WHAT CAUSES YOUR PREGNANCY NOT TO GROW AGAIN OR THE FETAL HEART BEAT TO STOP IN EARLY PREGNANCY?

The most common cause of first trimester pregnancy loss is chromosomal abnormalities.

There could be other factor like infection, poor nutrition, diseases etc

Speak to your doctor about it

Also take your folic acid

Sign up for a pregnancy class in your next pregnancy

If it continues see a gynecologist for more investigations.

Also remember the fact that it had happened does not mean it will continue with every pregnancy.

You will be fine!

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🚺CARE FOR YOUR UTERUS/WOMB!!!🚺

Exactly how your uterus looks like…. How will you take care of your uterus? Let’s discuss. This organ carries your baby during pregnancy, plays a role in menstruation and many other things a woman can’t do without….

1. Prevent infection by wearing clean cotton panties.

2. Maintain strict perineal hygiene

3.Change pad frequently when menstruating

4. Avoid douching

5. Eat nutritious meals, reduce processed foods and increase fruits, vegetables and whole grain foods.

6. Plan your birth to prevent unwanted pregnancy. Talk to the family planning nurse

7. Treat infections promptly

8. Get a pap smear and other necessary investigations

9. When pregnant go for antenatal and adhere to your midwives advice

10.Avoid unsafe abortions.. talk to your health care provider

11. In case of any abnormal bleeding, fibroid etc. Consult your doctor. Avoid unprescribed medications and concoctions.

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You can Book a one on one session, Buy your baby Items, Book for an interview or other matters and also Buy a book on pregnancy from us. 0535764057

Get a copy of my book via.
Available on Amazon… https://www.amazon.com/dp/B08JBY73D2
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SURVIVING PRE-ECLAMPSIA – A REAL LIFE EXPERIENCE (LONG POST ALERT)

It’s the hope of most ladies, after a beautiful marriage ceremony/relationship, to be blessed with the fruit of the womb, which we mostly expect to be uneventful. But this is not always the case for everyone.

The story of Ama was no exception. 12 weeks after she got the fruit of the womb, severe headaches surfaced which she attributed to stress or probably something else. She had enough rest, took some analgesics on some occasions, but it looked like this frontal headache was persistent even at rest.

It was time to seek further help. She consulted her midwife who alerted her it could be a sign of pre-eclampsia and that she needed to be assessed, properly diagnosed and put on appropriate treatment.

On her first visit BP exceeded 130/90 mmhg. When a urine dipstick test was done protein was traced. She complained of dizziness, fatigue and breathlessness. She even felt nauseated and vomited on her way back home from the hospital. She was allowed to go home on medication.

After her initial diagnosis, her midwife told her about the typical signs and symptoms of pre- eclampsia, which includes severe headache, swollen hands and feet, epigastric pains, high blood pressure , protein in urine and dizziness.

She started to read and empower herself with so much information especially online and also following blogs that related to maternal health. She also joined a support group for mums and midwives.

It wasn’t an easy journey. She also made sure she took her medications as prescribed. She will report to the hospital or call her midwife or gynecologist immediately if she felt unwell or had any of the signs mentioned above. She did not want to be a victim of pre – eclampsia.

On one occasion she was hospitalized until Blood pressure was well controlled and then she was discharged. Sincerely her midwife thought BP was too high and it had started too early within her first trimester, so was really wondering if this pregnancy will go to term or the baby could survive. Typically it begins to show around 20to 24 weeks, so this was too early and unusual.

In certain cases when BP is too high, uncontrolled and a threat to mums life. Pregnancy could be terminated to save the life of the woman

The problem here is that if a mum has high BP.. It reduces blood supply to the baby leading to problems like small for date, asphyxia , still births etc. Uncontrolled hypertension can lead to life threatening conditions in a mum. It is one of the leading causes of maternal complications in Ghana.

Little by little, days passed, months passed and mum together with her health care providers managed to keep BP under control. She also made sure she went for her appointment, ate nutritious meals and did some passive exercises at home.

On one faithful dawn, when pregnancy was just about 28 weeks, she woke up and realized that her headache was severe and persistent, she had epigastric pain and breathlessness was present. She knew something was definitely wrong. All she said was “Husby, kindly send me to the hospital immediately “ Husband did knowing that was an unusual request from her wife.

