English for Midwife

Compiled by :
Margaret Stevani

Saint Thomes Catholic University Medan

Faculty of Teaching Education
2015

PREFACE
First, I would say thank you to God I pray toward the presence
of God Almighty because with His grace I can finish a book about the
English For Business can be done with good despite many flaws in it.
And I also thank you for Mrs. Novalina Sembiring who has given
instructions to do this task.
This book is written to make easier students who wants to learn
English Language for Midwifery, so they can add their knowledge
and apply their english which is used in midwifery.
We hope that this book will be useful in order to broaden as well
as our knowledge of the English language in midwifery. We are also
fully aware that in this book there is a shortage and far from perfect.
Therefore, we hope the criticisms and suggestions and proposals for
improvement books for the readers to make this book become more
perfect.
Hopefully this book can be useful for us and the people who
read it. Previously I apologize if there are mistakes of words that are

less pleasing, and we invoke criticism and suggestions for

improvement this book in the future.

Medan, May 2015

Margaret Stevani

Syllabus
Date
Time
Lesson Duration
Target Learners
Meetings
Objectives

05nd of May 2015

9.00 a.m. 10.00 a.m.
1 hour 15 minutes
Midwife
2 Times A week, In Two months
To give lessons about midwife to students, to
make they understand about midwife, or give
them material ESP (English For Specific

Teaching
Approaches

Purpose) Especially for Midwife.

Communicative and Integrative Approach

Stages

Teachers
Activity

Students
Activity

Materials

Introduction

Teacher greets the Students take

White board.
students. Teacher notes and listen
(5 minutes)
gives a brief
carefully.
explanation about Students listen to
definition of
the instruction of
midwife and what teacher and ask
midwife do.
questions if they
do not understand.
Development I Teacher starts the Students listen Interactive Learning
lesson for the day. attentively and
from Exercise.
Hello, My name is Teacher explain ask questions.
Midwife Jane
about greeting and
introducing self
(30 Minutes)
and also explain
about midwife
terminology &
abbreviations.
Development II Teacher explains Students take
Interactive learning
I want to know how to about common
notes and listen from exercises in
get..
prepositions for carefully.
book.
the directions.
Students answer
(30 minutes)
Teacher can also the question.
explain about
prepositions of
time and place.
Development III Teacher explains Students ask
Interactive
learning
Which wards,
about simple past questions if they from exercises in
midwife? (50 minutes) tense and past
do not understand. book.
progressive tense.

Development IV

Students answer Using exercises in the

Teacher explains the questions.
book.

The occupations in about common

the hospital(50
occupations in
minutes)
midwifery.
Development V
Diseases & the
symptoms

Teacher explains
diseases, the
symptoms of
pregnant women,
(50 minutes)
problems and
advice to cure
diseases.
Development VI
Teachers
Let me check your explains about
vital signs
commands and
request
in
midwifery.
Development VII
What is it, midwife?

Students answer Using exercises in the

the questions.
book.

Students answer Using exercises in

the questions.
the book.

Teachers
Students answer Using exercises in
explains about the questions.
the book.
medical supplies
and tools in
midwifery and
also
explain
about
affirmative
agreement.

CONTENTS
CONTENTS. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .
INTRODUCTION. . . . . . . . . . . . . . . . . . . . . . . . . . .
UNIT I : Hello, My name is Midwife Jane . . . . . . . . . . . .
1.1 Speaking Focus : I want to check my bag. . . . . . . . . .
1.2 Vocabulary : Midwife terminology & abbreviations. . . . .
Exercise :

1. Simple Present Tense and Present Progressive

Tense . . . . . . . . . . . . . . . . . . . . . . .
2. Singular and Plural . . . . . . . . . . . . . .
3. Reading Focus : Midwife Susie . . . . . . . .

UNIT II

: I Want to Know How to Get . . . . . . . . . . . . .

2.1. Speaking Focus : I want to know how to get. . . . . . . . .

2.2. Vocabulary : Common Prepositions for the Directions. . . .
Exercise :

1. Prepositions of Time and Place . . . . . . .

2. Reading Focus : Midwife Maria. . . . . . .

UNIT III

: Which Wards, Midwife?

. . . . . . . . . . . . . .

3.1. Speaking Focus : Which Wards, Midwife? . . . . . . . . .

3.2. Vocabulary : Kinds of Room in Hospital. . . . . . . . . .
Exercise :

1. Simple Past Tense and Past Progressive

Tense. . . . . . . . . . . . . . . . . . . . . . .
2. Filling Gap Dialogue . . . . . . . . . . . .

3. Reading Focus : The Midwife . . . . . . .

UNIT IV

: The Occupations In the Hospital. . . . . . . . . . . .

