HOW LONG DOES IT TAKE FOR EPISIOTOMY TO HEAL?

Episiotomy is a cut given in the perineum when a woman has crowned during labor to make baby come out easily and also to prevent possible tears or complications. It’s not a routine. Should only be done when it’s very necessary with a woman’s concern.

Healing will depend on the degree of tear and also the care given to the wound

With no infection or complications, it should heal fast. Some can heal within two weeks. Others can take a month to six weeks

If you realise it’s gapping, having offensive discharges, Stiches coming out, bleeding and too painful, you should report back for further examination

Remember the Stiches will be absorbed and should not ne coming out. Most episiotomies use the absorbable Stiches unless your doctor stated other wise

Also take your nutrition, Selfcare and Exercise serious to help heal faster.

Discuss your concerns with your doctor or midwife

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FEMALE OVUM/EGGFEMALE OVUM/EGG ONLY LIVES FOR 12 TO 24 HOURS, BUT SPERM CAN LIVE FOR UNTO 5 DAYS

The ovary releases an egg once every month or in a cycle. This is called #ovulation
This occurs during your fertile period.

The average woman with 28 days cycle will ovulate in the 14th day of her menstrual cycle. Women have different cycles and therefore ovulation day may be different for every one.
It’s important to know that your egg can only live for 24 hours, but #sperm can live 3 to 5 days.

So in order to get pregnant. It’s better to have the sperm in there waiting for the egg to be released.

This increases your chances of getting pregnant

It also explains why you get pregnant and wonder why since you thought you were in your safe period. Sperm can wait up to #5days.

Speak to your midwife or doctor to explain further.


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CARE OF THE PERINEUM

The vulva is the outer part of the female Reproductive system. Its what you see when a woman open her legs wide.

It has the vagina opening and the urethral opening.

Just below it is the anus.. Where fecal matter is excreted from the body.

These openings are close to each other. It means infection can easily pass from one opening to the other if you don’t clean well.

It’s important to clean yourself after using the washroom from front to back. Meaning you clean from the Urethral opening, towards the vagina opening then the rectum.

This will prevent sending infection from the rectum into your vagina and urinary tract.

Always maintain strict personal hygiene and also wear clean and comfortable underwear preferably made from cotton.

It’s important to keep your perineum clean and dry to prevent infection.

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BIG BELLY BUTTON IN NEWBORNS

This is also known as umbilical hernia

There is a hole which is not closed in the umbilicus which allows some of the abdominal organs to enter , making it big. In babies it becomes bigger when they cry, laugh etc

In our local settings they put a wrapped coin on it believing it will let it subside with time

In the medical world, it is said that after two years it may resolve on its own. As baby grows the hole will seal and the hernia will resolve by it self

If after that period it’s still big and comes with pain, discomfort etc. You need to see your doctor

Some are corrected by surgery

What’s your experience with imbillical hernia?

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KNOWNING YOUR MENSTRUAL CYCLE

🔴Day and year of your first menstruation, known as menarche

🔴 First day of your last menses

🔴How long It lasted.

🔴What’s your menstrual cycle is. Is It 28 days,30, 35 days or……

🔴Its important to also document all these and also your last menstruation for ladies getting close to menopause.

Knowing these can save you from a lot of issues . Eg when pregnant or sick and so many more.

Doctors use this information every time a woman visits the hospital

In Fact if you report to the hospital with even a headache your doctor will ask. So do document or keep at the back of your mind.

Kindly share with other ladies .

Share this with every new mum to know!!!

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AFTER PAINS/LOWER ABDOMINAL PAINS AFTER BIRTH

🔴Have you ever wondered why you had that lower abdominal pains after birth? Even becoming worse during breastfeeding? It feels like a painful menstruation. This is why..

🔴The uterus for the past 9 months have expanded to accommodate your growing fetus.

🔴After birth it contracts to get back into its normal shape and size. By 6 weeks after birth it should go Back to its pre pregnancy state.

🔴The contraction/pain you feel helps the uterus to become smaller and as well go back to its pre pregnancy state. Yes it’s painful especially if it’s a subsequent birth.

🔴As you breastfeed the uterus contracts since the hormone #oxytocin is also produced. It is responsible for the contractions that causes the lower abdominal pains.

✔️This pain can be managed by taking some prescribed analgesics and also sleeping on the abdomen. If you had a Caesarian section assume a comfortable position.

✔️Have enough rest, passive exercise and adequate hydration is also helpful.

🔴If lower abdominal pain is very severe with profuse bleeding. Speak to a doctor /midwife

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TYING THE WOMB AFTER BIRTH

TYING THE WOMB AFTER BIRTH
For many women how they look and feel becomes an important aspect of postpartum recovery.

During pregnancy the uterus grows from being a pelvic organ to an abdominal organ.
There is an increase in shape and size which is very significant.

For the abdomen during pregnancy, there are many other factors that determine the size of your bump

Abdominal fat, gas, mass, size of the baby or fluid. All these can affect how the abdomen looks like even after pregnancy.

