WHY DO YOU NEED AN EPISIOTOMY DURING BIRTH?

WHY DO YOU NEED AN EPISIOTOMY DURING BIRTH?

Hi mums I teach a lot and give lots of information in the class. We also reply all your personal questions, I invite you to join us

This question came up during today’s class…

Why do you need an Episiotomy at birth?

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It’s not a routine. It has to be done only when it’s extremely necessary.

It’s done when the baby’s head has crowned.

If the doctor or midwife anticipates that the woman will have a bad tear or she needs more space for the delivery process she may give you an episiotomy

It’s also done with the woman’s consent

A pain relief can also be given be for you are cut.

Cooperate with your doctor for the best outcome

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LEARNING ABOUT YOUR PREGNANCY AND ADVOCATING FOR YOUR SELF!

It a long post

A first time mum, my pregnancy journey was a smooth one, no severe symptoms, I do everything normally, no cravings nor vomiting, I go about my activities normally. I have never miss my drugs or ANC and I do ask questions anytime I go for ANCto the extend that one sonographer ask if I have been n doing chew and pour 

because I ask so much questions thanks to midwife sally and team.
This Journey is a whole lot as it involved physical, spiritual and emotional struggle. I remembered one Monday Morning I was going to buy waakye when I met a lady passing by, she called me I went close to her and what she said was(madam the baby in your womb will die if you don’t take care) eish Jesus where from this, this early morning all what I said was my baby shall live to declare the work of God, and I remembered psalm 71, I became more prayerful.
At 36 weeks I changed to a bigger facility even though it wasn’t too close to my house, was ask to donate blood and other things which I gladly did because the class has given ideas about all those things,

Two weeks to my EDD I join the advocacy class organized by midwife Sally, I was encouraged so I advocated for myself at work and I stayed home to fully prepare and wait for my baby.
39 weeks no sign my gynecologist did a membrane sweeping for me but no show baby was just enjoying all the food I eat, I walk a lot, did perineal massage, dancing too.
At 40 still no show, membrane sweeping was done again cervix was still closed, I became worried, extremely tired, I called midwife Sally and she advised me. My gynae told me I will be induced at 41 if still no show. I packed and went to the hospital for the induction, @ 10 I was given the first dose of cytotec orally for contraction to initiate, contraction started alright but cervix was closed. At 4 pm second dose was given I was enduring the pain cervix was still closed after SV.


At 11 pm third dose was inserted, pain was unbearable, my tears all dried up so I ask for pain relief, I was given but still was in pain.
I opted for CS because I wasn’t able to bear the pain anymore even though baby was fine but cervix was still closed. One midwife came to me and encouraged and gave me hope to pray more.
7 am they came to check and still cervix closed,17 hours and cervix was not even 1 cm opened 

eiii God I know you are a miracle working God, I kept hoping and God being so good at 8 am they came to check again and I was 6cm opened!!!! (like Eii what God can not do does not exist,)was enduring the pain, I was checked around 9 am and I was 9cm woow, midwives came in around 9:40 and I was 10 cm opened I was asked to now push for my little angle, on my fourth push that was around 10:10 my bundle of joy arrived (9:45 – 10:10am)weighing 3.5. 24 hours of contraction but it was worth it. All praise to Baba God I prayed, listen to all the advice from midwife Sally and team and the class members God bless you all

Sorry for the long post.

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HOW CAN I OPEN MY CERVIX IF ITS SMALL?

During pregnancy your cervix which is the opening of the uterus is supposed to be closed till you are term and labor sets in.

Your cervix dilating before term can lead to miscarriages or preterm labor

Do not force your cervix to open in any way.

To aid dilation during labor, staying active and Exercising during pregnancy can be helpful. Also stay calm so your body can relax .

Remember induction of labor is always done under strict supervision in a hospital.

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MY BIRTH STORY – BABY WEIGHED 3.5, WITH NO TEAR OR EPISIOTOMY (FIRST TIME MUM)

Alhamdullilah, and a very big Thank you to all the Midwives on the page and all the Midwives of Madina .
I am a follower of this humble page, I read a learnt from this page.
My journey was a smooth one, no nausea ,no vomiting. At 32 weeks months I had issues with my eye so I had to an early maternity leave from work. At 36 weeks, I kept praying labor should set in latest by 38 weeks. I prayed so much but God’s time is the best.