4.1. Speaking Focus : Im a Midwife. . . . . . . . . . . . . . .

4.2. Vocabulary : Occupations In the Hospital. . . . . . . . . .
Exercise :

1. Present Perfect Tense. . . . . . . . . . . .

2. Must / Should + Perfective

. . . . . . . .

3. Reading Focus : Midwife Jane on the Wards

. . . . . . . . . . . . . . . . . . . . . .
UNIT V

: Diseases and the Symptoms . . . . . . . . . . . . . .

5.1. Speaking Focus : Am I sick, Midwife? . . . . . . . . . . .

5.2. Vocabulary : The Symptoms of Pregnant Women. . . . .
Exercise :

1. Simple Past Tense and Past Perfect Tense. .

2. The Problems and the Advices

. . . . . .

3. Reading Focus : Midwife Jane and Her

Accident . . . . . . . . . . . . . . . . . . . . .
4. Adjectives and Adverbs . . . . . . . . . . .
UNIT VI

: Let Me Check Your Vital Signs . . . . . . . . . . .

6.1. Speaking Focus : Let Me Check Your Body . . . . . . . .

6.2. Vocabulary : Commands and Request . . . . . . . . . . .
Exercise :

1. Passive Voice . . . . . . . . . . . . . . . .
2. Modals + Perfective

. . . . . . . . . . . .

3. Reading Focus : Hospital . . . . . . . . . .

UNIT VII

: What Is It, Midwife? . . . . . . . . . . . . . . . . .

7.1. Speaking Focus : I have a Fever . . . . . . . . . . . . . .

7.2. Vocabulary : Medical Supplies and Tools. . . . . . . . . .
Exercise :

1. Inclusives. . . . . . . . . . . . . . . . . .
2. Affirmative Agreement

. . . . . . . . . .

References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Aims of Midwifery

The aims of english for midwife is to understand and to

learn book about midwifery in English language. And also
facilitate people who wants to apply their midwifery in English
language to add and wide their knowledge.

Introduction to Midwifery

The learning materials incorporated in this book are written to

introduce you to the English for Midwifery. English for midwifery
is important for this era because nowadays there are many terms in
midwifery which always used as international language in midwifery.
With this book, we hopefully that we can apply their english
language, especially for midwifery who wants to master english
language. We prepare this subject with the questions and discussion to
add knowledge about english for midwifery.

1. What is Midwifery?

The simplest definition of midwifery is with woman, but

truly, midwifery means different things to different people. For
many others, the midwifery model is am attitude about women
and how pregnancy and birth occur, and view that pregnancy
and birth are normal events until proven otherwise. It is an
attitude of giving and sharing information, of empowerment,
and of respecting the right of a woman and her family to
determine their own care.
Historically, midwives have always been around to help
women give birth. Before physicians, midwives were the
primary healers in their communities. They were the medicine
women of their own cultures and assisted families and women
throughout their lives. Today, midwives take care of anyone who
wishes to see them, but practice within the constraints of their
medical and legal systems.
The World Health Organization (WHO) presents us with
the following definition of the midwife.
A midwife is a person who having been regularly admitted
to a midwifery educational programs, duly recognized in the
country in which it is located, has successfully completed the
prescribed course of studies in midwifery and has acquired the
requisite qualifications to be registered and/or legally licensed to
practice midwifery.
2. What Do Midwives Do?
The midwives must able to give the necessary supervision,
care, and advice to women during pregnancy, labour and the
postpartum period to conduct deliveries on her own
responsibility and to care for the newborn and the infant. This
care includes preventative measures, the detection of abnormal
conditions in mother and child, the procurement of medical

assistance and the execution of emergency measures in the

absence of medical help.

UNIT I
Hello, My Name is Midwife Jane
A. Speaking Focus : I Want to Check My Back
Situation : Midwife Jane is meeting with her patient, Mrs.

Anne Watson for the first time. Mrs. Watson has

injured her back when she is pregnant.
Midwife
Patient
Midwife
Patient
Midwife
Patient
Midwife
Patient
Midwife
Patient

: Good afternoon, Mrs. Watson. My name is Jane and

Ill be looking after you this afternoon.
: Hello Jane. Please call me AnneMs Watson is so
formal.
: Okay. How are you feeling today, Anne?
: Not so good actually, Jane. I had a bad nights sleep
and my back is really aching.
: Oh, really ? Let me check you and then Ill see if I
can do anything about your sore back.
: Certainly.
: There you go, Anne. I hope youre feeling more
comfortable now.
: Thanks Jane. I feel much better.
: Thats great. I need to see some of my other
patients now, but if you need anything, just press
this bell and I will come as quickly as I can.
: Thank you. Bye.

