CHAPTER I

INTRODUCTION

A. The Background of the Course Material Designed

The writer write this book is to help the people who want to improve their skill and
make a better quality in their jobs especially midwife. This textbook will explain and tell us
how to be a professional midwife and of course when she is speaking English language to all
patients that speak English too. This material of the course is following the commonly
vocabulary and expression in the midwife job and step by step explain how to give the best
serve for the patient.

Need of the course material is looking from the all of factor that may happen when
the life of a midwife itself because the things taught later only on the basis of desire itself,
what will be taught depend on the needs of midwife, and other factors also include factors
such as situations, teachers, and learners. The analysis of that desire is immediately made in a
course which will be given to learners.

Hopefully this course will be helpful for them because it can be provide
communicative english language learning activities with a large amount of english usage in
classroom and found quite often in real life as well and it will be used as on of the learning to
learners if sometime he or she go to another country because English is the language that
used at all of the countries for the formal language.

The teacher of the course is a person who can also determine success in a course
other than learners itself because a teacher who determines will be taken where the course is
later and also successful or not the learners in understand that learning well or not, a teacher
can change the teaching according to the desired conditions of origin in the learning process
and the results will be comparable or in other words succees.

1
B. Key Points in the Following Material Development Targeted

Here are some key points of the material developed , including the role of each aspect :
the textbook, the teacher, and learners.
a. Textbook material/content
The materials are expected to fullfil the students need covering all skills. The
activities in the textbook must be presented in the real life situation.

b. The teachers
The teachers may use the textbook appropriately. As addition, teachers may also
provide audio dialogue and visual the pictures to support the teaching proccess.

c. The learners
As the materials developed in this textbook already covering the skills that students
need, learners are expected to use the textbook and do the practice in various
situation, and do the independent learning outside classroom.

Chapter II

2
 PROCESS OF DESIGNING LANGUAGE COURSE MATERIAL

A. The Main Stages of Designing Course Material

When designing a course, there are some parts of the process that should be
implemented in order to achieve the successfulness of designing the course. According to
Nation and Macalister in their book Language Curriculum Design (2010), there are three
main stages of designing a course material:

1. Environment Analysis

This is the basic stage of designing a course; in here the designer need to
consider about the factors that will influence the success of the course. The factors
that the designer needs to analyze are; the learner, the teacher, and the situation. First
is the learners, the designer need to know who will join this course, what level
English they are, what kind of public speaking they want to learn, and so on.

Then the teachers, the designer needs to know who will teach the learners, are
the teachers have good capability to teach the learners, and the last is the situation, the
designer need to analyze what are the facilities that needed, how that facilities help
the learners learn well when the course is began.

2. Need Analysis.

After analyzing the environment, the designer need to discover what the things
that they need, the designer also need analyze the learners, the teachers, and the
situation, the designer need to analyze again what are the learners might need. There
are three types of need that the designer needs to know, those are, necessities, lacks,
and wants.

First is the necessities, the designer have known what the learners use the
ability for after finishing the course. Then the lacks, the designer need to know what
are the ability that the learners not good at, so the designer must make the course
focusing on want the learners want to achieve, that is speaking skills on public.

3. The Principles

After doing the analysis, the designer also needs to follow some principles that
have been described by Nation and Macalister in their book: Language Curriculum
Design (2010) in order to make the course achieve what the learners want from this
course effectively. An appropriate principle that used for this course will be helping
the designer to design a good course, so that is why the designer needs to analyze
some aspects before designing the course.

3
B. The Content and Sequencing of the Course Material Designed

This developed course material is focused on language items, asking and giving good
serving, and the corversations that are common in the hospital. Each units in this course
material is about regarding the steps how to giving the best serve to the patients.

Each units of this course is developed providing the context of the learners real life
situation and the conversation that are common in the hospital. The designing process will
not away from the result of the previous steps including the environment analysis, learner’s
need analysis and the principles.

