Mums walk to me smiling. Midwife Sally I am pregnant for 43 weeks and I have reported since labor is still not setting in.

Sally.. Really, which midwife saw you and did not let them see you for admission and further management at 41 weeks.

She goes ahead and mentions a midwife’s name. I got confused but could not react.

Then I led her to the midwife. The midwife opens the folder and draws my attention to the date.

She was supposed to come on admission a week earlier. She refused and went home. Reported back and mentioned a colleague’s name.

She didn’t know we document everything we tell them

The point is your placenta will stop working at a point if your baby is not born. It can’t support your baby any more, especially after 42 weeks.

So at 41 weeks if the baby hasn’t arrived. You will be closely monitored and a possible intervention, either induction or cesarean section will be done to save the baby.

Women come with stillbirths due to delay.

Know your expected date of delivery(40 weeks) and don’t let it pass for more than two weeks.

At 41 weeks… You need to ask your doctor what next?

Also cooperate with your healthcare provider. Give accurate information.

Join our Pregnancy class to learn more 0242281957.

https://www.patreon.com/user?u=86216005

Available on Amazon… https://www.amazon.com/dp/B08JBY73D2

Also available on

https://okadabooks.com/book/about/sally_s_tips_for_expectant_mums/37081

#placenta #edd #birth #twins #tripplets #midwifesally #books

🔴Let’s have a passionate talk. There is this trend where women are told to hide #pregnancy and even wait till 4 or 5 months before starting antenatal.

🔴Hmm… In modern times when I hear this I get shocked some women still hold to this view.

🔴Let’s me tell you the truth as it is. Maternal mortality has reduced as compared to what we had in the olden days. Most of them did not have access to scan, and a good healthcare system.

🔴Am not saying we are there yet, but it has been better than before. The reason is this!

🔴Today as we speak after you get pregnant you do a scan that will tell you exactly if your baby is in utero, our mothers didn’t have this! If it’s in the fallopian tube or any where else it will be seen and something can be done to prevent a ruptured ectopic which can be very fatal

🔴Ask yourself if you wait till four months before taking your first scan, and it is ectopic what will happen? Women have lost their lives due to this. Will you allow this to happen to you when a scan is readily available and all this can be prevented? No! Never be a victim!

🔴Mothers who do not start antenatal early pose a great danger to themselves and their baby’s. Don’t forget that once you start several laboratory investigations will be done and if there is a problem, it will be treated as soon as possible to prevent complications.

🔴Ask any #midwife who would like to tell you the truth. We get women in worse conditions because she was waiting to get to 4 months or 5 months before coming for antenatal. Some even present with severe uncontrolled blood pressure, various infections etc

🔴Whilst waiting and trying to hide your pregnancy you may even be doing more harm, since you may not have even started taking your recommended folic acid and haematinics.

🔴Let’s be truthful to ourselves  the earlier you start antenatal, do an early scan, laboratory investigations and start your prescribed medication, the better!!!

🔴In this modern day, let’s not hold to the old tales that were not helpful!!! Thanks

Join our Pregnancy class to learn more 0242281957

https://www.patreon.com/user?u=86216005

Get Sally’s Tips for expectant mums

Available on Amazon… https://www.amazon.com/dp/B08JBY73D2

Also available on

https://okadabooks.com/…/sally_s_tips_for…/37081

#Share #maternalhealth #midwifesally #womenshealth #babies #folicacid

After birth a woman quarrels with the midwife. Give me my placenta!!!

Midwife… You didn’t tell me you want it. If you did, I would have separated it for you to send it home. I added it to all other placentas since we have a way of keeping it and disposing it.

There are several beliefs that surround the placenta. For some it has to be buried in your home, some have rituals they do for the baby.

For some it can be encapsulated and eaten. Used for treating anemia or preventing postpartum depression

For some of us without any belief we just live it at the hospital for it to be disposed of.

