex and can lead to very serious illness or infection. It is spread through sexual intercourse. The signs of gonorrhea and chlamydia in the female include: yellow or green vaginal discharge, pain upon urination, fever, lower abdomen pain, and bleeding during sex. I t is possible that a woman may not show any signs or symptoms as well. Signs in a male infected with gonorrhea and chlamydia may have discharge from the penis, pain upon urination, swelling in the testis, or may not exhibit signs as well. Since they are both are spread by bacteria, if you’re able to test the urine, that would be the best way to diagnose. But if the patient is exhibiting the symptoms, it is good to follow through with treatment. Chlamydia can be treated by giving erythromycin or amoxicillin. Gonorrhea can be treated through administering ceftriaxone or cefixime. In the newborn it can cause an eye infection which could lead to blindness. The signs of chancroid are soft, painful genital sores that easily bleed, and enlarged glands in the groin, along with a fever. I honestly don’t know how to tell the difference between chancroid and herpes. I know that there is no cure for herpes, and that herpes burst, whereas chancroid sores are more apt to just bleed…The signs of genital herpes are tingling, itching, or pain on the genitals, and small blisters that form painful open sores. Treatment for herpes involves helping the symptoms since it can never be completely treated. Ice can be applied to the sore to help it from worsening, or applying a cool cloth soaked in tea or cloves, sitting in a pan of cool water, and putting a paste of baking soda in the area. The medication given for herpes in acyclovir. No genital herpes can not be cured, but may lie dormant at times. HPV stands for human papilloma virus. As the names tells, it is a virus, and it causes warts to grow on the genitals or anus. The signs of pelvic inflammatory disease include: pain in lower abdomen, high fever, not feeling well or weak, bad-smelling vaginal discharge, and pain or bleeding during sex. There are many times that vaginal discharge is normal. The color, consistency, and smell are what might change. It is common to have vaginal discharge during ovulation and during the first half of the menstrual cycle, during sex, and after childbirth. Yeast is diagnosed so to speak by looking at the signs of it, namely, white, lumpy discharge and foul smell. BV is also diagnosed through it’s sign of discharge and a fishy odor especially after sex. You can also have a vaginal swab sent to a lab for testing. Yeast is treated by natural remedies of vinegar or yogurt or through medications like miconazole, nystatin, clotrimazole cream. Yeast is not dangerous in pregnancy, but a vaginal birth baby could develop thrush. BV is not always dangerous and is fairly common, but during pregnancy it may cause premature delivery or infection for the mother after delivery. ................
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