B. Vocabulary : Midwife Terminology & Abbreviations

When you first start midwifery training, it can feel as
though you need to learn a whole new language. Listed below
are some of the more common abbreviations you may see or
hear on placement.
Midwife Terminology & Abbreviations
1. AF Artificial Feed
2. ANC Antenatal Clinic
3. ANP Advanced Neonatal Practitioner
4. BBA Born Before Arrival
5. BFI Baby Friendly Initiative
6. BPM Beats per Minute
7. DIC Disseminated Intravascular Coagulation
8. DVT Deep Vein Thrombosis

9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.

EMLSCS Emergency Lower Segment Caesarean

Section
ERPC Evacuation of Retained Products of Conception
FBC Full Blood Count
HBAC Home Birth After Caesarean
KFD Kielland Forceps Delivery
MOT Medical Obstetric Team
NB Normal Birth
PIH Pregnancy Induced Hypertension
PROM Premature Rupture of Membranes
SCBU Special Care Baby Unit
SIDS Sudden infant Death Syndrome
TCI To Come In

C. Language Focus : Simple Present Tense and Present

Progressive Tense
Choose either the Simple Present tense or Present
Progressive Tense in the following sentences.
1. Midwife Sarah always .. (bring) her patients note
everyday.
2. The Midwifes .. (visit) their grandmothers house
next month.
3. Midwife Sarah .. (carry) her suitcase to the bus
station right now.
4. Dr. White .. (inject) the patient every morning.
5. At 07.00 a.m., Mr. Black .. (go) to Australia with
his all family.
6. Dr. Jonathan always .. (come) to work early on
Monday.
7. The doctors .. (to be) in the medical ward every
day.
8. Mrs. Smith .. (watch) TV right now.
9. Midwife Maya .. (to be) a Midwife student now.
10.
Midwife Katy .. (go) to the hospital every
Saturday morning.

D. Language Focus : Singular & Plural

Put in is or are in the following sentences.
1. _____ the shop open?
2. My hands _____ cold.
3. Where_____ my camera?
4. Your coat _____ dirty.
5. Who _____ those men?
6. Mice _____ small animals.
7. Where _____ the scissors?
8. _____ the shops open?
9. They _____ nice people.
10. The police _____ coming.

E. Reading Focus : Description of Person

Midwife Susie
I am Susie. My friends call me Sue. I am 30 years old. I
am a midwife, I am little fat but every people says that I am a
sexy girl. I am 165 cm tall an my weight is 58 kg. I have a long
and black hair. My eyes are and I wear glasses. I am an
Indonesian girl, I come from Palembang. At the moment, I work
in a maternity clinic which is near to my house. I am very happy
to work there because I have many lovely friends.
1.
2.
3.
4.
5.
6.

Answer the questions below correctly :

What is the girl name?
What is her occupation?
How old is she?
How tall is she?
Does she has a long and black hair?
Where does she come from?

7. Where does she work?

UNIT II
Get and Give Directions In the Hospital
A. Speaking Focus : I Want to Know How to Get ?
Situation
: Mrs. Jenny is looking for Surgical ward in
Elizabeth hospital, then she asks to the Information
Center.
Mrs. Jenny
: Excuse me, Miss?
Information Center : Yes, can I help you Mom?
Mrs. Jenny
: I wonder whether you can help me?
Information Center : I hope I can help you Mom.
Mrs. Jenny
: Could you tell me how can I get to surgical
ward in this hospital?
Information Center : Of course, I can, surgical ward is in the third
corridor.
Mrs. Jenny
: In the third corridor? But, where the third
corridor is?
Information Center : From here, you just turn left, then you will
find an intersection on corridor six and you
can turn left and go straight on, when you
find another intersection, you just pass it; and

then you go through until next intersection.

The surgical ward is in front of obstetric
clinic.
Mrs. Jenny
: Thank you, Miss.
Information Center : Dont mention it.
B. Vocabularies : Common Prepositions For the Directions
Turn left
Turn right
Straight
Intersection
Three junction
Go up/ down
Path
Alley
Short cut
Main road
Freeway
Round about
C. Language Focus : Prepositions of Time and Place
Prepositions are a class of words that indicate relationships
between nouns, pronouns, and other words in a sentence. Most often
they come before a noun. They never change their form, regardless of
the case, gender, etc. of the word they are referring to.
a) Prepositions of Time
English
1. On
2. In

Usage

Examples

Days of the week

On Monday

Months/seasons

In August/ in
winter

 Time of day

In the morning

Year

In 2006

3. At

For night

A certain point of
time

At night
At half past
nine

4. Since

From a certain point of

time (past till now)

Since 2003

5. For

Over a certain period of

time (past till now)

For 2 years

6. Ago

A certain time in the

past

2 years ago

7. To

Telling the time

Ten to six (5:50)

8. By

In the sense of at the

latest

I will be back by 6
oclock.

