NIPPLE CONFUSION IN BABIES DURING BREASTFEEDING

Please my baby doesn’t like to suck my breast for milk, rather he will prefer I pump and take it from the feeding bottle. Any assistance to help him suck the breasts please?

The reason is when I delivered him breast milk wasn’t flowing so I had to feed with SMA until breast milk flowed.
This usually occurs when you introduce bottle feeding early to the baby.

Baby gets confused and refuses to take the breast. Baby may also refuse the bottle at a point
It’s Important to introduce a baby to breast immediately after birth and continue with exclusive breastfeeding for the first six months.
For the first three weeks after birth only give breastmilk. Delay in introducing bottles or a pacifier at least for the first month if you have no issues
Before a baby is born, colostrum is readily available.
The more you breastfeed the more breastmilk will be produced
Eat more, take lots of fluids and rest
To reverse nipple confusion, gradually stop giving bottle to the baby
Stay with baby more often
Make feeding time a happy time for baby

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RETAINED PLACENTA AFTER BIRTH – WHAT YOU SHOULD KNOW

After the birth of your baby, your placenta is expected to follow within the first 30 minutes

If it delays in detaching and its self from the uterine wall, we say the placenta is retained and further steps have to be taken to bring it out.

A retained placenta will prevent the uterus from contracting and retracting. This means blood vessels in the uterine wall cant be occluded and will continue to bleed. Lots of blood is sent to the uterus during pregnancy and that is what makes it even more dangerous. Bleeding will occur since the uterus is not contracting

It has to be manually removed by your doctor or midwife so the uterus can contract.

Depending on how severe it is you may be sent to the theater and removal done under anesthesia.

Its one of the reasons why choosing a facility where the staff are skilled with facilities ready for emergencies is of extreme importance

In situations like this you will need the whole team, gynecologist, midwives, anesthetist, theater nurses, blood bank staff etc

If you are in a small facility, early referral is needed to save the mums life on time

Blood transfusion will also be done if bleeding if severe

Always cooperate with your health care provider in situations like this as every minute counts!

Do not leave your pregnancy to chance!

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THE WATER AROUND YOUR BABY( AMNIOTIC FLUID)

Amniotic fluid around your baby is just as important as the air you breath to the baby.

Significant reduction in the amount of the water called oligohydraminous can lead to malformations in the baby

Too much of it suggests other complications too

It has to be adequate for the baby to form properly

When your waters break before labor sets in, it can lead to infection or other problems

At any time when your waters break do report immediately

Pregnant? Do not leave your pregnancy to chance!

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WHEN BABY POOPS IN UTERO – MECONIUM STAINED LIQUOR

Midwife Sally what causes the water around a baby to become greenish and why do midwives/doctors consider it as an emergency?

During pregnancy the baby is surrounded by fluid/water which is called #liquor. It protects the baby in utero.

#Meconium is the first stool of the baby and it is also greenish in color

In utero a healthy baby will not poo into the liqour that surrounds it.

Several factors can cause your baby to go into distress in utero. Once your baby does not get enough oxygen in utero, with time if no intervention is given. The anal sphincter muscles and the other sphincter muscles of the baby will relax.

Baby will start to poo into the amniotic fluid, and also aspirate. Meconium liqour can also get into the respiratory system. It gives the liqour that greenish color

If your waters break and the liqour is greenish in color it shows that your baby may be deprived of oxygen and is struggling to survive. Delivery has to be as soon as possible to prevent further complications.

The more greenish or thick the liqour is the worse the complications can be.

Always cooperate with your midwife or doctor to expedite delivery. The earlier baby is delivered the better complications are reduced.

In some cases an emergency Caesarian section can be done to save the baby. Other investigations will be done to ascertain whether baby Is really in distress or not.

If you get into labor pay attention to the liqour around the baby, if it’s greenish in color immediately alert the medical staff or report immediately to the hospital. That is possible if your water has broken.

Once baby is born, they may need additional care at the neonatal intensive care unit or help with breathing.

Midwives are always be ready to resuscitate new borns that need help with breathing.

