Have you been in that situation when your doctor or midwife tells you the baby is in distress and needs immediate interventions to save its life?

This is what it means. Your baby is not receiving enough oxygen from the placenta and so baby begins to struggle for life

Several factors and conditions can lead to fetal distress. Placenta abruptio, infections, preeclampsia, diabetes and many more

These are the signs that shows that your baby may be in distress

🔴Meconium stained liquor. Water around the baby looks greenish. Baby starts to pass stool in utero and even inhales it. Leading to respiratory distress

🔴Baby’s movement will be slow or excessive. Be familiar with your baby’s movement

🔴You may be bleeding

🔴Sometimes you start to experience unusual cramps

🔴When your baby’s heart rate is checked it will be above 160bpm or below 120 bpm.

If you experience any of these early interventions are needed to save your baby.

Cooperate with your doctor or Midwife Sally

Do not leave your pregnancy to chance!
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Diabetes in Pregnancy can cause so many complications. But strictly adhering to your doctor’s instructions and a healthy lifestyle can reverse all the negative effects!

Remember the #secret is that once your glucose level is controlled, many of the complications are prevented as well. 

Once diagnosed 

🔴Take prescribed medications and insulin as prescribed

🔴Involve your family in your care

🔴Eat nutritious meals containing, vitamins, minerals, Fibre and protein. Reduce processed food and carbohydrates. Speak to a nutritionist.

🔴 Always go for your appointment with your doctor

🔴Deliver your baby in a hospital with neonatal intensive clinic. 

🔴Check your glucose level as often as requested by your doctor.

🔴Exercise moderately 

🔴Treat infections promptly

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Once your baby starts moving/kicking , your baby should not stop moving or kicking 

Quickening is the first movement of your baby and usually occurs between 16 to 24 weeks of gestation 

Always pay close attention to the movement of the baby

At least once in a day get a quiet place and time to pay attention to your baby’s movement 

Be familiar with it.

Report if baby’s fetal kicks have slowed or excessive!

Don’t assume your baby is asleep! 

If you have doubts just call your doctor or midwife. 

He may listen to the fetal heart rate with a doppler, request a scan or do further investigations 

Your normal fetal heart rate is between 120 to 160 bpm. 

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“Madam as I am being discharged please add this to my education when my husband or partner comes. Tell him to help at home. The stress is too much. Am sure it’s the reason I am always breaking down. I have to do everything all alone.”

Other midwives surely have similar stories.

In other scenarios the reason isn’t because the woman has no support person. But she thinks she has to do it all by herself. She doesn’t allow anyone to help her

During pregnancy resting in between your activities is key to your well being.

Allow people to assist you where necessary

Plan your activities in a way that you don’t end up breaking down

Rest and sleep will reduce your stress, keep you healthy and make you feel better.

Don’t jump from one activity to the other. It will break you down

Allow your partner to assist you.

Get a support person!

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Scenario : She came to the hospital when she was 43 weeks.

She didn’t even know pregnancy should not go beyond 42 weeks

She didn’t know she has to feel her baby’s movement everyday after quickening

She was waiting for labor to set in.

She didn’t know the placenta stops working after sometime during pregnancy

She traveled and went about everything, thinking labor would set in when time was due. That didn’t happen for her. 

When she realized things were delayed she finally reported to the hospital. At the hospital Fetal heart was absent. Placenta has stopped working, baby is gone!

As much as us she needed to know all these we asked ourselves. Where is her partner? At least he could have reminded her to visit the hospital on her due date

What about the family support system? At least if someone was checking frequently on her asking her how things are going, the story will have been different.

And finally friends who are around us.

Yes this situation could have been different if the support system she had was stronger and showed some concern to her.

Every expectant mum needs a strong support system. To check on you and also to make sure you are healthy. It could be your partner, mother, relatives or friend.

It could also be your private midwife, doula, doctor etc

Don’t keep your pregnancy to yourself. Get someone to support you when need be.

We can change certain stories if we change our approach to pregnancy!

As I always say. A successful pregnancy is not automatic!

Take the right steps.

Photo credit: Getty Images/iStockphoto

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Throughout the week I have been bothered by this occurrence. Women refusing to take #blood transfusion even at the point of death due to their religious beliefs. 

We all have freedom of worship which we love and cherish, but in fact it has its limitations. As Midwives our greatest joy is to have women give birth without complications , but the fact is once in a while bleeding can occur and we may have no alternative than to transfuse to save life.

That is when our stress begins. When she tells you never! Live me to death! I will go to heaven if I die! Some will even write and sign! In fact at that point we suffer more than the client!! 

Whether this is true or not is something I would like to know. We are losing women of child bearing age and this is disheartening. 

#MyAdvise. 

If you are pregnant, know that complications can occur at the time of delivery. Be prepared if you do not want to be transfused in fact get specialized care to get your Haemoglobin level to above 12.

2. Arrange with a midwife or gynecologist who is skilled and comfortable with your decision for your birth

3. Ask for alternatives to blood transfusion and be prepared before labor sets in

4. Prepare a birth plan and state it clearly

This is hard for me! 

Religious bodies with the teaching that prevents members from taking blood transfusion should at least have a way of supporting their members. It’s hard but we need to speak about this. Who else faced this?  What can we do? 

Let’s raise awareness !

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This refers to swelling, or edema, of an infant’s scalp that appears as a lump or bump on their head shortly after delivery.

This condition is harmless and is due to pressure put on the infant’s head during delivery. It usually occurs when…

🔴Having a prolonged or difficult labor

🔴Premature rupture of membranes

🔴Low levels of amniotic fluid in the uterus

🔴Delivering  your baby for the first time

🔴Braxton-Hicks contractions

🔴Certain fetal positions, such as being head down

🔴A delivery that requires instruments, such as forceps or a vacuum

Treatment

You do not need to do anything to it. Let your doctor or midwife see it and examine it. It resolves on its own without the need for any intervention.

Do not use hot water or any substance on it. By 2 to 6 weeks it will resolve.

It can lead to serious complications like jaundice etc, if hot handled well. Just follow your doctor’s instructions.

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Please and please if you are bleeding due to prolonged menstruation, bleeding uterine fibroids or an abortion please report to the hospital early

We can’t say everything than to make it look like an advise

Prolonged bleeding can take your life

Don’t risk it

Don’t be shy to tell your midwife you are having prolonged bleeding

We are not there to judge you but to save lives

Please speak to us

Let’s know how we can help you!

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Thank you!

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