C. The Format and the Presentation of the Course Material Designed

As mentioned in the previous of the course subchapter, there are advantages to have a
set lesson format. First, the lessons are easier to make as each one does not have to be
separately. Second, the course will be easier to monitoring whether it is following the
principle or not. Last, a lesson format makes the lesson easier to learn because the learners
can predict what will they learn/occur and will be familiar with the learning procedures
required by different parts of the lessons.

Format and presentation must take account of the environment in which the course
will be used, the needs of the learners, and princples of teaching and learning.

D. The Monitoring and Assesment of the Course Material Desiged

Monitoring and assessing the learners is the way to help the course designer to see if
the course success or not. Testing is the common way to assess the learners ability,
knowledge and their achievement in study.

The other way is by observasing and monitoring the learners by using a report form,
getting learners to finish their works, and from the development of learner knowledge in each
meeting, this called planned data gathering opportunity.

E. The Adoption and Adaption of the Course Material Designed

We should develop our own materials, or whether we need to take a course book and
teach that, or whether we supposed to modify the materials to meet the need of our learners.
Which ever our choice, we concerned with the validity of our choice and hence these
questions along with the criteria for selection, modification, and development of materials
were addressed in this paper.

CHAPTER III

4
 OVERVIEW OF THE TEXTBOOK

A. Background of the Targeted

The writer write this text book is to help the people who wants to improve their skill

and make a better quality in their jobs especially midwife because this textbook will explain

and tell us how to be a professional midwife and of course when midwife is speaking english

language to all of the patients that speak english too. This material of the course is following

the commonly vocabulary and expression in the midwife job and step by step explain how to

give the best serve for their patient.

B. Objectives of the Textbook

To improve the skill of midewifery for make better language of speaking in all aspects of
this jobs with:

 Explain introduction.
 Explain function and using of Yes or No question.
 Explain function and using WH question.
 Explain function and using Tag –question.

C. Specific Goals of the Sample / Unit Material Developed

This book probably can use by the others people not only for midwife. This book
tells, explains, and teaches us how we speak English conversation with normal sense for
particular people.

D. Map of Textbook/Course Material Developed

5
Unit Situation Objectives Activities
1 Establishing a Completing the first learning To get the purpose of this
relationship activity, students are expected to first learning, you expected
be able to: to study about this concept:

a. Introduction. A. Introducing
yourself.
b. Explain function and
using yes / no B. Yes/no question.
question.
C. WH-question.
c. Explain function and
using WH question. D. Tag-question.

2 Asking – filling in
medical report After finished activity 2, student a. Asking question.
can:
b. Filling in medical report.
a. To ask a question
for the first
datebase of
patient.

b. To fill medical
report patient with
some question.

3 Explaining
Procedures Student expected can: a. Giving instruction.

a. Gives the b. Explaining medication.

instruction to
patient.

b. Explain the
procedural
gives of
medicine to
patient.

6
 CHAPTER IV

THE UNITS OF COURSE MATERIAL DEVELOPED

Activity 1

Establishing a relationship

1 0 0 Minutes

Objectives

I. General Learning Objectives : after completing the first learning activity, students
are expected to be able to meet and ask questions correctly.

II. Specific Purpose Learning : completing the first learning activity, students are
expected to be able to

a. Introduction.
b. Explain function and using yes / no question.
c. Explain function and using WH question.
d. Explain function and using Tag-
question
III. Material

To get the purpose of this first learning, you expected to study about this concept:

a. Introducing yourself.
b. Yes/no question.
c. WH-question.

7
 d. Tag-question.

Materials

Materi

A. Introducing yourself

Hello! I am your new friend and I am going to

help you learn English. However first I need to
get to know you. Please tell me about yourself.

Your task: Do this conversation with your friend beside you.

What’s your name ? My name is…..

How old are you ? I am…..years old

I am
Which midwifery academy are you from ? from ......... Midwifery academy

Which Semester are you ? Semester ......