If you have something to do with your baby’s placenta. Write it in your birth plan how you want it to be handled after it is birthed

You may be told to bring a labeled container so they put it in after birth.

If you have not written it in your birth plan. On the day of delivery or cesarean section, tell your midwife so they can put it in a container for you.

It should also be known that it is highly vascular and has to be treated with utmost care. Infection prevention techniques should be used in handling the placenta.

Always remember you have a choice how your placenta should be treated after birth. Only communicate effectively with your birth attendants to prevent misunderstanding.

JJoin our Pregnancy class to learn more. 024 228 1957.

https://www.patreon.com/user?u=86216005

Our book is also available. What’s up to order yours

Get a copy of Sally’s Tips for expectant mums

https://play.google.com/store/apps/details…

Available on Amazon… https://www.amazon.com/dp/B08JBY73D2

Also available on

https://okadabooks.com/…/sally_s_tips_for…/37081

#maternalhealth #midwifesally #womenshealth #Placenta

.. My due date was 6th June. I’m a first time mom and thanks be to God first and second trimesters were ok..

Then we got to the 3rd trimester, first antenatal was ok.. Second was ok.. Third antenatal I didn’t go home cos of high blood pressure Drs wanted to induce but I told then I’m not ready so I was discharged.

Had a check up the following week still high blood pressure was admitted again and Was discharged the following day.

But i had my membrane swept and was asked to come back on the 7th of June for an induction.. Thanks to God on the 6th of June Around 2am we got to the hospital they said I was 3cm dilated. God of fast dilation came to my aid At 10:54 am my blue jet arrived with 3pushes..

Thanks be to God. Baby arrived exactly on his due date. 40+0weeks

NB: Cos of the pregnancy class i was doing guy guy papa .. I went on admission twice before baby arrived when Drs. come for ward rounds I understand what they are saying .. Thank you midwife Sally.

Kindly note that blood pressure during pregnancy is one of the leading causes of maternal deaths in #Africa and even worldwide.

Once diagnosed cooperate with your doctor for the best outcome.

Join our Pregnancy class to learn more 0242281957
https://www.patreon.com/user?u=86216005

Buy  a copy of Sally’s Tips via mobile money

https://play.google.com/store/apps/details?id=com.readerapp.ecommerce

Available on Amazon… https://www.amazon.com/dp/B08JBY73D2
Also available on
https://okadabooks.com/book/about/sally_s_tips_for_expectant_mums/37081

🔴Many women are concerned about the size of their bumps during pregnancy. They are always asking my bump is small and it is not growing as big as I expect. Will it affect my baby? Is it safe?

🔴The answer is your fundal height is what usually gives a midwife a clue as to whether baby is small for date or big for date. Fundal height is what you see a midwife using tape measure to measure the bump. So it does not really depend on the appearance of your bump. A scan can also be done to determine your fetal weight. Your midwife or doctor will alert you when there is a deviation.

🔴At birth your expected fetal weight considered normal is 2.5 kg to 3.5 kg. Any thing less or more is considered as underweight or over weight.

🔴Babies that are born and are overweight or big come with their own problem. Some include respiratory problems , birth injuries, hypothermia, hypoglycemia/reduced glucose level in the blood, still birth etc

🔴Before your due date your doctor will request a scan. This scan can predict your babies weight. Together with measuring your fundal height doctor may diagnose that you are likely to have a big baby.

🔴Birth has to be done by a skilled attendant in a hospital. If baby is very big, the doctor may request a caesarian section.

🔴Mothers with gestational diabetes are likely to have big baby’s and it is important that birth is done in a hospital with a neonatal intensive care unit to recitate baby where need be. During pregnancy glucose should be controlled to prevent complications

🔴Eating a well balanced diet, exercising and taking prescribed medication can help you get a healthy weight for your new born

🔴After reading this hope you see that having a healthy baby does not mean baby should be big or your bump should be big!

