YOUR DUE DATE – WHAT YOU SHOULD KNOW

🔴For most women this is a question we often ask ourselves and our health practitioners. Sometimes we wonder whether to depend on the scan or not…. How do we even get the due date?

🔴Let me make it simple for you

🔴Always keep records of your menstrual cycle. Record the first day of your monthly. The first day you see blood.

🔴Once you do this. It’s easier to calculate your due date. If you miss your period and pregnancy is confirmed, do this to get your due date

🔴Take the first day of your last menstrual period and add 280 days to it or 40 weeks and you get your expected date of delivery to it. It’s that simple

🔴Alternatively if you do not keep record of your menstrual cycle, you will need to depend on an early scan to determine your expected date of delivery. Early scan is the most reliable for determining your expected date of delivery.

🔴Lots of women get confused when they take a late scan and it gives a new date… Rest assured just use the first scan if it’s from a reliable source.

🔴Remember baby can be born two weeks before or two week after your due date. Meaning it can be between 38 to 42 weeks

🔴At 41 weeks if delivery hasn’t occurred you need close monitoring.

🔴Your pregnancy should not go beyond 42 weeks.

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MY BIRTH STORY (1st TIME MUM)-8CM DILATION ON ARRIVAL TO THE HOSPITAL

EDD: 4th and 9th August

DOB: 25th July.

Birth weight: 3.5kg

Long post alert

For whatever reason I can’t explain, I just didn’t want to go to bed alone that night. So I became a P.A  for my husband who was glued to his computer to finish up his workload so that we can go to bed together.

We went to bed very late  around 2am.

Around 3am I felt some mild cramping but I just ignored it and kept sleepinging until around 4am when I realized the cramping was becoming frequent, not intense tho.

I quickly went to freshen up to get ready for the hospital, it was then that it started getting intense.

By 4:30am we were ready to set off to the hospital.

On our way to the hospital I had one giant contraction  and tons of pressure, I felt like the baby was right there. I would scream, cry and accuse my husband of shaking me anytime he drove over a pothole.  On a normal day it takes just 10 mins drive  from my house to the hospital but we spent about 25 mins because i couldn’t stand it when the car moves fast.

We arrived at the hospital about 5 mins to 5am.

The midwife asked me questions like:  Has your water broken? Have you seen any mucus discharge? Are you bleeding? My answer to all these was no. Then she goes like, what makes you think you are in labor? I explained the frequency of my contractions. then she told me she’ll examine me to confirm if i was truly in labor.

Lo and behold after the examination she just exclaimed “wow! you are 8cm dilated.

I was quickly moved to the labor ward and within 5 mins I moved from 8cm to 10cm dilated.

The moment arrived to meet my baby and it was a mixed filling. My water was still intact so the midwife broke it. Then I was asked to push but I told them I felt like pooping, they told me it wasn’t poo but rather my baby so I should just push. My husband was also with me in the labor room encouraging me and telling me I can do it and that gave me a lot of energy.

So with one giant contraction and 3 pushes, my long awaited angel was in. weighing 3.5kg. about 2 mins later, the placenta also came. I was given a little incision which was neatly  stitched after.

I remember settling in and thinking to myself ‘this really happened, she’s on my chest. We just had a baby within 25 minutes of being inside the Hospital.  I was overwhelmed and tears of joy rolled down my cheeks. It was a moment of  mixed emotions, gratitude and Joy.

I was discharged about 6 hours later the same day.

What worked for me:

1. God.

I prayed and believed God every step throughout this pregnancy journey. I would recommend to every expectant mum to read Supernatural childBirth. It’ll build your faith.

2. Midwife Sally’s pregnancy school.

I followed all her teachings, I watched all the videos and asked questions when needed. I wish every pregnant woman will have access to this kind of class because knowledge is power.

3. Choice of Hospital

I chose a hospital that had the needed facilities and many medical professionals and specialists. And oh it’s a Government hospital and they did amazing.

God bless you midwife Sally, God bless women.

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CROWNING DURING THE SECOND STAGE OF LABOR?

This is when you can see the top of your baby’s head through the opening of your vagina.

This occurs during the second stage of labor when the cervix is fully dilated.

The continues contractions and maternal efforts will aid the birth of the newborn

It’s an exciting time for the midwife and the client

Some midwives will even announce this to the mum to give her more hope that baby is just about to be born

She may even be allowed to touch the babies head to confirm it

At this time you need to cooperate with your doctor or midwife for the best outcome

Depending on the situation they may decide whether the mum needs an episiotomy or not

The midwife will also make her observation and examination, just to make sure there is no cord that is preceding the head as the pressure on the cord at this time can cut off blood supply to the baby leading to fetal distress.

At any point during the birth process communicate all your feelings to your doctor or midwife.

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DON’T TREAT INFERTILITY ALONE. GET YOUR HUSBAND/ PARTNER INVOLVED.

Sally, I have been trying for a long time. I want to get pregnant but it’s not happening. What should  I do?

