WHY DO YOU NEED AN EPISIOTOMY DURING BIRTH?

WHY DO YOU NEED AN EPISIOTOMY DURING BIRTH?

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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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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.

Don’t leave your pregnancy to chance. Join our pregnancy class +233242281957

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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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.

Our pregnancy class will help you go through your pregnancy with ease

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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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WHY DO WE PASS A CATHETER DURING BIRTH/ CESAREAN SECTION?

WHY DO WE PASS A CATHETER DURING BIRTH/ CESAREAN SECTION?

During birth, women are encouraged to empty the bladder. This helps the baby’s head to descend or come down. A full bladder can slow the progress of labor.

If you can urinate freely you will be encouraged to do so. But if not your midwife will empty the bladder with a catheter

If you have to go through a caesarean section, it’s usually mandatory to have a catheter in place. A full bladder can cause injury to the bladder. The bladder is close to the uterus so if not emptied when the doctor is performing the operation, he/She may cause injury to the bladder

Always cooperate with your doctor or midwife for the best outcome

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CERVICAL TEAR-A PREVENTABLE BIRTH INJURY

Some times you wonder why you are still shouting, having all the pains and your midwife is still asking you to hold on!

She checks and says, it’s only 1 cm dilated.

After a long wait or 4 hours, she rechecks and says it just 3cm.

You feel it’s been too long and the pain is unbearable so you should push your baby out.

This is why you should cooperate with your doctor or midwife.

The cervix which is the opening of the cervix should open from 1cm to 10 cm to allow the baby’s head to be birthed followed by the body.

Cervix should not be felt any more when your doctor or midwife performs vaginal examination.

If it’s still felt and you push through it, you can tear your cervix which is difficult to repair and requires special skills. Bleeding can also be severe.

Only push when your doctor or midwife has confirmed that you are fully dilated. (10 cm and no cervix can be felt on vaginal examination)

Read about when to push or breath your baby out

https://midwifesally.com/…/when-to-push-breath-your…

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MINIMIZING TEARS DURING DELIVERY

That moment every mum expects

When babys head becomes visible and doesn’t go back any longer
You know you are almost through

Your midwife will encourage you to bear down with your last energy

Tears can be prevented if you had already prepared your perineum with a

  • perineal massage,
  • Kegels exercise
  • Pelvic tilts
  • Squats etc

During the birth cooperate with your midwife

Assume a position that will open your pelvis widely and reduce tears and complications

Also speak to your midwife about how you can prevent perineal tears

#Crowning is often referred to as the “ring of fire” in the birthing process. It’s when your baby’s head becomes visible in the birth canal after you’ve fully dilated. It’s the home stretch — in more ways than

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RETAINED PRODUCT OF CONCEPTION

After the birth of your baby, the placenta has to be delivered

It has to come out complete or whole

The midwife checks to make sure all the lobes, membranes have all been delivered.

lf anything remains in there it can cause infection, as well as severe bleeding

It prevents the uterus to contract

If your suddenly have heavy bleeding after birth, kindly report to your midwife or doctor immediately

Further investigations and interventions will be done to prevent further bleeding

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