🔴Stay healthy… #Share and invite someone to join us to learn more.

Sign up for our pregnancy class to learn more 024 228 1957
https://www.patreon.com/user?u=86216005

Get a copy of Sally’s Tips for expectant
For an ebook
Buy via mobile money
https://play.google.com/store/apps/details…
Available on Amazon… https://www.amazon.com/dp/B08JBY73D2
Also available on
https://okadabooks.com/…/sally_s_tips_for…/37081

Thank you
#midwifesally
#maternalhealth

After the birth of your baby one of the things we expect is for respiration to be established

Some baby’s may be going into distress before they are born

Some fluid may be obstructing the airway making  it a bit difficult for the baby to breath

A penguin is one of the equipments used for resuscitation

It’s used to remove fluid from the nose and mouth that may be obstructing the airway

For most babies a using a penguin to suction and providing warmth plus a little stimulation is enough to establish respiration

In choosing your hospital for delivery. Consider neonatal resuscitation. Hospitals should be ready to initiate resuscitation immediately when a baby is born if need be.

Speak to your doctor/midwife about what happens when your baby needs resuscitation?

Join our Pregnancy class to learn more 0242281957.

https://www.patreon.com/user?u=86216005

Get a copy of Sally’s Tips for expectant mums via mobile money Buy via mobile money

https://play.google.com/store/apps/details?id=com.readerapp.ecommerce

Available on Amazon… https://www.amazon.com/dp/B08JBY73D2

Also available on

https://okadabooks.com/book/about/sally_s_tips_for_expectant_mums/37081

#midwifesally #maternalhealth #womenshealth #books #penguin #rescucitation

Midwives please, what causes ectopic pregnancy???why does that HAPPEN??

A friend of mine died yesterday, she was just 2 months pregnant, she went to the office in the afternoon to relieve her colleague, started complaining of abdominal pains and was rushed to the hospital 😔 and they said she has lost a lot of blood then she died😭😭😭

🔴Incidence

It is one of the leading causes of maternal deaths in early pregnancy worldwide.

🔴Definition

An ectopic pregnancy occurs when Pregnancy occurs outside the uterus or womb.  The fertilized egg implants in the fallopian tube, ovary, cervix and sometimes the abdomen.  The embryo implants and starts to grow, it gets to a point where it  cannot accommodate it. The fallopian tube ruptures or bursts and that is what we term a ruptured ectopic. A woman can bleed to her death if she doesn’t receive care immediately.

🔴Causes

Previous surgical procedures that cause scarring, pelvic Infections and some forms of birth control increase the incidence though it can occur in every other woman. The cause may also be unknown

🔴Signs of a ruptured ectopic

There is a missed period and there is a sudden severe  lower abdominal pain at one side, later becoming generalized . There could be scanty bleeding as well.  There could be fainting due to the excessive bleeding

🔴Diagnosis

A missed period, signs as indicated above , and an ultrasound can be done to confirm ectopic gestation. A Pregnancy test can also be done to confirm Pregnancy

🔴Treatment

Both surgical and medical interventions are used and survival rate is high

🔴Fertility

If it affects one fallopian tube, talk to your health care provider about how best to keep the other and optimize your chances of getting pregnant. With modern treatment women with both tubes removed can still have babies.

🔴Caution

Report to the hospital immediately if you miss your period or have scanty menses.

Do an early scan as recommended by your doctor when pregnant.

🔴If there is sudden abdominal pain at one side with a missed period visit the hospital to rule out ectopic.

Share to save a life

Join our Pregnancy class to learn more. +233 24 228 1957

https://www.patreon.com/user?u=86216005

Get a copy of my book Sally’s Tips

Buy via mobile money

https://play.google.com/store/apps/details…

Available on Amazon… https://www.amazon.com/dp/B08JBY73D2

Also available on

https://okadabooks.com/…/sally_s_tips_for…/37081

#Share #maternalhealth #womenshealth