I am
Where are you from ? from .........

Do you enjoy being a midwifery student ? Yes, I do

What is your favorite midwifery subject ? My favorite subject is ......

8
 Where do you work ? I work in hospital

Materials

This conversation is example how midwifery doing introducing with her new friend. After
you introduction with your friend , you expected to introduce your friend to another friend.

The ways to introduce your friend

Let me introduce my friend to you “her name is ……………, her hobby is ……………….

she is from ……………, she lives in ………………….she has lived there for

………………….she studied at Midwifery academy………….she is single/married, she has

studied here for ………she works in …………..unit.

Before we start the conversation, start with greeting.

Example: greetings

Hello,

Good......................Mr............/Miss/Mrs.................

Morning .................(until 12 mid day)

Afternoon ..............( until dark)

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 Evening...................(after dark )

Materials

When we close the conversation with other person, you cannot leave them directly but you
should close the conversation politely.

Example before close the conversation:

Student A : It’s been nice talking to you

Student B : nice talking to you too

Or

Student A : (I’m sorry , but ) I

have to go now

Closing or to close our conversation

10
 Good bye

Bye

See you later

If you work in hospital, you have to introduce yourself first to your patient.
How to introduce your self to your patient:

I‟m midwife .............(name), I will take care of you today.

If you need anything, please just give me a call, a midwife will help you.

Materials

This is example the conversation between midwifery with her patient:

Midwife : Good morning Mrs Rieke, How are you ?

Mrs Rieke : Good morning, midwife
Midwife : How are you this morning ?
Mrs. Rieke : not very well, I think
: I’m midwife Elli, I will take care of you today. Your name is Mrs Rieke , isn’t
Midwife it?
How can I addres you ?
Mrs Rieke : Please call me Rieke.
Midwife : Mrs Rieke, if you need my assistance , please just call me. I will help you.
Mrs Rieke : Ok, Thank you Midwife.
Midwife : Now, it‟s time for me to visit other patients. I‟ve really got to go. See you
Mrs Rieke : See you

11
Materials

Exercise 1 . Pair the questions and answers below

1. Where were you born ? A year ago

2. What do you do ? Three times a week

3. Are you married ? In Solo

4. Why are you learning English ? Because I need it for my job

5. When did you start learning English ? I‟m a midwife student

6. How often do you have English Classes ? No, I‟m single

Now let us identify the question we use above.

IDENTIFY QUESTIONS

B. Yes / No Question

Example:

 Do you have a baby? Yes, I do

No, I don‟t

12
  Can you lift your
index finger? Yes, I
can.

No, I can.t

Make inquiries with Yes / No Questions

Example:

They are down with flu------------ Are they down with flu ?

The disease is communicable --------- Is the disease communicable ?

The children were immunize --------- were the children immunized yesterday ?

Materials

C. Question with WH- Questions

There are 6 type of question with WH (Wh – questions). This word question will ask about
man human , thing , events, and so on.

5W+1H
When Who Why
What Where How

WHEN

When- used to ask about time, date, atau events time. examples:

 She is going to be promoted as midwife manager this

month.
When is she going to be promoted as a midwife manager ?
 I fractured my left leg when I was a
child.
When did you fracture your left leg ?
 The doctor examined the hypertensive pregnant woman yesterday
morning.
When did the doctor examine the hypertensive pregnant woman ?

13
WHAT

What - used to ask about object, activity atau opini. examples:

 The talk given today is on pre-eclampsia

woman.
What is the title of the talk ?
 Midwife Erna loves to read midwifery journals during her free
time.
What does midwife Erna love to do during his free time?
 My patient is a civil and structural
engineer.
What is your patient’s occupation ?

