The Hesperian Foundation and the contributors to A Book for Midwives do not assume
liability for the use of information contained in this book.
All health workers have a responsibility to be honest with themselves and the people they
care for about the limits of their skills. This means: only perform the procedures you are
trained to. Find help from other, more experienced health workers when a woman needs a
kind of care that you are not experienced with. Seek the advice of local health workers and
medical authorities about the safest ways to practice in your area. This manual can help
you learn new skills, but no book can take the place of hands-on training with a skilled and
experienced teacher. Keep watching, reading, listening, and learning more whenever you
have the chance.
Copyright © 2004, 2009, 2010 by the Hesperian Foundation. All rights reserved.
First edition: December 2004, 2nd printing 2009, update 2010
Printed in USA
Library of Congress Cataloging-in-Publication Data
The Library of Congress has already cataloged the 10-digit ISBN as follows:
Klein, Susan, b. 1948.
A book for midwives : care for pregnancy, birth, and women’s health / by Susan Klein,
Suellen Miller, and Fiona Thomson.-- 1st ed.
p. ; cm.
ISBN 0-942364-23-6 (pbk.)
1. Midwifery. 2. Midwives. 3. Pregnancy. 4. Childbirth. 5. Women--Health and hygiene.
I. Miller, Suellen, 1947- II. Thomson, Fiona, 1974- III. Hesperian Foundation. IV. Title.
[DNLM: 1. Midwifery. WQ 165 K635b 2004]
The Hesperian Foundation encourages others to copy, reproduce, or adapt to meet local
needs any or all parts of this book, including the illustrations, provided that the parts
reproduced are distributed free or at cost — not for profit. Any organization or person who
wishes to copy, reproduce, or adapt any or all parts of this book for commercial purposes
must obtain permission from the Hesperian Foundation.
Before beginning any translation or adaptation of this book or its contents, please contact
the Hesperian Foundation for suggestions, updates on information here, and to avoid
duplication of efforts. Please send us a copy of any materials in which text or illustrations
from this book have been used.
1919 Addison Street, #304
Berkeley, California 94704, USA
This book can be improved with your help. We
want to hear about your experiences, traditions
and practices. If you have any suggestions for
improving this book, or making it better meet
the needs of your community, please write to us.
Your comments will help make future editions
more useful. Thank you for your help.