TBA Skills Pregnancy Kinyarwanda

===1. As a traditional birth attendant or TBA it is important to give good advice to pregnant women. A pregnant woman needs to take care of herself and keep healthy. This will help her baby grow strong and healthy inside her until the baby is born.===
[translation needed here]
===2. When she is pregnant the woman needs to eat a good mixture of food, including fruit and vegetables, at least 3 times a day. ===
[translation needed here]
===3. If a pregnant woman does not feel like eating much food, she should try to eat several smaller meals during the day. This is better than eating one large meal each day.===
[translation needed here]
===4. Eating frequent small meals will help ease morning sickness and heartburn. Now try to answer these questions.===
[translation needed here]
===5. Can a TBA help a pregnant woman before her baby is born?===
[translation needed here]
===6. Yes,===
[translation needed here]
===7. Or no?===
[translation needed here]
===8. Press a button now.===
[translation needed here]
===9. That’s right. A very important role of a TBA is to give good advice to pregnant women before the baby is born.===
[translation needed here]
===10. What is the best way for a pregnant woman to eat her daily food?===
[translation needed here]
===11. She should have one big meal in the morning,===
[translation needed here]
===12. or she should eat several smaller meals throughout the day?===
[translation needed here]
===13. Press a button now.===
[translation needed here]
===14. Yes! Eating regularly will help the woman feel better during her pregnancy.===
[translation needed here]
===15. Good food helps the pregnant woman keep strong and helps the baby grow well. As well as your main food there are different types of food a pregnant woman needs to eat. ===
[translation needed here]
===16. Some foods make the baby grow well and keep the mother strong. These grow foods include meat, fish, eggs, beans and lentils.===
[translation needed here]
===17. Some foods help protect the baby and pregnant woman from disease. These protective foods are mainly fruit and vegetables.===
[translation needed here]
===18. Some foods give the pregnant woman energy and help her body make breast milk after the baby is born. Examples of energy foods are oils and peanuts. Now here are some questions for you.===
[translation needed here]
===19. Why is good food important for pregnant women?===
[translation needed here]
===20. Because it helps the pregnant woman keep strong,===
[translation needed here]
===21. Or because it tastes delicious?===
[translation needed here]
===22. Press a button now.===
[translation needed here]
===23. That’s right. A pregnant woman needs good food to keep herself strong and to help her baby grow.===
[translation needed here]
===24. Which of these is a good meal for a pregnant woman?===
[translation needed here]
===25. Some biscuits and sweets,===
[translation needed here]
===26. Or rice with fish and vegetables?===
[translation needed here]
===27. Press a button now.===
[translation needed here]
===28. Yes! A healthy meal should have a good mixture of different foods, including fruit and vegetables.===
[translation needed here]
===29. Pregnant women should drink cooled, boiled, clean water, fruit juices and tea. ===
[translation needed here]
===30. They should not drink alcohol during the pregnancy as this can harm the baby.===
[translation needed here]
===31. Why is it bad for pregnant women to drink alcohol?===
[translation needed here]
===32. Because it is expensive,===
[translation needed here]
===33. or because it can harm the baby?===
[translation needed here]
===34. That’s right. Pregnant women should not drink alcohol as this can harm the baby.===
[translation needed here]
===35. If a pregnant woman is very tired and weak, and has pale skin, fingernails and gums, she may have anaemia, which means her blood is weak. This could harm both her and her baby.===
[translation needed here]
===36. She may need tablets to help with this, so you should encourage her to go to the clinic.===
[translation needed here]
===37. Some foods can help people with anaemia. These include eggs, green vegetables and meat. Try to encourage a pregnant woman with anaemia to eat more of these foods.===
[translation needed here]
===38. What are the signs of anaemia?===
[translation needed here]
===39. Greasy hair and skin,===
[translation needed here]
===40. Or pale skin?===
[translation needed here]
===41. That’s the right answer. Someone with anaemia will usually feel very tired and weak, and have pale skin, fingernails and gums.===
[translation needed here]
===42. What is good advice for a pregnant woman who has anaemia?===
[translation needed here]
===43. To go to the clinic, as she may need tablets,===
[translation needed here]
===44. Or to have a cold shower?===
[translation needed here]
===45. Yes! You should advise a pregnant woman who has anaemia to go to the clinic. You should also advise her to eat more eggs, meat and green vegetables.===
[translation needed here]
===46. It is important for a pregnant woman to rest when she is tired. This allows her body to keep strong and allows the baby to grow healthily. She will need to rest more as the baby inside her grows bigger. ===
