ÿDSI"¦"-³ ,hav+ a ,baby8 #a< ,t5 ,"qs 6,ask<< ,,cims< ,,coali;n ,,= ,,improv+< ,,mat]n;y ,,s]vices<< ,,bas$ ,,on ,,! ,,"m-frly< ,,*ildbir? ,,9itiative<< ,h y decid$ h[ 6h yr baby8 < ,! *oice is yrs6<< ,f/1 y %d le>n z m* z y c ab all yr <*oices4 ,"! >e _m di6]5t ways ( c>+ =a "m & h] baby dur+ labor & bir?4< ,bir?+ c>e t is bett] & h1l?i] = "ms &<babies is call$ 8"m-frly40 ,"s bir? places or sett+s >e m "m-frly ?an o!rs4< ,a gr\p ( exp]ts 9 bir?+ c>e came up ) <? li/ ( #aj ?+s 6look =& ask ab4 ,m$ical rese>* supports all ( ^! ?+s4 ,^! >e al ! be/ ways 6be "m-frly4< ,:5 y >e decid+ ": 6h yr baby1 y'll probably 2 *oos+ f di6]5t places s* z3< ,,cims #b < 7a7 bir? c5t] < 7b7 hospital< 7c7 home bir? s]vice< ,"h's :at y %d expect1 & ask =1 9 yr bir? exp]i;e4 ,2 sure 6f9d \ h[ ! p y talk ) h&le ^! #aj issues ab c>+ = y & yr baby4 ,y may want 6ask ! "qs 2l 6help y le>n m4<<#a4 ,ask1 8,:o c 2 ) me dur+ labor & bir?80< ,"m-frly bir? c5t]s1 hospitals1 & home bir? s]vices w let a bir?+ "m decide :om %e wants 6h ) h] dur+ ! bir?4 ,? 9cludes "fs1 "pn]s1 *n1 o!r family memb]s1 or frs4< ,!y w al let a bir?+ "m h ) h] a p]son :o has special tra9+ 9 help+ wom5 cope ) <labor & bir?4 ,? p]son is call$ a d\la<or labor support p]son4 ,%e n"e l1ves !<bir?+ "m al"o4 ,%e 5c\rages h]1 -=ts h]1 & helps h] "u/& :at's happ5+ 6h]4< ,!y w h midwives z "p ( _! /aff s t a bir?+ "m c h a midwife ) h] if %e wants < ,,cim/ #c <to4<<#b4 ,ask1 8,:at happ5s dur+ a normal labor & bir? 9 yr sett+80< ,if !y give "m-frly c>e1 !y w tell y h[ !y h&le e "p (! bir?+ process4 ,= ex- ample1 h[ (t5 d !y give ! "m a drug 6spe$ up ! bir?8 ,or d !y let labor & bir? usu,y happ5 on xs [n tim+8< ,!y w al tell y h[ (t5 !y d c]ta9 pro- ce$ures4 ,= example1 !y w h a record (! p]c5tage ( ;,c-sec;ns 7,ces>1n bir?s7 !y d e ye>4 ,if ! numb] is too hi< 7see <2l71 y'll want 63sid] hav+ yr baby 9 an-<o!r place or ) ano!r doctor or midwife4 < ,"h >e "s numb]s we recomm5d y ask ab4< 7a7 ,!y %d .n try 6/>t labor 9 m ?an<#a 9 #aj wom5 7#aj@3p74< 7b7 ,!y %d .n d an episietocy <7ee-pee-zee-,,ah-tummy7 on m ?an #a 9 #e<wom5 7#bj@3p74 ,!y %d 2 try+ 6br+ t num- b] d[n4 7,an episiotomy is a cut 9 ! op5+ 6! vag9a 6make x l>g] = bir?4 ,x is .n nec mo/ (! "t47< ,,cims #d 7c7 ,!y %d .n d ;,c-sec;ns on m ?an #a 9 #aj wom5 7#aj@3p7 if x's a -mun;y hos- pital4 ,! rate %d 2 #ae@3p or less 9 hospitals : c>e = _m hi<-risk "ms & ba- bies4< ,a ;,c-sec;n is a major op],n 9 : a doctor cuts "? ! "m's /oma* 96h] womb & removes ! baby "? ! op5+4 ,"ms :o h _h a ;,c-sec;n c (t5 h future babies norm,y4 ,look =a bir? place 9 : #f \ ( #aj wom5 7#fj@3p7 or m :o h _h ;,c-sec;ns g on 6h <_! o!r babies "? ! bir? canal4<<#c4 ,ask1 8,h[ d y all[ = di6];es 9 cul- <ture & 2liefs80< ,"m-frly bir? c5t]s1 hospitals1 & home<bir? s]vices >e s5sitive 6! "m's cul-<ture4 ,!y "k t "ms & families h di6]+ <2liefs1 values1 & cu/oms4< ,= example1 y may h a cu/om t only wom5 may 2 ) y dur+ labor & bir?4 ,or p]h yr 2liefs 9clude a religi\s ritual 6be d"o af bir?4 ,"! >e _m o!r examples t may 2 v important 6y4 ,if ! place &! p ,,cims #e >e "m-frly1 !y w support y 9 do+ :at y want 6d4 ,2f labor />ts tell yr doctor <or midwife special ?