I started feeling some waist pains on 18th April. The following morning around 10 am contractions began and i started recording it. It was very severe so I endured and went about doing my chores and did some exercises afterwards, around 6am the following day I saw the blood show. I called my midwife and she suggested I wait till the contractions become unbearable then I report to the hospital. Surprisingly the contractions stopped till later that evening then my water broke. As I learnt on this page about the possibilities of an infection after the water breaks, I hurriedly reported to hospital but when I was checked I was only 1 cm, I was hospitalized and then they infused some antibiotics. The contractions were on and off, I was restricted from exercises or doing anything vigorous as the water kept ozing out. On Thursday 21st April, I began feeling pains in the chest I did a scan and was told the baby was alright and the water around him was adequate it’s his butts that is pressing my chest eeeiii.

I was checked around 2 pm and was 4 cm eeeeiii after all the pains I was enduring. Well to shorten the long story, I was given a drop which I believe had some kind of drug in it to fasten the contractions because at some point I got tired , whenever I was down, l remembered your words of encouragement. At some point I disconnected the drip because I was shivering 

🙈

. There was blood everywhere and was from my hand.

Around 4:40 am on 22/4/25, I called the nurse on duty to come and check how much I have dilated because at that point I was really getting tired and breathing in and out during contractions wasn’t helping. She felt reluctant at first because I wasn’t shouting like the rest of the women in the ward, she was surprised when she checked and I was fully dilated. I was very happy also, I was asked to push around 5 am and I did 3× all that came was poo

🙊

, eeii another wahala. They cleaned me up, and after the 2nd push my baby boy was out. I actually gave birth on the estimated due date : 22/4/25, baby weighed 3.5kg no episiotomy, no tear. And am a first time mum.
I was able to go through this because I read a lot and followed almost all the advice you gave on this page.

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WHY DO THEY ALWAYS CHECK FETAL HEARTBEAT AT EVERY VISIT

They check the fetal heartbeat at every prenatal visit to monitor the baby’s health and development. Here’s why it’s important:

  • Confirmation of viability: Hearing a heartbeat confirms the fetus is alive.
  • Detecting distress: Abnormalities in the heart rate may indicate fetal distress or complications.
  • Tracking development: As the pregnancy progresses, the heart rate pattern changes slightly, and regular checks help ensure it’s within a healthy range.
  • Reassurance: For both doctors and parents, it’s a simple and non-invasive way to know things are on track.

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WHY DO I STILL TEST POSITIVE FOR PREGNANCY AFTER AN ABORTION / MISCARRIAGE?

The hormone that is responsible for pregnancy, will still be present for sometime in your body and gradually reduce after an abortion. So if you just check after an abortion it will still test positive, but after sometime it will be negative.

Always make sure your doctor has done a scan to confirm all is well before you are discharged

If you go home and you begin to bleed or have any symptoms report back to the hospital

Let them just check to be sure all is well.

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WHY AM I URINATING FREQUENTLY DURING PREGNANCY?

The baby’s head is comfortably putting pressure on the bladder. This doesn’t allow it to expand fully befor you get the urge to urinate.

What this means is that once you will feel the urge to urinate more frequently

It’s not an infection. But then if the urgency is too much,you have pain during urination, etc then do report to the hospital

Also keep strict personal hygiene to prevent you from getting infection!

Don’t worry this stage will pass soon after your baby is born.

Don’t leave your pregnancy to chance.

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THE PLACENTA: AN ESSENTIAL ORGAN FOR YOUR BABY’S SURVIVAL

🔴Have you ever wondered how you survived 9 months in your mums womb!

🔴Thanks to this magical organ which forms when a woman gets pregnant.

🔴It serves as a connection between mum and baby.

🔴It has three parts, the maternal surface that attaches to the mothers womb, the fetal surface which faces the baby and the cord which contains a vein and two arteries that transport oxygen, nutrients and other needed substances.

🔴The placenta during pregnancy attaches to the upper part of the uterus. It produces hormones that help to maintain pregnancy.

🔴The placenta at a point during pregnancy, when baby is fully matured may stop functioning effeciently. It is important that all pregnant women do not allow their pregnancy to go beyond 42 weeks gestation. At 41 weeks you and your doctor should decide mode of delivery if labor has still not set in.