Materials

WHO

WHO – used to ask about human . examples :

 I was just informed by Anna that I had to work on afternoon

shift.
Who informed you that you had to work on the afternoon
shift?
 Dr. Rita gave us a verbal order just
now.
Who gave you the verbal order just
now?
 The midwife failed to detect the twin
babies.
Who failed to detect the twin babies?

WHY

WHY – used to ask about how something that occurs or the reason why something that
occurs / event.
examples :

14
  The hospital was sued due to the negligence of its
staff.
Why was the hospital sued?
 We cannot operate on the patient, as we have not received any consent from his
relatives yet.
Why can‟t we operate on he patient?
 Ratna left for Surabaya to further her studies in master degree of
midwifery.
Why did Ratna leave for Surabaya ?

WHERE

WHERE – used to ask about place, or place of events. Examples :

 My niece was admitted to Harapan Kita Specialist Mother and Child

hospital.
Where was your niece admitted to ?
 I keep the medicine in the first-
aid kit.
Where do you keep the medicine?

Materials

HOW

HOW – used to ask about kondition, siituation,and want the explanation of something.
Examples :

 She lost her 3 months pregnancy in an

accident.
How did she lose her 3 months pregnancy?
 Midwife Emma helps deliver the baby
carefully.
How does Midwife Emma help deliver the
baby ?

D. Tag –Questions

Is the question that minimized so the answer only yes / no

Whereas this question terminated with auxiliaries atau the others auxiliaries word
( have, can, must, will, do,does, did, is, am, are, was dan were).

15
 Requirement

a. If the sentence is positive,so the last question is negative

b. If the sentence is negative,so the last question is positive
c. Auxilliaries word must respeat
d. If nothing auxaliaries word , so use do, does or did depend on sentence

a. If the sentence is positive, so the last question is negative

examples:

 He is working, isn’t he?

 She will recover soon, won’t she?
 The clinical assistant had sent the blood specimen, hadn’t he?

b. If the sentence is negative, so the last question is positive

examples:

 It isn’t rain now , is if ?

 The teachers didn’t remind the students, did they?
 The midwife isn’t prepared, is she?

Test

Make one conversation when you meet with your best friend in midwifery academy

Introduction your friend with the other friends of you like that example

16
 Formative Test

Pair this question with the answer

1. What…………? Because I wanted to

2. Who …………? Last night

3. Where ………? Rp 5000,-

4. When ……….? A sandwich

5. Why …………? By bus

6. How many ….? In Kalimantan

7. How much ….? Mariana

8. How …………? The black one

9. Whose ………? It‟s mine

10. Which ……….? Five

17
 Activity 2

Activity 1
Asking – filling in medical report

2*100 menit

Objectives

I. General learning objective: after finished activity 2, student can make a question
and fill the medical raport patient

III. Specific learning objectives: after finished activity 2, student can:

a. To ask a question for the first datebase of patient

b. To fill medical report patient with some questions

III. Material

18
 a. Asking question
b. Filling in medical report

Materials

A. Asking question

Midwife : Good Morning Mrs Maria. I need

to fill a medical report about your health status
Patient : Sure
Midwife : Your complete name ?
Patient : Devi Maria
Midwife : What is your complete address?
Patient : Ir Sukarno , 38 .Surabaya
Midwife : What makes you come to hospital?
Patient : I have a backache.

19
Midwife : Where is the pain, could you point
at the pain ?
Patient : It’s around here ( pointing at the
lower back)
Midwife : Did you take any medicine for your pain ?
Patient : No, I didn’t
Midwife : Do you know the cause of pain ?
Patient : I don’t know
Midwife : What’s the pain like ?
Patient : It’s sharp
Midwife : How often do you feel the pain ?
Patient ; It’s occasional.
Midwife : Well, thank you Mrs Maria for your information. I will report this to your
obstetrician .

Find the hard word and find the meaning on vocabulary.

Materials

There are some question on the midwifery job

a). Question to know the contion of patient !

