Obstetrical care often is provided by an OB/GYN or a trained health care provider. Some pregnant women seek out the services of a certified nurse-midwife or a certified midwife for care and support during pregnancy, labor, delivery, and the postpartum period:
1 Tetanus is caused by a type of bacteria (Clostridium tetani). 2  The tetanus bacteria often enter the body through a puncture wound, which can be caused by nails, splinters, insect bites, burns, any skin break, and injection-drug sites.
Tetanus is caused by bacteria that enter the body through open wounds. The bacteria cause an increased tightening of muscles, resulting in spasms, stiffness, and arching of the spine.