Close help

How to use this Learning Station

On this Learning Station, you can read and test your knowledge. Tap on a book to open its chapter list. In each chapter, you can take a quiz to test your knowledge.

To take tests, you must register with your email address or cell number. It is free to register and to take tests.

For help email info@bettercare.co.za or call +27 76 657 0353.

Printed books and CPD points

Learning is easiest with printed books. To order printed books, email info@bettercare.co.za or call +27 76 657 0353.

Visit bettercare.co.za for information.

Test 2: Mother friendly care during labour, delivery and the puerperium

  1. Can a woman play an active part in her labour and delivery?
    • Yes. She should be encouraged to play an active role.
    • Only if she is multigravida and has experienced a vaginal delivery before.
    • Only if she has attended antenatal classes.
    • No. Most women do not have the knowledge or training to play an active role in their labour and delivery care.
  2. Should women routinely receive an enema during labour?
    • Yes, as it speeds up the first stage of labour.
    • Yes, as it avoids the passage of stool with the delivery.
    • No, as it increases the risk of meconium stained liquor.
    • No, as there is no scientific evidence that it has any benefit.
  3. What are the advantages of shaving women during labour?
    • It decreases the risk of infection if the perineum tears.
    • It decreases the risk of infection if an episiotomy is done.
    • It is part of good training and practice.
    • There are no advantages and routine shaving should be stopped.
  4. Should women be allowed to shower or bath during labour?
    • No as it increases the risk of infection.
    • No as the fetus may drown before it is born.
    • Yes as it helps control the pain in labour.
    • Yes as it prevents dehydration during long labours.
  5. Should women be allowed to drink during labour?
    • Only if they are in the second stage of labour.
    • Yes, as long as they are not being prepared for a Caesarean section under general anaesthetic.
    • They should only drink during early labour.
    • No, women should not drink at any stage of labour in case they may vomit during delivery.
  6. Is it safe for a woman to eat during labour?
    • She can eat whatever she wants, even a large meal.
    • She can eat as much as she wants as long as she does not eat meat.
    • She can have small snacks.
    • Women in labour can drink but must not eat.
  7. Is it safe to walk around during labour?
    • No. Women in labour should remain in bed.
    • They can walk to the toilet only.
    • They can walk around until they reach 5 cm cervical dilatation.
    • Most mothers may walk around during labour.
  8. Do women need a labour companion?
    • Most women would benefit from a labour companion.
    • Only primiparous women need have a labour companion.
    • A labour companion is sometimes needed but this is impractical as they get in the way and interfere with the work of the midwives and doctors.
    • They are not needed as midwives can look after women in labour.
  9. Is routine fetal heart rate monitoring needed in all labours?
    • Yes.
    • Only in high risk labour.
    • Only if the liquor is meconium stained.
    • No.
  10. Should all women to offered pain relief in labour?
    • All women should routinely be given some pain relief in labour.
    • All women should be offered pain relief during labour.
    • Women should only be given pain relief if they ask for it.
    • Women should only be given pain relief if the doctor or midwife feels they need it.
  11. Should routine early rupture of the membranes be encouraged?
    • Yes as it speeds up labour.
    • Only if the fetal head has not yet engaged.
    • Only in women who are HIV positive.
    • No as there are no proven advantages.
  12. What is a ‘natural childbirth’?
    • A vaginal delivery.
    • A delivery with minimal medical interference so that the woman has as much control as possible over her delivery.
    • A delivery following the spontaneous onset of labour.
    • A delivery at home with the family present.
  13. Is it better if a doctor delivers all infants?
    • Yes as they have had the most training.
    • Yes as this will lower the Caesarean section rate.
    • No as midwives can very competently deliver most infants.
    • No as doctors in many poor countries are only allowed to perform instrument deliveries and Caesarean sections.
  14. Can women be safely delivered at home?
    • This is a dangerous practice and must be discouraged.
    • Home delivery is safe if the delivery is performed by a doctor.
    • Home delivery is safe if women are carefully selected and the home circumstances are adequate.
    • In most poor countries a home delivery is as safe as a hospital or clinic delivery.
  15. In South Africa most women should be delivered:
    • At home.
    • In a primary care maternity centre.
    • In a general district hospital.
    • In a regional maternity hospital.
  16. Who should conduct deliveries in developing countries?
    • Most families can safely conduct deliveries.
    • Only trained birth assistants should perform deliveries.
    • Untrained traditional birth attendants can safely deliver infants.
    • Only midwives and doctors should manage deliveries.
  17. Should the father be present at delivery?
    • Yes, if possible.
    • Only if the labour ward is not busy and the couple are married.
    • Only if the mother has a normal vaginal delivery.
    • No, as fathers only cause trouble in a labour ward and often upset the woman and staff.
  18. In what position should women deliver?
    • On their back or in the left lateral position as this is easiest for the midwife or doctor.
    • Only on their back as this is the safest position.
    • In whatever position is most comfortable for the woman.
    • If possible they should deliver underwater.
  19. Episiotomies should be done:
    • In all primigravid women, especially if the perineum is tight.
    • In all women to prevent third degree perineal tearing.
    • Only be done if there is a medical indication.
    • Only if the woman is known to be HIV negative.
  20. What is the Better Birth Initiative?
    • A national government project to deliver as many women in hospital as possible in order to lower the maternal and perinatal mortality rates.
    • An international project to improve labour and deliver care by listening to women’s views and practicing evidence based medicine.
    • A programme to train midwives.
    • A programme to train traditional birth attendants (TBAs).