9. Past

Telling the time

Ten past six (6:10)

b) Prepositions of Place
English

Usage

Example

1. In

Room, building,
street, town

In the kitchen, in the

London

2. At

For events

At a concert, at
the party

Are to do
something

At the cinema,
at work

3. On
4. Under

For a certain side

On the table

Lower than

Under the table

something else
5.

Into

6. Through

7. By

Enter a room / a
building

Go into the kitchen

Something with limits

on top bottom, and
the sides

Drive through the

tunnel

Left or right of
somebody or
something

Jane is standing by /
next to / beside the
car

D. Practice : Prepositions Exercises

Complete the exercises according to the appropriate prepositions.
1) She is sitting ______ a chair.
2) Her feet are _______ the table.
3) He lives _____ London.
4) Peter is playing tennis _____ Sunday.
5) What are you doing _____ the afternoon?
6) I have been waiting for you ______ seven oclock.
7) The girl is standing ______ the two boys.
E. Reading Focus : Jobs of Midwife

Midwife Maria
Midwife Maria is my favourite midwife. She cares all patients in
the ward very carefully. She speaks calmly and explains about the
progress of patients diseases clearly. Every morning, she always
smiles and says hello to all patients in the ward. She always controls
all of patients condition. At 10 oclock in the morning, she often takes
vital signs of patients. And sometimes, she gives us medicines to take.
When she has night shift, she always controls all patients in the
ward in the middle of night. If there is something with her patients,
she usually calls and reports to doctor in charge at emergency room.
Midwife Maria lives in hospital dormitory. So she doesnt need a

transportation to go to her dormitory. All patients in the ward like

Maria very much.
Answer the questions below correctly :
1) Who is person that in the article?
2) What is her occupation?
3) Where does she live?
4) What she do when she has the night shift?
5) At what time does she often take the vital signs of the patients?

UNIT III
Which Wards, Midwife?
A. Speaking Focus : Where Do You Work, Midwife?
Midwife Risky : Where did you work last year?
Midwife Deni : I worked at Cianjur Hospital, in a surgical
ward. And you? Where did you work last

year?
Midwife Risky : Last year, I worked in orthopedic ward at
Hasan Sadiking Bandung Hospital. Now, Im
in medical ward and I am SRN (State
Registered Midwife). Are you SRN?
Midwife Deni : No, Im not. Im a student midwife.
B. Vocabulary : Kinds of Room in Hospital
Surgical ward
Medical ward
Orthopedic ward
Gynecological ward
Pediatric ward
Dermatological ward
Long stay ward
Intensive care unit
Psysiotherapy department
Admission department
Anesthetic room
X-ray department
Infection disease unit
C. Language Focus : Simple Past Tense and Past Progressive
Tense
Fill the blanks with the simple past tense and past
progressive formula.
1) Midwife Sarah (bring) her patient note yesterday.
2) Midwife Maya (to be) a midwife student last day.
3) Dr. Jane . (inject) the patient yesterday morning.
4) The midwifes . (write) a nursing note in the end of shift
yesterday.
5) While Dr. Frank .. (control) his patients, the midwife .
(measure) the patients blood pressure.
6) While the head midwife . (to be) in the lab, the midwifes
(study) microbiology in the class.

7) The doctors (examine) the patients when the midwife

.. (prepare) the patients note.
8) My father .. (consult) his health while my sister
(read) the newspaper last Friday.
D. Filling Gap Dialogue Exercises
Appointment Few For

Help Is

Like Lovely This Welcome

Midwife : Good morning, ______ to our ward. Im midwife Sarah.

Can I ______ you?
Patient
: Yes, please. Im Mrs. Rina and ______ is my son,
Ricky who drove me here.
Ive come ______ my operation.
Midwife : Of course, yes. Ill take your ______ letter, thank you.
Patient
: Its a ______ place. Is it new/
Midwife : Yes, it ____. We were very proud of it, was inaugurated
by Her Royal Highness
last December. Now, if youd ______ to take a seat, and
help me with a
_______ details.
Patient
: Oh, yes, of course.
E. Reading Focus : Skills of Midwife