1. What’s your problem ?

2. How are you feeling today ?
3. What makes you call me ?
4. What’s your chief complaint ?
5. What’s troubling you ?
6. What’s the matter with you
7. What’s wrong with you ?
8. What seems to be bothering you ?

9. Doctor “ what are the symptoms?/

what is she complaining about ?

20
 b). Patient expression and the way patient to explain about his problem :

1. I have + ( a part of the body + ache ) 4. I experience + kinds of symptoms

( a toothache ) and physical problems
(a headache) ( low back pain )
( a backache) ( difficult breathing )
2. I have ( a sore + parts of the body ) 5. I suffer from + kinds of certain
( a sore arm) Illness
( a sore knee) ( cancer )
3. I have/ get + kind of physical problems ( constipation )
( the measles)
( the flu )
( a fever )
( a bad cough )

Materials

a). The question that have a relation with the pain of patient

a. Current pain medication ( pengobatan yang diambil saat ini )

Question : Did you take ( any medicine / anything ) for your pain,
How many do you take ?
b. Where is the pain ? ( lokasi nyeri )
Instruction; show me where the pain is ?

Point at the pain you feel ?

c. Describe cause of pain, if known ( penyebab nyeri jika diketahui )

Question; Do you know the cause of your pain ?

Why do you feel that ?

21
 d. How does a pain feel to the patient? ( seperti apa nyeri yang dialami
oleh pasien ?
Question :what is the pain like ?

Is it sharp, dull, stabbing, aching ?

e. Frequency of pain ( berapa sering nyeri itu muncul )

Question: How often do you feel the pain ?

Materials

B. Filling in Medical report / Mengisi medical report pasien

Date for patient that usually needed for midwifery

Data Cara Bertanya

1. Name What is your name?

2. Age When were you born? / Your date of birth please.
3. Nationality & Race What is your nationality? What is your race ?
4. Address & telephone What is your address and telephone number ?
5. Religion What is your religion?
6. Marital status Are you married?
7. Occupation What is your occupational?

22
 Chief complaint / keluhan utama What’s your problem? / what’s your chief

complaint?

History of present illnes relates to

the chief complain or problem
When did the complaint start?
1. Date and time onset
Where is the location? Or show me where the
2. Specific location
location is?

3. Type of pain or discomfort

How does the pain feel or what is the pain like?

Menstrual history
1. Age at menarche
When did you get the first time period?
2. Duration
How many days usually it happened ?
3. Last Menstrual period, When did you have your last menstrual period?

4. Dysmenorrhoea

Is there any problem during period like

dysmenorrhoea or premenstrual syndrome?

Obstetric history

1. Gravida/ Para How many children do you have? How many times
do you experience of pregnancy?
2. Each pregnancy
a. Date of termination: When was your previous baby born?
b. Weeks gestation: How many weeks was your previous pregnancy?

23
 c. Place of Delivery Where were you deliver your previous baby ?
d. Any Problem During Did you have any problem for your previous
pregnancy, Labour And pregnancy, labour and postpartum period?
postpartum period?
e. Weight of baby birth; How many kilos was your previous baby born?
f. Sex of baby: Is it a boy or a girl?
g. Any complication h. Status of Were there any complications for your previous
infant at birth: baby born?
i. Present status of infant: How is your child now?
Contraceptive history
Present contraceptive method
What type of contraceptive did you use before?
a. Type
Are there any side effects?
b. Side effect
c. Length of time using this How long did you use this method of contraceptive?
Method

Test

Materials
Find 1 case in your pactical place and introgation that patient, try to fill
in medical report patient

Write your new question of your introgation

24
Activity 3

Explaining Procedure

2*100 menit

Objectives

I. General Learning Objectives: after finished activity 3 , student expected can give
the instruction and explain about the procedures to the patient.

II. Specific Purpose Learning: finished activity 3, student expected can:

25
 a. Gives the instruction to patient
b. Explain the procedural gives of medicine to patient

III. Material
a. Giving instruction
b. Explaining medication

Materials

Materials

Do this conversation with your friend

Midwife : Good Morning Mrs Salma?

