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This handbook is designed to be used by Midwifery students as a quick access guide.It can also be used as a quick reference by various cadre of health science professional(Medicine,Health officers,Psychiatric Nurses,Medical Surgical Nurses,Community Nurses,Pharmacy, Health Informatics, Laboratory and other health science health care workers) taking obstetrics and gynecology as part of their training. It can be used as a reference by instructors of Obstetrics and Gynecology. Ethiopia India Brazil China are the countries in the world with unacceptably high maternal mortality rate.Various strategies are being implemented to reduce this rate and improve the overall health of women.One such strategy is ensuring the provision of preventive,curative and rehabilitative health services to the population by improving access and quality of services by training competent mid level and front line health workers. Currently a number of higher learning institutions are involved in the training of midwives. One of the objectives of midwives training is producing competent professionals capable of delivering comprehensive emergency obstetric care and managing other common gynecological problems.