The Midwife
What is a midwife? A midwife is a person who has
accomplished a regular midwifery program. She has certain
qualifications required in midwifery, and legally has a license to
practice midwifery. She may practice in hospitals, clinics, health
units, domiciliary conditions or in any other service. She is able to
work as an independent practitioner, or to function in a multiprofessional team.
The midwife gives the supervision, care and advice to women.
Her duty is not only to help women give birth to babies, but it also

extends to the period of pregnancy. They are to diagnose pregnancy,

to undertake examinations of the woman and her baby, to assess their
condition to detect if there is an abnormality in mother or child, to
plan care, to implement the care plan. She has to care both the mother
and the newborn and the infant. The responsibility of a midwife
continues as she evaluates the effectiveness of the plan and its
implementation.
The midwife may act as an independent practitioner in her own
right as long as the events remain within the range of normality. But
when there is an abnormality, and there is an absence of medical help,
or while calling upon medical assistance, she has responsibility to
undertake an emergency measures, to treat mother or baby. She has to
continue to give the care while the help is on the way.
Some of her tasks may overlap with those of nurse, while others
are similar to those of the obstetrician and pediatrician. Her task
includes health counseling, education. She has responsibility to
educate not only the woman, but also within the family and the
community. The area of education involves antenatal education,
preparation of parenthood, extends to certain area of gynecology,
family planning and child care.
A midwife must be competent to carry out a wide range of
skills, such as promotion of health, assessment of physical and mental
condition of a woman, managing care, undertaking care prescribed by
a doctor, and effective communication with clients.
Answer these questions.
1) What is a midwife?
2) What is the duty of a midwife?
3) What should a midwife do in case of an abnormality?
4) What are tasks of a midwife?
5) What kind of skills are required by a midwife?

UNIT IV
The Occupations In the Hospital
A. Speaking Focus : Im a Midwife
Jack : Hi, Peter. Can you tell me a little bit about your current
job?
Peter : Certainly. What would you like to know?
Jack : First of all, what do you work as?
Peter : I work as surgeon in Medika Hospital.
Jack : What do your responsibilities include?
Peter : Im responsible for the heart surgery.
Jack : What sort of problems do you deal with on a day-to-do
basis?
Peter : Oh, I think, because I love my jobs, I rarely encounter
some hard problems, I just must do my jobs properly,
thats all.
Jack : What else does your job involve?
Peter : Well, as I said, for part of my job I have to convince my
patients that everythings are going to be okay.
Jack : Do you have to produce any reports?
Peter : Yes, I must make sure that everything is in good working
order.
Jack : Do you ever attend meetings?
Peter : Yes, I attend organizational meetings at the end of the

month.
Jack : Thanks for all the information, Peter. It sounds like you
have an interesting job.
Peter : Yes, its very interesting, but stressful, too!

B. Vocabulary : Occupation In the Hospital

Title

Role

1. Anaesthetist

A medical specialist who administers an

anaesthetist before, during and after
surgery

2. Enrolled
midwife

A person who has completed appropriate

training or education; provides basic
patient services; may be supervised by
registered midwifes

3. Graduate
midwife

A newly registered graduate of nursing;

beginner practitioner

4. Clinical
midwife
consultant

Someone who provides a clinical

consultancy service to all clinical areas in
their field of expertise

5. Midwife
practitioner

Someone who educated to work in an

independent and/or advanced clinical role

6. Intern

A physician who has completed a medical

course and is practicing under
supervision before beginning residency

7. Pharmacist

A qualified person who supplies and

dispenses drugs and medicines in
pharmacies and hospitals

8. Registered
midwife

A midwife who has completed an

approved course of study and met the
requirements of the midwifes board;
provides day-to-day nursing care to
patients

9. Fellow

An experienced register who is training to

become a consultant

10.
Sonograp A person who provides ultrasound
her
services for patients.
C. Language Focus : Present Perfect Tense
Fill the blanks with formula of present perfect tense and make it
into positive, negative, and interrogative sentence) !
1) The midwife . (measure) all the patients temperature
for one hour ago.
2) The doctor .. (examine) the patients since this
morning.
3) Midwife Jessica .. (be) a midwife since 1998.
4) The surgeon .. (do) the heart surgery for four hours.
5) Midwife Kimberly .. (insert) the breathing tube to the
patient for three times.
6) Miss Jane . (check up) her health for 2 months.
7) The doctor .. (give) me the medicine to relieve the
pain since yesterday.
8) I (to be) a great Midwife in the London Hospital
since 2 years ago.
9) My sister (go) to the hospital since yesterday.
10) They (to be) in the Lab since this morning.
D. Language Focus : Must / Should + Perfective
Choose between must + perfective and should + perfective in the
following sentences.
1) Henri was deported for having an expired visa. He ______
(have) his visa renewed.

