WHAT HAPPENS IF YOUR PLACENTA IS DOWN?

During labor the placenta should be the last to be delivered. If it is covering the opening of the womb it means it will be the first to separate. That also means it can cause bleeding since the blood vessels there can’t contract to stop bleeding

If the placenta is down , your birth should be planned. So it doesn’t cause any problems. In severe cases cesarean section is done

If you are pregnant and the cervix is down , you need to be cautious and adhere to your doctor’s advice. Especially on mode of delivery and what to do to prevent bleeding

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WHAT HAPPENS IF MY CERVIX STOPS DILATING DURING LABOR

Yes, no vaginal delivery can occur if your cervix does not dilate. It has to open to allow vagina birth. The cervix is the opening of the uterus. It is also known as the mouth of the uterus.

During pregnancy it is closed. It has to open from 0 to 10 cm, then we say it’s fully dilated. Your midwife will then ask you to push your baby out.

In some women it may stop dilating during labor even with severe contractions.

The midwife will continue to monitor with a patograph every 4 hours by performing vaginal examination especially in the active phase of labor. Assuming you repeat the same figure,4 cm continuously, they may decide to take further steps to prevent complications associated with prolonged labor.

They may choose to augment or move to the next step of performing a cesarean section.

Know that prolonged labor can lead to fetal distress, maternal exhaustion, obstetric fistula etc

At that point every minute counts. Cooperate with your doctor or midwife for the best outcome.

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CARE OF THE PERINEUM

The vulva is the outer part of the female Reproductive system. Its what you see when a woman open her legs wide.

It has the vagina opening and the urethral opening.

Just below it is the anus.. Where fecal matter is excreted from the body.

These openings are close to each other. It means infection can easily pass from one opening to the other if you don’t clean well.

It’s important to clean yourself after using the washroom from front to back. Meaning you clean from the Urethral opening, towards the vagina opening then the rectum.

This will prevent sending infection from the rectum into your vagina and urinary tract.

Always maintain strict personal hygiene and also wear clean and comfortable underwear preferably made from cotton.

It’s important to keep your perineum clean and dry to prevent infection.

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MIDWIFE SALLY, IS NON STOP BLEEDING IN IN WOMEN DANGEROUS?

Yes it is. No woman should have prolonged bleeding. Once you are loosing blood, you are loosing your life.

Go to the hospital for check up.

Prolonged bleeding after birth, abortion or family planning is not normal

Post menopausal women bleeding continuously is also not normal

If you have fibroid and have heavy bleeding with prolonged bleeding please report to the hospital.

Please do watch the video to understand

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ESSENTIAL THINGS TO PAY ATTENTION TO DURING PREGNANCY!

Some information about your pregnancy should be at your finger tips
You should ask your midwife or doctor whether these specific things are within normal and what you can do
After reading take your antenatal book and check
Its not enough if you are just told all is ok!

🔴 Your blood pressure (BP)
🔴Your Haemoglobin level (HB)
🔴Your expected date of delivery (EDD)
🔴Your placenta location
🔴Your specific health condition, example previous c/s, diabetes, fibroids etc
🔴Sickling status
🔴Your weight gain

Add yours 

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DURING PREGNANCY DON’T DOUBLE YOUR FOOD BUT DOUBLE THE NUTRIENTS IN THE FOOD

Its said that during pregnancy eat for two. You don’t really need to double the food you eat.

All you need to do is to increase the quality of the food you eat.

In between meals. Eat fruits and vegetables. They keep you full, have less calories and also have great supply of nutrients.

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WHAT IS THE RISK OF A LOW LYING PLACENTA AT BIRTH?

The placenta with nourishes the baby with nutrients and oxygen during pregnancy is supposed to be located in the upper part of the uterus. If it is in the lower segment, we call it placenta previa

In placenta previa the location of the placenta is low and it comes with risk.

Some of the risk include

1. It can lead to bleeding 🩸during pregnancy and at birth. The placenta can detach pre maturely because it’s not in the right position

2. It can lead to preterm birth

3. It can affect the growth of the baby since the placenta is not in the right position

A scan can help diagnose placenta previa. If it is diagnosed, your doctor can help you go through the pregnancy with ease.

Your birth should be planned and the hospital you give birth should at least have a theatre and blood bank in case you need it.

In severe forms of placenta previa, your activity level will be limited and a cesarean section will be the mode of delivery. You will also be monitored closely throughout the pregnancy.

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I WANT TO GIVE BIRTH VAGINALLY AT ALL COST

She was expecting twins

She had breech presentation for both twins

Her Blood pressure was also high

She was supposed to be delivered through caesarian section due to all her issues earlier around 37 weeks

She was booked to have a caesarian section

She did not show up.

Hospital followed up. She still refused to have an operation.

She was hoping to give birth vaginally

Then one morning when she was 40 weeks, she fell at home suddenly.

She was rushed to the hospital immediately

Spent a few minutes and died.

She had other children left behind and a husband.

Sad right?

During pregnancy, be open minded. Read more to educate yourself about your health condition.

Also do well to always work together with your doctor.

If you have doubts seek a second opinion from a recognized hospital.

Don’t stay home without any care.

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“YEM KRO” HEALING/RECOVERING AFTER BIRT

Many women believe there is wound literally in the stomach or abdomen after birth, they resort to so many preparations and concoctions to heal this wound that is left in the stomach after birth. Sometimes trying to heal this wound rather bring them more issues since the stomach does not really play a part during labor. Is it the uterus they call stomach or this is to help new mum take good care of themselves.?Let’s learn

During birth the baby is actually in the uterus/womb and attached to the mother via the placenta. The placenta is what connects mum and baby. After baby is born in the 2nd stage of labor as shown in the diagram, the 3rd stage follows which is the birth of the placenta.

After the birth of the placenta the uterus continues to contract which makes it smaller, the smaller it becomes the more bleeding is also prevented. So literally we are more concerned about the place where the placenta detached to heal properly and regain its strength.

Within the next six weeks after birth contractions will continue and the uterus will continue to become smaller. The uterus sheds of all the left over blood gradually over time and it’s called lochia. It is a natural process and will cleanse itself. The tips you will need to make sure you are safe and free from infection include

⛔ Strict personal hygiene, bath twice daily

⛔ Change pad frequently and wear clean cotton panties

⛔ Take prescribed antibiotics to prevent infection

⛔ Eat nutritious meals rich in vitamins and minerals to promote healing

⛔ Passive exercise, like walking, and deep breathing exercise

⛔ Report immediately if you have severe bleeding, pain or offensive discharge

⛔ Remember, breastfeeding helps the uterus to contract after birth. Breastfeed baby

⛔ Rest is also medicine. Get people to help you so you can have enough rest

These basic things will keep you healthy, there is literally no #wound in your stomach. You only need to take care of your self after birth. If you feel sick talk to your midwife/doctor . #Share to help someone. #MidwifeSally #maternityleave health #yemkro

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WHAT IS BREECHPRESENTATION?

WHAT IS BREECH PRESENTATION?

#BreechPresentation simply means baby is not coming with the head. It’s coming or presenting with the buttocks. Speak to your midwife or doctor about it

Discuss mode of delivery. It’s extremely important!

It’s seen via scan or the midwives palpation of the abdomen

Never allow untrained persons to try to turn your breech baby

Work together with your health care provider for the best outcome

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