+s y want4<<#d4 ,ask1 8,c ,i walk & move >.d dur+ <labor8 ,:at posi;n d y su7e/ = bir?80< ,9 "m-frly sett+s1 y c walk >.d & move ab z y *oose dur+ labor4 ,y c *oose ! <posi;ns t >e mo/ -=ta# & "w be/ = y dur-<+ labor & bir?4 7,"! may 2 a m$ical rea-<son = y 6be 9 a c]ta9 posi;n47 ,"m-frly<sett+s alm n"e put a woman flat on h] <back ) h] legs up 9 /irrups =! bir?4<<#e4 ,ask1 8,h[ d y make sure "ey?+ goes<smoo?ly :5 my nurse1 doctor1 midwife1 or<ag5cy ne$ 6"w ) ea* o!r80< ,ask1 8,c my doctor or midwife -e ) me<if ,i h 6be mov$ 6ano!r place dur+ la-<bor8 ,c y help me f9d p or ag5cies 9 my -mun;y :o c help me 2f & af ! baby is <born80< ,"m-frly places & p w h a specific plan = keep+ 9 t\* )! o!r p :o >e c>+ = ,,cims #f y4 ,!y w talk 6o!rs :o give y bir? c>e4 ,!y w help y f9d p or ag5cies 9 yr -mun- ;y 6help y4 ,= example1 !y may put y 9 t\* ) "s"o :o c help y ) br1/fe$+4< <#f4 ,ask1 8,:at ?+s d y norm,y d 6a wom- <an 9 labor80< ,exp]ts say "s me?ods ( c>e dur+ labor & bir? >e bett] & h1l?i] = "ms & babies4<,m$ical rese>* %[s u : me?ods ( c>e >e<bett] & h1l?i]4 ,"m-frly sett+s only use<me?ods t h be5 prov5 6be be/ 0sci5tific<evid;e4< ,"s"ts bir? c5t]s1 hospitals1 & home <bir? s]vices use me?ods t >e n prov5 6be<be/ =! "m or ! baby4 ,= example1 rese>*<has %[n x's usu,y n help;l 6br1k ! bag (<wat]s4< ,"h is a li/ ( ?+s we recomm5d t y ask ab4 ,!y d n help & may hurt h1l?y "ms & babies4 ,!y >e n prov5 6be be/ =! "m or baby & >e n "m-frly4< 7a7 ,!y %d .n keep track (! baby's he>t rate all ! "t )a ma*9e 7call$ an ,,cims #g electronic fetal monitor74 ,9/1d x is be/ 6h yr nurse or midwife li/5 6! ba- by's he>t f "t 6"t4< 7b7 ,!y %d .n br1k yr bag ( wat]s e>ly 9 labor4< 7c7 ,!y %d .n use an ,,iv 7a ne$le put 96yr ve9 6give y fluids74< 7d7 ,!y %d .n tell y t y c't eat or dr9k dur+ labor4< 7e7 ,!y %d .n %ave y4< 7f7 ,!y %d .n give y an 5ema4< ,a bir? c5t]1 hospital1 or home bir? s]vice t does ^! ?+s = mo/ (! "ms is n "m-frly4 ,rememb]1 ^! %d n 2 us$ )\t a special m$ical r1son4<<#g4 ,ask1 8,h[ d y help "ms /ay z -=ta#<z !y c be8 ,2ss drugs1 h[ d y help "ms relieve ! pa9 ( labor8< ,! p :o c>e = y %d "k h[ 6help y cope ) labor4 ,!y %d "k ab ways ( d1l+ ) yr pa9 t don't 9volve us+ drugs4 ,!y %d su7e/ s* ?