For about an hour she had to suffer all these till she was transported to the hospital. She had a good relationship with the health providers in the hospital.

BP was checked, it was High, 180/110 mmhg, protein was present in urine, all the symptoms showed that if the baby was not delivered immediately, the life of the mother would be in danger.

An emergency cesarean section was requested which she agreed to since she has already read a lot about her condition and her midwife has also prepared her mind that, baby could be born earlier. In severe pre- eclampsia most mums are not allowed to go to term, since placenta may not be able to support the baby till 41 or 42 weeks. Depending on the situation, pregnancy can be terminated at any time. If BP is well controlled pregnancy will be allowed to go to a maximum of 37 weeks if mum was diagnosed with preeclampsia.

Baby was born premature, weighing 1.2kg. 8 to 10 weeks earlier than expected. She was sent to the( neonatal intensive care unit) NICU where she was kept in the incubator for 6 weeks before finally being discharged. Baby was a real fighter. She survived. At 2 months old, her weight doubled baby was doing great.

Pre-eclampsia is real. It has become very common, but with careful management its complication can be managed

Sure her Gynaecologist and the team that delivered her promptly will also be overwhelmed with pride. They did a great job!!!

Yes we survived pre-eclampsia. Both mum and baby survived.

The cause of pre-eclampsia is unknown. It has risk factors, but can even occur in women who have no risk factor. We all need to be alert once we get pregnant.

Pre-eclampsia definition… Pre- eclampsia is a pregnancy complication characterized by high blood pressure and signs of damage to another organ system, most often the liver and kidneys. Preeclampsia usually begins after 20 weeks of pregnancy in women whose blood pressure had been normal.(Source-Google)

#Ama is sharing her story to empower other women going through the same problem to know that it is real, but can be controlled and good results achieved if both health workers and clients work together.

#Share to help another mum

And yes I had one on one sessions with Ama

Visit our channel for more videos

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Written by Midwife Sally

MEASURING TAPE – A CRITICAL TOOL USED IN OBSTETRICS

Have you ever wondered why your midwife or Gynaecologist will always measure your abdomen with a measuring tape during pregnancy ?

This is why.

The growth of your uterus usually gives an estimation of the maturity or growth of your baby

If it measures around any number it’s likely your pregnancy is that week old.

Example if you measure 20 cm, your pregnancy could be 20 weeks old. It could be + or – 2. Meaning at 20 weeks you could measure between 18 to 22 cm

Measuring your fundal height can reveal if there is any abnormality. Example

Fetal growth restriction. If you are 20 weeks but you measure 10 cm. Your doctor does more investigations

If you are 20 weeks and you measure 30 cm.. Doctor/midwife will ask if you have twin gestation, polyhydramnios or anything else.. More investigations will be done

It’s usually done after you have emptied your bladder and lie comfortably on your back for a short while. 

During early pregnancy it is usually not measured until your uterus grows and doctors can palpate it. 

Also watch how your bump grows and how it corresponds with your baby’s gestational age. Ask your doctor if there are concerns. Doing could help you save a situation early enough

Join our Pregnancy class to learn more if you are expecting. 053 576 4057

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You can Book a one on one session, Buy your baby Items, Book for an interview or other matters and also Buy a book on pregnancy from us. 0535764057

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Also available on

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DELIVERY OF THE PLACENTA (THE THIRD STAGE OF LABOR)

After the birth of your baby, it’s not over. The delivery of your placenta follows.

Within 30 minutes after birth the placenta should separate and be delivered.

It’s a very critical time and if not well managed can lead to serious complications like bleeding which is life threatening.

The placenta has membranes covering it, lobes that face the mum (maternal surface) and a smooth part that faces the baby. The cord has two arteries and a vein.

The midwife/ doctor has to inspect the placenta to make sure everything came out. There should be no missing lobe. The membranes should come out completely.

Any retained product can possibly prevent the uterus from contracting and cause bleeding.

Retained products can also get infected and cause problems several days later.

If after birth whilst in the recovery room or at home your bleeding doesn’t subside but you are actively bleeding call the team to re examine you.

Severe lower abdominal pains which are extreme after birth should also be reported for re examination.

