Category / LABOR

by midwifesally

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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by midwifesally

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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by midwifesally

“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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by midwifesally

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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by midwifesally

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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by midwifesally

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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by midwifesally

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

Visit Our website for more www.mymidwifesally.com

Join our Pregnancy class to learn more 024 228 1957
Outside Ghana click here to join
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Get a copy of my book on pregnancy
Available on Amazon… https://www.amazon.com/dp/B08JBY73D2
Also available on
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#midwifesally #books #maternalhealth #placenta #birtheducation #africa #ghana

by midwifesally

A TRUE KNOT UMBILICAL CORD – YOUR POST SAVED ME

I wish to share a testimony on how you saved me last Friday about a post you shared on Facebook

I read a post you shared on Facebook last Friday about the causes of maternal death in Ghana and the one that strike me was *delay to health facilities*

So my story….

Before reading your post, my water broke on Friday at 3:45am

My husband was concerned and asked me to go the hospital immediately but I said I will wait and see how labor progressed

I kept busying myself during the day and even prepared light soup for fufu koraa before going

My husband kept calling to ask if I had left but said no severally. He had to report me to my mother in-law

It still took about an hour to decide to go to the hospital after reporting me. While waiting for my cassava to boil I saw your post on Facebook and it strike me to start heading to the hospital

I reported to the hospital at 2pm

I was checked in n had dilated 2cm.

As at 10am on Saturday, contractions had not begun and I was induced. 1 hour into induction, pain was unbearable but with shorter contractions

Fetal heart rate was checked and there were several readings of fetal distress

An immediate C-section was done and baby was removed safely but with a complete knotted umbilical cord (meaning he was gradually been deprived of oxygen and nutrients)

When this happens blood supply to the baby is cut off. It leads to oxygen deprivation and subsequently fetal death.

Imagine if I had stayed longer waiting for contractions before coming…..my story would have been different

I never miss reading them

God bless you for your time and knowledge sharing

Its your ministry, may the Lord help you to grow with it. AMEN

SALLY- ALL GLORY TO GOD!

Visit Our website for more www.mymidwifesally.com

Sign up for our Pregnancy class to learn more 024 228 1957

Outside Ghana click here to join

Get a copy of my book on pregnancy

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

Also available on

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#midwifesally #maternalhealth #pregnancy #newborns # KNOT #UMBILICAL #CORD #africa #ghana

by midwifesally

MY BIRTH STORY – IF YOU ARE BOOKED FOR C/S AND LABOR STARTS REPORT IMMEDIATELY!

My bundle of Joy arrived yesterday at 3.0kg
The night before yesterday I couldn’t sleep,
The contractions were continuous with severe abdominal pains
Since I was just 36 and somedays , I thought it was false labor
Fast forward yesterday morning, I vomited everything I ate nd was very weak, I called my Doctor nd he asked me to rush to the hospital which I did.

I had already dilated 2cm but since I opted for elective CS , I was rushed to the theatre nd within 10-15 minutes… I heard her first cry
A beautiful fair Angel was smiling at me like she’s met me before 😊😊
Thanks to all the beautiful patient midwives on this platform and Congratulations in advance to all expectants
May God is through ❤️❤️❤️
I love you all 💕💕💕💕💕…..

Sally.. Just want to take the opportunity to encourage everyone out there if you have been booked for caesarian section and labor sets in before the scheduled date. Kindly call your doctor immediately. It may be fatal if you have a condition that will not permit vaginal delivery. Example a big baby, first time mum with breech, previous c/s with short interval

Join our Pregnancy class to learn more. 024 228 1957
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Also available on
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#maternalhealth #midwifesally #womenshealth #babies #birthstory #CSbirth #pregnancy #health #midwife #Ghana #Girls #womenshealth

Pix.. Not baby See less

by midwifesally

BIRTH STORY – I COLAPSED AT THE HOSPITAL.

PLEASE LISTEN TO YOUR DOCTORS/MIDWIVES

EDD 3/10/24
DOB 16/09/24

First of all big thanks to Jehovah our God for his kindness, and also to the midwives and class members.
My Pregnancy was very smooth from beginning but during the third trimester I was admitted around 29 weeks for preterm labor and UTI infection then later discharged, around 37 weeks I was admitted again for severe malaria and UTI infection and discharged again and I was given an option for CS but I said they should give me two more weeks, I went for my review at 38 weeks and I collapsed in the hospital. When they checked my urine there was protein in my urine so I was booked for immediate cs.

When I got into the theatre immediately the anesthesia was given my BP started going down and they operating me,.

My advice is that anytime you’re given an option about CS think about it well.

My baby was brought out 4:25 pm at 3.2 kg week 38. Thank God mother and baby are fine and discharged. Safe delivery to all expectant mums.

Don’t leave your pregnancy to chance.

Sally.. Mums always know before a doctor or midwife will request for a procedure for you, they know what they have seen and in most cases its important. Always cooperate with them or ask a second opinion from a qualified person. Don’t risk your life!

Visit Our website for more www.mymidwifesally.com

Sign up for our Pregnancy class to learn more 024 228 1957
Outside Ghana click here to join
https://www.patreon.com/user?u=86216005

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

#midwifesally #maternalhealth #womenshealth #CS #birthstory #birth #birtheducationn #africa #ghana