2) Midwife Sarah was absent for the first time yesterday. She
______ (be) sick.
3) Gita got a parking ticket. She ______ (park; negative) in a
reserved spot, since she had no permit.
4) Jean did very badly on the exam. She ______ (study) harder.
5) John isnt here yet. He ______ (forget) about our meeting.
6) Tony called us as soon as his wife had her baby. He ______ (be)
very proud.
7) Alex failed the exam. He ______ (study; negative) enough.
E. Reading Focus :

Midwife Jane on the Wards

Do you remember Jane Johnson? She and her friend, Joan Bell
are both midwifes. They work at Saint Peters Hospital, a large
teaching hospital in London. Joan did her training at St. Peters and
last year she passed her State Finals and qualified. She is working as a
staff midwife in a womens medical ward.
Jane is a student midwife and is still training. Last month, she
worked in one of the hospitals surgical wards. She learned to set
trolleys for sterile procedures such as surgical dressing, intravenous
infusion and catheterization. She carried out certain procedures
herself and assisted doctors with others. She often had to go to the
central sterile supply department to fetch sterile dressing packs.
Sometimes, she took patients to the X-Ray department or to the
occupational therapy unit.
This month, Jane is working in the same ward as Joan. She is
learning to Midwife patients suffering from diseases such as cardiac
infarction, cerebral haemorrhage, cerebral thrombosis and pneumonia.
At the moment, she is helping a staff midwife to give injections. The
staff midwife is explaining to her doses, action and side effects of the
drugs they are administering.
The other midwifes in the ward are carrying out various nursing
duties. Some are doing bed-baths and another is helping a patient to
get out of bed.

A doctor is doing a ward round and a physiotherapist is helping

a pneumonia patient to do deep breathing exercises.
Answer the following questions.
1. Where did Joan do her training?
2. When did Joan pass her training?
3. Which ward is Joan working for?
4. Where did she sometimes take patients?
5. What is the doctor doing?

UNIT V
Diseases & The Symptoms
A. Speaking Focus : Am I sick, Midwife?
Patient
: Good afternoon.
Midwife
: Good afternoon. Have a seat. So, what have you
come in for today?
Patient
: Thank you. Im feeling sick. Ive got a quite bad
cough, but I dont seem to have a fever.
Midwife
: I see. How long have you had these symptoms?

Patient
Midwife
Patient
Midwife
Patient
Midwife
Patient
Midwife
Patient
Midwife
Patient
Midwife
Patient

: Oh, Ive had the cough for two weeks, but this
feeling just these past few days.
: Are you having any other problems?
: Well, Ive got headache. Ive also had a little bit of
diarrhea.
: Do you produce any phlegm when coughing?
: Sometimes, but usually pretty dry.
: Do you smoke?
: No, I dont smoke.
: How about allergies? Do you have any allergies?
: Not that Im aware of.
: Does your head feel stuffy?
: Yes, for the past few days.
: Okay. Now lets have a look. Could you please
open your mouth first?
: Yes, of course.

B. Vocabulary : The Symptoms of Pregnant Women

Minor Problem
1. Nausea and
Vomiting

Midwifes response / Suggestions

It is normal (its caused by the change of the
hormones during gestation.

2. Heartburn

Just avoid bending over while

housekeeping.
Just knee when taking something from
the ground.

3. Constipation

Drink a lot of fresh water

Consume fresh fruit and vegetables
Do mild exercises, such as walking

4. Leg cramp

5. Fainting

Just sit, hold the knee straight

Then stretch the calf muscle by pulling the
foot upwards.
Avoid long period of standing

 Sit or lie down if you feel faint

6. Varicose vein

7. Backache

Rest with legs vertical against the wall

for a short time
Make circling movements with the
ankles
It is normal (this is because of the changing
center of gravity during pregnancy)

C. Language Focus : Simple Past Tense & Past Perfect Tense

(Before After)
Fill the blanks with correct formula of Simple Past Tense & Past
Perfect Tense) !
1) Before Tia (take) the vitamins, she (consult0 to
her midwife.
2) Mr. Black (complain) to the midwife about his great
headache after he (feel) its.
3) After Dr. Paul (inject) the patient, the midwife
(clean up) the used injection.
4) Before the surgeon (require) the surgical, he
(give) the patient the anaesthetization, first.
5) My father (consult) his health before my sister
(read the newspaper last Friday.
6) The midwife . (explore) the patients wound after the
midwife (prepare) the patients note.
7) The teachers (make) the new regulations after they
(meet) in their conference room.
8) After I (finish) doing my homework, I (tidy up)
my room.
9) After John (go) to the store, he (go) home.
10)
Before (have) dinner with my father, I
(have) dinner with my friends, first.
D. Language Focus : The Problems and The Advices

Mix and match the problems and the advices below!

a.
b.
c.
d.
e.
f.
g.
h.