🔴It can also have problems like placenta previa where placenta, is not in the right location. It can cause problems, but can be managed

🔴After delivery placenta is birthed. A retained placenta or portion remaining after delivery can cause bleeding. Report to the hospital immediately you have severe bleeding after delivery.

🔴After delivery, some cultures have different ways of handling it. If requested, it will be given to you under hygienic conditions. You decide what to do with it as your culture permits.

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CULTURAL BELIEFS AND PREGNANCY

Young Ghanaian girl from a remote part of Ghana. She was brought to Accra by a young man after she was married to him.

In Accra she got pregnant and started having complications. She had polyhydramnios (Too much amniotic fluid in utero). Though she was in her second trimester, her tummy was as though she was carrying twins. She had already started having lower abdominal pains.

She was really sick and needed to be monitored. All explanations were given to the husband, but he insisted the lady be discharged for him. He was so furious all the nurses were scared and wanted to discharge this young woman to him. His plan was to send the young woman to his parents in the village. This journey will be more than 12 hours and they will be going without an ambulance or health worker. The surprising thing was how his sisters who were women supported their brother to take his wife out of the hospital against medical advice.
The young woman had relatives in Accra, but was insisting it’s against her tradition to give birth in your mother’s house. She had to be with the man or his family to avoid bad luck.

She knew she was at risk, but her belief in all these traditions was deeply rooted. She will not go against them. She was not happy with the man’s decision to be sent to the village, but to her, she has no right to decide for herself even in this critical circumstance.

The issue was really complicated. How do you advocate for a woman who will give you up if any situation should arise. Every one of the doctors, nurses recoiled.

It took the intervention of that bold midwife to speak to the husband. She sat him down and explained to him the risk he is posing to the young woman. What if labor sets in on the way and she starts bleeding, what will happen.

Her sister in law was asked in their face if they were in her situation. Will they be happy? Will they allow their brother to risk the life of another woman’s child? This got to them. They vanished a few minutes from the hospital.

Husband now agrees to keep the woman in the hospital. In less than 12 hours the following morning, she had gone into labor and delivered. She was now free of her complications and smiling. Husband comes and thanks the midwives for advocating on behalf of his wife.

It’s important that we begin to think about how our cultural values affect maternal health. Negative beliefs can increase maternal mortality.

Women should understand that they have a say in decisions that affect them.

Men should also support their wives or partners to make decisions that will benefit the women as well. This can go a long way to reduce maternal mortality in Africa.

Several women have lost their lives due to delay in decision making. Waiting for husbands, pastors or other people to decide what should happen to their lives. This is highly unacceptable!, and must change.

Cultural practices that affect women negatively should be changed through education and awareness creation.
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Thank you!

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MY BIRTH STORY – LISTEN TO YOUR HEALTH PROFESSIONAL

MIDWIFE SALLY GOD RICHLY BLESS YOU.

This ministry of yours is truly called by God to safe lives. You have know idea the numerous lives you are saving through your platform.
My birth story

my pregnancy was a bit smooth during the first trimester but with the second I became very ill and was admitted at the hospital. I was diagnosed with typhoid and infection.

Later I became okay and was discharged.
In my third trimester I was very strong .
To make my long story short, during my 39weeks I went to the hospital and the doctor told me if I exceed 41 weeks I will have to be induced because exceeding the said weeks may lead to lot of complications.

I was a bit afraid because, a friend of mine told me induction is painful and if it doesn’t work, cs will be the only option .🤨 hmm I prayed to god to let labor come naturally but 40 weeks came no show, 41 weeks 2 days no show. I prayed and told God his will should be done.
I went to the hospital on the 41 weeks 2 days for the induction the doctor checked and I was 4 cm already dilated with no contraction. He induced me. Hmmm the pain was unbelievable

it was really painful but it worked. I gave birth on the same-day three hours later after I was induced baby came with cord tired to the neck this was the reason labor was delaying. A word of advice to all pregnant women on this platform please listen to your doctors and midwives.

They are professionals and they will always want the best for their client. Never leave your pregnancy to chances.
I thank god for my life and that of my baby.
Congratulations to moi🥰
midwife sally take your two✌️😂

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