Patient : Good Morning, midwife
Midwife : Would you stand upright here ?
Patient : Sure Midwife
Midwife : That’s fine Mrs Salma.
Ok, don’t move your head. Keep your head steady, look straight ahead
Patient : Ok
Midwife : Let me measure your height
Patient : What is my height Midwife?
Midwife : It’s 156 cm. It’s normal

That conversation is example to give instruction to measure height of patient body.

26
Now let’s we know how to give instruction to patient.

A. Giving Instruction

There are ways to give instruction to patient or explaining the procedure to patient

Examples:

- It’s time to practice breastfeeding your baby

- I will assist you and help you breastfeed your baby

Give you instructions how to breastfeed your baby

Give you an example how to breast feed your baby

The other sentence

This will take time

Follow / listen to my instructions

Let me help you wear your……shoes

Do you feel ……dizzy?

Fine that’s it

Materials

Sentence that midwife can use for give intervention or sentence that use to patient before
doing something.

I need to take your temperature

to weight you
to count your pulse
to measure your height

If patient measure that height it self

Please, weight yourself on that scale

How much do I weight ?

27
The ways to ask the result of measured

What is my temperature?
Blood pressure
Pulse
Height
How much do I weight?--> It is normal

The way midwifery gives the result or observation to patient

 It’s 37 0 C
 Your temperature is higher than normal
 You weigh 67 kilo
 You are 156 cm height
 It is 130 over 80 mmHg
 It is within normal.

Materials

Materials

B. Explaining Medication
Before giving the medicine to patient midwifery must tells about the procedure of
giving medicine .

Please, take this.......one tablet a day/ three times a day

To reduce ......your temperature

To relieve your pain

Here are some tablets / pills ( which) you have to

take ....one every ....eight hours.

28
 Have you taken the medicine ?

The ways to give attention to patient.

 Take these antibiotics all up

 You must call the midwife if there is adverse reaction
 Don‟t take this more than ........three times / 24 hours
 Don‟t use it if it makes.....a skin rash

 How should i take this .......

 What is the use of this ......(tablet,
medicine )? (menanyakan fungsi obat)
 How much do I have to take ......(tablets)? (Tanya
dosis obat)

Test

Make one conversation when you meet with your best

friend in midwifery academy

Introduction your friend with the other friends of you like that

example

29
Materials

Formatif

Test

Pair this question with the answer !

1. What…………? Because I wanted to

2. Who …………? Last night

3. Where ………? Rp 5000,-

4. When ……….? A sandwich

5. Why …………? By bus

30
 6. How many ….? In Kalimantan

7. How much ….? Mariana

8. How …………? The black one

9. Whose ………? It‟s mine

10. Which ……….? Five

CHAPTER V

SUMMARY

A. Conclusion

The Content in this book is usually for midwifery work or all the various of
interaction or communication that arise in the real situation in that job. The trainers need to
improve their material in each unit to be able cover the task and situations in hospital or
puskesmas. With knowledge and ability of basic vocabulary, the trainers should be able to
role-play the further situations that commonly occur in the course of their job.

B. Implication and Suggestion

31
 Trainers need to pay attention the pronunciation, intonation, how to order and give
question for the patient when using the expressions from the book. The trainers need to
record themselves during the role-plays, it would help them to hear and improve their
language. As far as possible, the material of this book following the standart international
services in the midwifery job. Trainers may to make changes if it can make batter services to
their patient.

REFERENCES

Nation, Macalister. 2010. Language Curriculum Design. Routledge: New York and London.

Astuti, EW. 2015. English in Midwifery Practice. (Diunduh 2018 Jun 3). Tersedia pada:

https://vocaedumidwifery4.files.wordpress.com/2015/03/modul-bahasa-inggris-div.pdf.

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