Problems
Headache
Toothache
Sore Throat
Cough
Backache
Fever
Burn
Bone fracture

i. Stomachache

Advice
1. Take some aspirin
2. Go to bed and rest
3. Drink a lot of water
4. Take some vitamin C
5. Put some lotion on it
6. Give taped water compress
7. Dont lift anything
8. Close the mouth when coughing/
sneezing
9. Take the diarrhea medicines
10. Brush the teeth regularly
11. See the dentist
12. Take some medicine of
headache

E. Reading Focus : An Accident

Midwife Jane and Her Accident

Jane was going to school this morning, a car knocked her down.
Her right leg was broken just below the knee. Some people who saw
the accident laid her in comfortable position on the pavement and
phoned for an ambulance. The driver of the car that knocked Jane
covered her with a coat and tried to comfort her. When the ambulance
arrived, Jane was lifted onto a stretcher. When she arrived in hospital,
the midwife was admitted her gave an injection of morphine to
combat her shock and pain. The midwife who examined her,
comforted her and told that everything will be all right.
While the midwife was examining her, the midwife who has
admitted took her pulse and blood pressure. As Janes wound was
lacerated and contused, she was given an antibiotic to prevent the
onset of infection. She was taken to X-ray department, while the Xray examining was being carried out, Janes parents arrived at the

hospital. The midwife who examined Jane told them that Jane had
sustained a compound fracture at fibia and fibula.
He explained that an operation was necessary and asked her
father to sign a consent form while her mother was giving Janes
particulars and previous medical history to the midwife. Before Janes
parents left the hospital, they were told when they could visit her and
were given a list of things that she would need.
Answer the questions correctly.
1) What was Jane doing when she was knocked down?
2) What did people do when they saw the accident?
3) What did the car driver do to Jane?
4) Why was she given the morphine?
5) What was Janes father asked to sign?
6) Did she get hard wound?
7) What was the midwife told to Janes parents?
F. Language Focus : Adjectives and Adverbs
Choose the correct form in the following sentences.
1) Rita plays the violin (good / well).
2) That is an (intense / intensely) novel.
3) The sun is shining ( bright / brightly).
4) The girls speak (fluent / fluently) French.
5) The boy speak Spanish ( fluent / fluently).
6) The table has a (smooth / smoothly) surface.
7) We must figure our income tax returns (accurate / accurately).
8) We dont like to drink (bitter / bitterly) tea.
9) The plane will arrive (soon / soonly).
10) He had an accident because he was driving too ( fast /
fastly).

UNIT VI
Let Me Check Your Vital Signs !
A. Speaking Focus : Let Me Check Your Body !
Midwife
: When did you last come in for a physical
exam?
Patient
: I had my last physical two years ago.
Midwife
: Have you had any other exams recently?
Blood work or an ultra-sound?
Patient
: Well, I had a few X-rays at the dentists.
Midwife
: How have you been feeling in general?
Patient
: Pretty well. No complaints, really.
Midwife
: Could you roll up your left sleeve? Id like to
take your blood pressure.
Patient
: Certainly.
Midwife
: 120 over 80. Thats fine. You dont seem to
be overweight, thats good. Do you exercise
regularly?
Patient
: No, not really. If I run up a flight of stairs, it
takes me a while to get my breath back. I need
to get out more.
Midwife
: That would be a good idea. How about your
diet?
Patient
: I think I eat a good balanced diet. You know,
Ill have a hamburger from time to time, but
generally I have well- balanced meals.
Midwife
: Thats good. Now, Im going to check your
heart.
Patient
: Oohh, thats cold!
Midwife
: Dont worry. Its just my stethoscope. Now,
breathe in and hold your breath. Please pull
up your shirt, and breathe deeply

Patient
Midwife
Patient

Everything sounds good. Lets take a look at

your throat. Please open wide your mouth.
: Of course. (Open his mouth)
: Okay. Everything looks good.
: Thank you midwife.

B. Vocabulary : Commands and Request in Midwifery

a) Come in
b) Sit down
c) Stand up
d) Lay down
e) Lift your leg
f) Arch your back
g) Lower your foot
h) Put out your tongue
i) Bend your knees
j) Wriggle your fingers
k) Extend your hand
l) Keep your eyes shut
m)Fist your fingers
n) Take deep breath
o) Shake your head
C. Language Focus : Passive Voice
Rewrite the given sentences in Passive Voice.
Example :
Frank built a house.
.
Answer :
A house was built by Frank.
1) She bought four apples.

2) We won the match.

...
3) The man stole the blue car.
...

4) The police arrested the thieves.

...
5) The students do the reports.
...
6) They played handball.
...
7) She put the chairs on the floors.
...
8) Steven forgot about the book.
...
9) Maria crashes the red cars.
...
10) The teachers opens the window.
...
D. Language Focus : Modals + Perfective
Choose the correct answer in each of the following sentences
according to meaning and tense.
1) If I had a bicycle, I (would / will) ride it everyday.
2) George (would have gone /would go) on a trip to Chicago if he
had had time.
3) Marcela didnt come to class yesterday. She (will have had /
may have had) an accident.
4) John didnt do this homework, so the teacher became very
angry. John ( must have done / should have done) his
homework.
5) Sharon was supposed to be here at nine oclock. She (must
forget / must have forgotten) about our meeting.
6) Where do you think Juan is today? I have no idea. He (should
have slept / may have slept) Late.
7) George missed class today. He (might have had / might had
had0 an accident.
8) Robert arrived without his book. He (could have lost / would
have lost) it.
9) Thomas received a warning for speeding. He (should have
driven / shouldnt have driven) so fast.