[translation needed here]
===47. Resting or sitting with her feet up can also prevent backache and swollen legs and feet. ===
[translation needed here]
===48. A pregnant woman should not work too hard or carry heavy loads.===
[translation needed here]
===49. Why should you advise a pregnant woman to rest sometimes during the day?===
[translation needed here]
===50. So that she will become more beautiful,===
[translation needed here]
===51. Or to help the baby grow strong and healthy?===
[translation needed here]
===52. Yes. If the pregnant woman rests often this will help her baby grow strong. It can also help prevent backache and swollen legs and feet.===
[translation needed here]
===53. Some pregnant women can develop problems during pregnancy. If this happens the woman will need to see the doctor or midwife at the clinic. ===
[translation needed here]
===54. It is important for pregnant women to go to an antenatal clinic regularly. If there is an antenatal clinic in your area you should encourage pregnant women to go there.===
[translation needed here]
===55. The antenatal clinic will be able to check that the woman is well and the baby is growing normally. ===
[translation needed here]
===56. If the pregnant woman does not go to the clinic she may develop health problems and the baby could be harmed.===
[translation needed here]
===57. Should a pregnant woman go to the clinic to see the midwife during her pregnancy?===
[translation needed here]
===58. Yes,===
[translation needed here]
===59. Or no?===
[translation needed here]
===60. Yes! You should encourage the pregnant woman to visit the midwife at the clinic regularly. This will help prevent problems in her pregnancy for herself and her baby.===
[translation needed here]
===61. A TBA can help a pregnant woman by giving advice about minor problems she may have during pregnancy. ===
[translation needed here]
===62. But there are some problems which can be very serious. These include fever and vaginal bleeding and discharge. You should always refer a pregnant woman with these problems to a clinic for treatment.===
[translation needed here]
===63. If a pregnant woman starts bleeding from her vagina it could be very serious and she may have a miscarriage. She should immediately lie down and rest, and then be helped to the clinic to see the doctor or midwife.===
[translation needed here]
===64. If a pregnant woman starts bleeding from her vagina is it ok for her to carry on working in the fields or go to market?===
[translation needed here]
===65. Yes,===
[translation needed here]
===66. Or no?===
[translation needed here]
===67. That’s right. The pregnant woman should lie down and rest. She should then go to the clinic because her baby may be at risk.===
[translation needed here]
===68. If a pregnant woman has an unusual vaginal discharge it could mean she has an infection. ===
[translation needed here]
===69. The discharge may be a yellow or pink colour, it may be itchy and it may smell bad. This could mean that the woman has an infection.===
[translation needed here]
===70. If so, she will need medicine from the doctor or midwife, so you should refer her. You should also encourage her to wash several times a day.===
[translation needed here]
===71. What should a pregnant woman do if she has an irritating vaginal discharge?===
[translation needed here]
===72. She should drink traditional medicine,===
[translation needed here]
===73. or she should wash several times a day and go to the clinic?===
[translation needed here]
===74. Yes. She should wash several times a day and go to the clinic to get some medicine.===
[translation needed here]
===75. If the pregnant woman has a fever and it continues for more than 2 days, she should be referred to the clinic.===
[translation needed here]
===76. The fever could be malaria, dengue or another serious illness which would need treatment. The fever could cause early labour or the baby may be born dead.===
[translation needed here]
===77. Why should you refer a pregnant woman to the clinic if she has a fever that lasts more than two days?===
[translation needed here]
===78. Because the baby could be at risk, ===
[translation needed here]
===79. Or so that the pregnant woman has a rest?===
[translation needed here]
===80. That’s right. The baby could be born early or even born dead if the mother’s fever is not treated soon enough.===
[translation needed here]
===81. As a TBA you have a very important role in the care of pregnant women. You can make a big difference!===
[translation needed here]
===82. That was the wrong answer. Let’s go back and listen again.===
[translation needed here]
===83. Sorry! Wrong answer.===
[translation needed here]
===84. Hello. The title of this lesson is “ TBA Skills - Pregnancy “. To begin, press the arrow pointing to the right. After you have finished this lesson the arrow pointing down will take you to the quiz. To listen again press the middle button.===
[translation needed here]
===85. You’ve now finished the lesson. Well done! Now press the arrow pointing down to play the quiz and try to win a gold star!===
[translation needed here]
===86. Correct!===
[translation needed here]
===87. “TBA Skills – Pregnancy”===
[translation needed here]