Doing so in time can save your life!!!

Bleeding after birth is the no. 1 cause of maternal mortality worldwide. Take early steps to save your life!

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HOW TO MAKE YOUR LABOR EASY

Labor has three stages

First stage.. Cervix which is the opening of the uterus dilates from 0cm to 10 cm. (Full Dilation)

Second stage… Cervix is fully dilated and mum can push baby out with midwives support

Third stage… Placenta is delivered

Contractions cause the cervix to dilate and it can be painful. Some few things you can do to ease the pain

🔴Walk around if your doctor confirms its ok to do so

🔴Warm showers

🔴Listening to music or engage in a healthy conversation with your support persons

🔴Sacral massage from your support person

🔴Assume a comfortable position. One that makes the birth easier. Learn about birth positions

🔴Eat enough if you are permitted to do so especially when no danger is anticipated

🔴Cooperate with your midwife. Always talk about your needs and how you feel with your midwife or doctor

🔴Request for pain relief. It should be in your birth plan

🔴Watch your favorite video or a healthy conversation with a loved one

🔴Dancing helps especially in the first stage of labor

🔴Don’t forget prayer works as well.

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INTERVENTIONS SAVES LIFE- LETS END THE NEEDLESS MATERNAL COMPLICATIONS IN AFRICA

The midwife who helped to pay a mums bill sent a voice note from Obuasi.

#Story

The lady could not pay her bill but the hospital let her go home so she could come and pay little by little. She did caesarean section.

Due to her bill when she went home she never came for wound dressing. She was scared that when she comes to the hospital they will demand the money.

So when I shared that a mum wants to help someone, she called on her behalf and we paid it. She traced to the woman’s village to inform her that the bill has been paid and also check on her.

She realized the woman’s wound was getting infected since she could not come for dressing or postnatal. she wasn’t well. She sent her to the hospital immediately for the wound to be dressed. Also she will attend post natal for further care.

Yes we saved a life from complications. This could have ended differently. We thank God for the intervention!

This woman can freely walk to the hospital for care now. When she is well she can also take care of her baby.

This little things is what results in maternal deaths and complications.

The donor just saved a life using this platform and we are grateful to her. God richly bless her.

The midwife also did so well by tracing her to the village. Client had no phone and according to her even her living conditions is not encouraging. All the same we are grateful for this intervention.

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PINK BABY- HEALTHY NEW BORN’SKIN COLOUR

The colour of your new born baby at birth should be pink

It shows that baby has enough supply of oxygen to all parts of the body

If the palm and feet are blue, it indicates a sign of cyanosis, a sign of reduced oxygen.

It’s more severe when the chest region is blue.

Call the attention of your doctor immediately

Report if your baby is blue, pale or yellow in color.

If your baby is dark in color and you cannot see the pink color, check the palm or the sole of the feet. It should not look pale or bluish.

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RAPTURED UTERUS – AN OBSTETRIC EMERGENCY

To reduce maternal complications we have to talk about the problems we face in Africa

The uterus is the organ that carries pregnancy till birth

It is recommended that if you had a baby you wait for at least two years so it can regain its strength before the next baby especially with cesarian section.

Mothers with previous c/s who get pregnant within two years are likely to go through another planned c/s so they don’t go into labor since it can lead to a raptured uterus

Some mothers also take medications to speed up labor, when contractions is excessive it can lead to a raptured uterus. It’s important that you never take any medication to speed up your birth at home.

Women who have given birth to many children and also in short intervals also have a high risk of raptured uterus.

The risk is that the woman loses a lot of blood within a short time and can lead to fetal or maternal complications if an immediate cesarian section is not done to repair in minutes.

Speak to your midwife or doctor about your risk and how you can prevent it.

Note all these circumstances mentioned here can be managed and you will go through a successful pregnancy. Speak to your midwife or doctor now!

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CAN CONCEPTION BE AFFECTED WITH ISSUES WITH THE UTERUS?

There are different types of Uterus

Not every one of them supports a normal pregnancy

Some are congenital abnormalities

But it does not mean mum can never have a child of her own

With science many things are possible now

Preconception care before pregnancy can help to detect whether you have a problem that has to be sorted out first before trying to get pregnant

Speak to your doctor about options available for you

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