10)
Henrys car stopped on the highway. It (may run/ may
have run) out of gas.
E. Reading Focus : What is Hospital?

Hospital
A hospital is the largest and most complex from of medical
facility. It deals with patients who need complex diagnostic
procedures. Treatment in hospital is a team effort. The physicians are
directly responsible for a patients welfare. All the hospital personnel
support the work of the physicians.
A hospital has many departments in it. They are medical and
surgical service, food service, laboratory, scanning, and X-day
department, medical records department, pharmacy, and rehabilitation
department.
There are many kinds of hospital. A cute-care hospitals include
primary, secondary, and tertiary institution. The low- technology
primary hospitals are located in rural areas. The secondary hospital
provide a greater range of physicians skills and modern technology
that the primary hospitals. Meanwhile the tertiary hospitals provide
the latest medical equipment.
Other types of hospitals are specialty hospitals. They admit only
those patients who fit a restricted group of diagnoses. Psychiatric
hospitals are the most numerous specialty hospitals. They are the
larges patient population.
Answer the questions correctly.
1. What does paragraph one tells about?
2. How many departments are there in a hospital?
3. Where you can get medicine?
4. What kind of hospitals that the most numerous specialty?
5. How many kind of hospital that has been mentioned above?
6. What does the tertiary hospital provide?
7. Why does the psychiatric hospitals are the most numerous
specialty hospitals?

UNIT VII
What Is It, Midwife?
A. Speaking Focus : I Have a Fever
Patient
: Midwife, I think I might have a fever. Its so
cold in here!
Midwife
: Here, let me check your forehead.
Patient
: What do you think?
Midwife
: Your temperature seems raised. Let me get a
thermometer to check.
Patient
: How do I raise my bed? I cant find the
controls.
Midwife
: Here you are. Is that better?
Patient
: Could I have another pillow?

Midwife
Patient
Midwife
Patient

: Certainly, here you are. Is there anything else

I can do for you?
: No, thank you.
: Okay. Ill be right back with the thermometer.
: Of course.

B. Vocabulary : Medical Supplies and Tools

Here is a list of some of the most common supplies found
in doctors offices, operating rooms, and medical kits.
1. Antiseptic

Liquid used to sterilize (clean0 the surface

of the skin.

2. Otoscope

A device used for looking into a patients

ears.

3. Oxygen mask

Equipment that fits over the nose and

mouth and supplies oxygen.

4. Thermometer

An instrument used to check a persons

body temperature.

5. Medicine cup

Small plastic measuring cup.

6. Blood Pressure A tool that measures the force of blood

Monitor
flow through a persons body.
7. Scales

A device that measures a persons weight.

8. Vial

A small bottle or container used for storing

liquids.

9. Eye chart

A poster of letter, word, and number

combinations of various sizes used to test a
persons eyesight.

10.

Thin, netted material used for dressing

wounds.

Gauze

C. Language Focus : Inclusives (Not only.but also, both

and, or as well as)
Supply the missing connectors (Not only.but also, both and,
or as well as) in the following sentences.
1.
2.
3.
4.
5.
6.
7.

Robert is talented ________ handsome.

Paul _______ plays the piano and composes music.
Beth writes _______ correctly and neatly.
Maria excels _______ in mathematics but also in science.
They have houses _______ in the country and in the city.
Clark not only practices law _______ teaches it.
He bandaged the arm both tightly _______ quickly.

D. Language Focus : Affirmative Agreement

Supply the correct form of the verb for the simple statement in
each of the following sentences.
Example :
He has seen her plays, and the girls_____ too.
He has seen her plays, and the girls have too.
1) Rose likes to fly, and her brother ____ too.
2) They will leave at noon, and I ____ too.
3) He has an early appointment, and so ____ I.
4) She has already written her composition, and so ____ her
friends.
5) Their plane is arriving at nine oclock, and so ____ mine.
6) I should go grocery shopping this afternoon, and so ____ my
neighbor.
7) We like to swim in the pool, and they _____ too.
8) Our English teacher loves to travel, and so ____ we.
9) He has lived in Mexico for five years, and you ____ too.
10) I must write them a letter, and she ____ too.
REFERENCES

Harjanti, Tities. 2011. English For An Extraordinary Midwife.

Jakarta : Buku Kesehatan
Pyle, Michael and Marry Ellen Munoz Page. 2001. Toefl :Preparation
Guide. New Delhi : Wiley.