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WHEN YOUR BABY IS TEETHING

In our local settings it’s common to hear that once a baby is teething she can have diarrhea and also high temperature and that’s normal. 

Please, this is not normal! 

There are several causes of fever and diarrhea. 

Infection, the food you give the child or even malaria 

It’s not OK to assume baby has Diarrhea because he is teething 

Even the rise in temperature caused by teething is not that significant 

So mums, if you notice your teething child has fever or diarrhea, don’t just assume it’s teething without seeking medical care. 

Seeking early medical care helps prevent complications 

#Like #Share #Comment

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MOST LIKED COMMENT – WHAT FOOD WERE YOU ABLE TO EAT DURING PREGNANCY WITHOUT VOMITING OR FEELING NAUSEA

Banku and okro oooo
I had a favorite joint…the place looks local…but I will go there and enjoy my food angasagasa
My husband is ahia so I kept my joint a secret from him, I don’t know which of my house witches asked me to
Show him that joint one evening….i sent him there he and decided to go and get me the banku and okro from IKES CAFE instead of my favorite joint ooo

I was on the floor waiting for him with my bowl and water ready…he served it p33333
I said eeeei Nana wakum me
Aduane b3n ni?
He’s like that your food nu was finished…
Mese woboa!
It is for travelers…they are there till late in the evening
Eeeeei i started crying…
Mesuu boie boie oi boie saaaa and he couldn’t even go back….
After delivery,i pass that place i don’t even watch there…..eeeei yinsen y3 dambc oooo🤣🤣🤣

Thanks for sis Joyce for this wonderful contribution

Don’t leave your pregnancy to chance.

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HOW TO IDENTIFY THAT THE BABY IN UTERO IS IN DISTRESS

Have you been in that situation when your doctor or midwife tells you the baby is in distress and needs immediate interventions to save its life?

This is what it means. Your baby is not receiving enough oxygen from the placenta and so baby begins to struggle for life

Several factors and conditions can lead to fetal distress. Placenta abruptio, infections, preeclampsia, diabetes and many more

These are the signs that shows that your baby may be in distress

🔴Meconium stained liquor. Water around the baby looks greenish. Baby starts to pass stool in utero and even inhales it. Leading to respiratory distress

🔴Baby’s movement will be slow or excessive. Be familiar with your baby’s movement

🔴You may be bleeding

🔴Sometimes you start to experience unusual cramps

🔴When your baby’s heart rate is checked it will be above 160bpm or below 120 bpm.

If you experience any of these early interventions are needed to save your baby.

Cooperate with your doctor or Midwife Sally

Do not leave your pregnancy to chance!
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DIABETES IN PREGNANCY/SHARE/INVITE SOMEONE

Diabetes in Pregnancy can cause so many complications. But strictly adhering to your doctor’s instructions and a healthy lifestyle can reverse all the negative effects!

Remember the #secret is that once your glucose level is controlled, many of the complications are prevented as well. 

Once diagnosed 

🔴Take prescribed medications and insulin as prescribed

🔴Involve your family in your care

🔴Eat nutritious meals containing, vitamins, minerals, Fibre and protein. Reduce processed food and carbohydrates. Speak to a nutritionist.

🔴 Always go for your appointment with your doctor

🔴Deliver your baby in a hospital with neonatal intensive clinic. 

🔴Check your glucose level as often as requested by your doctor.

🔴Exercise moderately 

🔴Treat infections promptly

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11 SECRETS TO AN EASIER LABOR

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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YOUR BABY’S FETAL KICKS

Once your baby starts moving/kicking , your baby should not stop moving or kicking 

Quickening is the first movement of your baby and usually occurs between 16 to 24 weeks of gestation 

Always pay close attention to the movement of the baby

At least once in a day get a quiet place and time to pay attention to your baby’s movement 

Be familiar with it.

Report if baby’s fetal kicks have slowed or excessive!

Don’t assume your baby is asleep! 

If you have doubts just call your doctor or midwife. 

He may listen to the fetal heart rate with a doppler, request a scan or do further investigations 

Your normal fetal heart rate is between 120 to 160 bpm. 

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Also available on

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