+s z *ang+ yr posi;n1 relax+ 9 a w>m ba?1 hav+ a massage & us+ music4 ,,cims #h ,^! >e call$ -=t m1sures4< ,-=t m1sures help y h&le yr labor m easily & help y feel m 9 3trol4 ,! p :o c>e = y w n try 6 p]suade y 6use a drug = pa9 un.s y ne$ x 6take c>e (a special m$ical pro#m4 ,all drugs a6ect ! baby4<<#h4 ,ask1 8,:at if my baby is born e>ly or has special pro#ms80< ,"m-frly places & p w 5c\rage "ms & families 6t\*1 hold1 br1/fe$1 & c>e = _! babies z m* z !y c4 ,!y w 5c\rage ? ev5 if yr baby is born e>ly or has a m$ical pro#m at bir?4 7,h["e1 "! may 2 a spe-<cial m$ical r1son y %dn't hold & c>e = yr baby47<<#i4 ,ask1 8,d y circumcise babies80< ,m$ical rese>* does n %[ a ne$ 6cir- cumcise baby boys4 ,x is pa9;l & risky4 <,"m-frly bir? places 4c\rage circumci.n<un.s x is = religi\s r1sons4<<#aj4 ,ask1 8,h[ d y help "ms :o want < ,,cims #i 6br1/fe$80< ,! ,_w ,h1l? ,organiz,n made ? li/ ( ways bir? s]vices support br1/fe$+4< 7a7 ,!y tell all pregnant "ms :y & h[ 6br1/fe$4< 7b7 ,!y help y />t br1/fe$+ )9 "o h\r af yr baby is born4< 7c7 ,!y %[ y h[ 6 br1/fe$4 ,& !y %[ y h[ 6keep yr milk -+ 9 ev5 if y h 6be away f yr baby = "w or o!r r1sons4< 7d7 ,newborns %d h only br1/ milk4 7,h["e1 "! may 2 a m$ical r1son !y _c h x "r away47< 7e7 ,!y 5c\rage y &! baby 6/ay tgr all "d & all ni y4< ,,cims #aj< 7i7 ,!y h a writt5 policy on br1/- fe$+4 ,all ! employees "k ab & use ! id1s 9 ! policy4< 7j7 ,!y t1* employees ! skills !y ne$ 6c>ry \ ^! /eps4<<,wd y l 6give ? 9=m,n 6yr doctor1 mid-<wife1 or nurse8< ,? 9=m,n is tak5 f ! .,"m-,frly ,*ild-<bir? ,9itiative. writt5 = h1l? c>e pro-<vid]s4 ,y c get a copy (! ,9itiative = yr doctor1 midwife1 or nurse 0mail1 ;e-mail1 or on ! ,_w ,wide ,web4<< ,6,get a ,copy 0,mail< ,=a copy ( bo? ? bro*ure &! .,"m-,frly ,*ildbir? ,9itiative. 0mail1 s5d a /amp-<$1 self-a4ress$ 5velope ) 4#c.jj 7,,us7 6help cov] ! co/s 74#d.jj ,canada or ,mexico1 4#e.jj all o!rs74 ,bulk prices availa#4< ,write to3 ,,cims ,n,nal ,(fice1 ,,po<,box #bcdf1 ,ponte ,v$ra ,b1*1 ,,fl1 <#cbjjd< ,,cims #aa<,6,get a ,copy on ! ,web< ,pl1se g 6.www4"mfrly4org.< #hhh-bhb-;,,cims< #ijd-bhe-afac< ,fax #ijd-bhe-babj< .9fo@at"mfrly4org.<<copywrite #bjjj 0,! ,coali;n = ,improv+ ,mat]n;y ,s]vices 7,,cims74<<,p]mis.n grant$ 6freely reproduc 9 :ole<or 9 "p al;g ) -plete attribu;n4<<,brl "w is volunte]$ 0/ud5t ,brailli/ ,anne ,de,m>ia4<< <<<<!  acronymboxbox-h1.brldisplay.brlinlinecompdisplay.compinlinedutchfinnishfrenchgermanh1.h2.h3.italianlatinlist.maorinote.outline.para.para.continue.poem.poem.2level.portugueseref.pg.noref.pg.no-in-mathspanishswahiliswedishtp.author.tp.general.tp.title.BBiind1kpsfr;f~7d~7lind1fr;f~gd~glkpesc1:0cztxsc1:0:0cztxsc1:0ptys1cbwb-cbwbptyetxsc1:0:0cbitxilng~frlnglng~delnglkpssc1:0rm6hdshderm0sk1kpe2:2lkpssc1:0ind5ind1kpe2:2lkpssc1:0ind5ind1kpe2:2lng~itlnglng~lalngsc1:0hi1:3:0:2:2kpski1ki0kpehisc1:0:0ind5tab7ind1sc1:0hi1:5:0:2:2kpski1ki0kpehisc1:0:0plsc1:0hi1:3:0:2:2kpski1ki0kpehisc1:0:0lng~eslngllsc1:0hi1:4:0:2:0kpski1ki0kpehisc1:0:0sc1:0hdshdesc1:0hdshdesc1:0hdshdeleallkpsrm6hdshderm0sk1kpe2:2tceleatcsllng~milnglng~ptlnglng~nllnglng~swlnglng~filnglng~svlng