It’s important to Tackle all these if you want the abdomen to look flat after birth

The uterus in itself takes about 6 weeks to go back into its pre-pregnancy state. So you need to be patient with your self

The first is for you complete your
postpartum period. For the uterus to contract, make sure your blood level is high before delivery. Low blood level can cause bleeding and uterus will not contract .

In case you notice bleeding or any form of severe pain report early. Retained products can prevent your womb from contracting . Also your midwife can teach you how to rub the uterus so it contracts. Also breastfeed your baby it helps the uterus to contract.

Contractions of the uterus is what will make the uterus look smaller.

Other things you can do to get the womb or abdomen reduced is by burning the fat you accumulated during pregnancy. Exclusive breastfeeding helps, Exercise and also choosing the foods you eat is very important.

After birth the water in your body will also come out as urine in the first few weeks and this also helps to reduce your weight .

You should also choose the foods you eat carefully to reduce gas in the abdomen. If you have any mass, eg fibroids etc , see a gynaecologist and plan how it can be removed

When it comes to tying the abdomen after birth, it can be done from the first day after birth if the woman had vaginal birth . There should be some considerations, You should feel well and comfortable, it should not be tight on you and you should be able to breathe without struggling. Also choose a binder that works and fits perfectly. If you feel pain, uncomfortable, or experience any complications, stop and report to your doctor. It should not be tight. Start gradually and don’t wear it for a long period of time. You can prolong the time as you heal. Follow the recommended duration given by the manufacturer of the abdominal binder or cosset you use. It should be approved for medical use by the governing body in your country

If you can cesarean section I advise you wait until the wound has healed and your doctor allows you to use it. Do not tie your abdomen just after cesarean section except it’s for the sole reason of promoting comfort and reducing pain. In that case the abdominal binder should be loosely applied. Also speak to your doctor first

In conclusion combining a healthy diet, exercise, self care and using an abdominal binder can help you get your postpartum body back into shape and improve a positive self image

You can also speak to coach who will help you better in your journey

Remember no matter what you are beautiful!

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THIS IS ENCOURAGING: EXCLUSIVE BREASTFEEDING WORKS

“My babies birth weight was 2.9kg

At 6 weeks he was 4.6kg

and at 10 weeks he was 6.1kg.

He’s growing really well even though he was small at birth.

Just breastmilk I give him.

Nothing at all”

What is needed is a healthy baby at birth, not a big baby!

#MUM (Sallys Pregnancy class)

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DRESSING YOUR NEWBORN BABY

Most newborn babies are born with a perfect skin, well hydrated no rashes and having good skin color

Unfortunately some mums will return to the hospital after few days with their babies having skin rashes, dehydrated skin and sometimes jaundiced

One factor that contributes to the poor skin turgor in babies is not dressing the baby appropriately according to the weather

In Africa where we have a hot climate, it’s important to consider the weather when choosing your baby’s clothing

One clue to help you dress your baby is that if you feel cold, your baby is probably feeling cold as well. If you feel hot baby is probably feeling hot as well

Choose cotton dresses that are more comfortable for the baby. Dresses worn by babies should be dry. A wet dress can cause hypothermia or decrease in temperature

Baby should be properly covered. Clothes made from Cotton is preferable. Just one layer which suits our climate. Socks and a cap. Wrapped nicely in a cot sheet. Don’t add many clothes. It’s not needed with the weather we have here in Africa, Ghana.

Don’t wrap the baby with too many clothes. It can cause overheating leading to further complications. It also causes skin problems like heat rashes etc

Babies dress should be washed with mild soap and also rinsed with lots of water to prevent babies skin from reacting with the chemicals in the soap.

Not to forget, with our weather here in Ghana please just wrap baby with a cot sheet and that is enough. Except weather is very cold and it demands extra clothing

Continue to breastfeed exclusively for six months and avoid using harsh soaps on the babies skin.

Baby dress should be comfortable and not too tight on the baby

A baby who is not comfortable will be fussy and may cry as well

During cold weather make sure the baby is well covered, socks and a cap with probably some extra clothes to prevent hypothermia.

It’s important to maintain a clean environment and the room well ventilated. Report to the hospital if your baby has a high temperature or the body is extremely cold.

Share your thoughts. How did you ensure your baby was dressed in an appropriate clothing.

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THE MULTIPAROUS WOMAN- WHY DOCTORS/MIDWIVES ENCOURAGE PLANNING YOUR FAMILY SIZE

Yes we all agree children are gifts from God and we love to have them.

But come to think of it it. What’s the point having many children and not being in a position to take care of these children or give them a better life

Whats the point of not limiting the number of children you can have and getting complications that may even cost your life at the expense of the other children that will be left behind

Lets go straight to the point. The #womb which carries your baby can be compared to the balloon. The more it’s inflated the more weaker it gets with time.

What this means is that especially after 3 or 4 children your risk of having uterine rapture or bleeding increases. This is because your uterine muscles has been over stretched and its ability to contract diminishes.

It’s important that after you have the required number of children at a point you need to take precautions so you don’t get pregnant again just to avoid complications or save your life.

In case you have more than three children and pregnant again. Please don’t take chances. Work closely with your doctor or midwife

Seek individualised care and report early if you have any complications

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#No woman should die bringing life into the world

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