Sally: Have you visited the hospital with your husband to be checked as well? Answer…. “No”

Unfortunately many women carry the blame when it comes to issues with fertility, but it’s not supposed to be so.

When it comes to infertility it’s not one sided.
No matter how well you are if your partner or husband is not involved you may not yield any good results.

Infertility has so many other causes and every one’s cause may differ.

Today, my focus is on women taking all the blame, doing everything possible and not getting results

Involve your partner. For a man’s sperm to fertilise an egg it has to be of high #quality #quantity and should I be able to swim. #motility

Unfortunately problems with sperm are real. But they can be treated.

The point is to involve your partner when there are issues of infertility. He may also need some care.

If you have been trying to get pregnant for more than a year without any results. It’s time to speak to a Gynaecologist. Someone’s remedy is not your remedy!

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IS IT NECESSARY YO KNOW YOUR BABY’S WEIGHT BEFORE DELIVERY?

Yes it’s extremely important. Having a big baby has implications and can determine your mode of delivery.

A big baby can cause slow progress of labor, birth injury etc

If your baby’s weight is high and you are diagnosed with fetal macrosomia (Big baby) , your doctor will not allow you to have the baby by yourself. You may need a cesarean section.

They may also have to check if there is any condition behind it and provide the necessary care.

In the extreme end if baby’s weight is also extremely low, the doctor will decide which mode of delivery will help the baby to be born safely

In all, I will say checking your baby’s weight before birth, usually done through a scan is very important and can save you and your baby’s life!

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LONG OR SHORT UMBILICAL CORD – DOES IT REALLY MATTER?

The cord is what transports oxygen and nutrients to your baby in utero.

Did you know its length matters?

Its length should be between 50 to 70 cm at term. A long cord is above 70 cm long. A short cord is usually between 35 to 40 cm long.

A short umbilical cord can lead to placenta abruptio, reduced oxygen and nutrients to your baby

An umbilical cord that is too long can also cause fetal entanglement, cord prolapse, and true cord knots. These conditions can reduce blood supply to the baby and cause brain injury.

Most complications associated with a long or short cord can be prevented and reduced if you are monitored properly during pregnancy and during labor.

Make sure you get a skilled person to attend to you at birth.

Don’t leave your pregnancy to chance

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CAN FIBROIDS BE CURED?

Hi Midwife Sally, can fibroids be cured?

I suggest you see a gynecologist

Fibroids are treated surgically by removing them

In practice I have seen a lot of women use herbs and other things they believe will melt it. Many of which doesn’t bring any results

It’s better to see a gynecologist to get it removed.

It can cause you to bleed heavily during your menses.

It causes infertility in some cases if left untreated

It may also cause severe lower abdominal pains.

Don’t keep it for too long. Success rate for the surgical removal is high.

It won’t affect your fertility if it’s removed.

Save your life! Help a friend!

Don’t complicate it by using herbs and other medications

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WHY BACK ACHE AND WAIST PAIN DURING PREGNANCY?

During pregnancy, a hormone called relaxing, helps to soften the ligaments and joints of the pelvic bones.

There is a bone at the back called coccyx (Tail bone!) , this bone has ligaments that softens and opens up so the baby can have room to grow and also allow passage of the baby.

The shift, loosening and opening of the bones and ligaments is what causes the back pain.

This is what you can do to reduce the pain

🔴You can massage it to reduce the pain

🔴Don’t assume one position for a long time

🔴Rest in between your activities

🔴Exercise also helps to reduce the pain

🔴Support your self with pillows during sleep

If it persists, kindly report to the hospital for the prescribed pain relief

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THE CORD CLAMP

After the birth of your baby

The cord is cut to separate the baby from the mum

After the cord is cut, a cord clamp is immediately used to  clamp it so bleeding will stop.

It’s Important for mums to observe after the baby has been brought to you to make sure the cord clamp is in position and secure.

There should be no bleeding from the cord

Cord clamps if not fastened properly can be loose on the cord and baby will be bleeding from the cord

You should also make sure it’s not faulty

Midwives and doctors will check all these before bringing your baby to you.

Just make sure you also double check

The blood volume of baby’s is not so much, so any small amount of blood loss can be detrimental to the baby.

Inform your doctor immediately you notice any sign of bleeding

In case you are home, use a clean rope to tie it to stop the bleeding. Then rush to the nearest hospital

It’s an emergency!

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WHY ROUTINE URINE TEST IS DONE DURING PREGNANCY

One of the things that will always be checked during pregnancy is your urine protein and glucose.

It’s done with a simple urine test strip.

It has Color indicators for the specific substance that’s being tested. It changes color to determine the presence of protein or glucose. If color remains the same it negative! Some test strips can be used to check the presence of several substances.

It’s significance

1. Protein 1+, 2+,or 3+ could be an indication that patient is developing pre eclampsia. It may come with other symptoms like severe headaches, swollen hands and feet as well as high Blood pressure more than 130/90mmhg

2. Glucose. Presence of glucose could be an indication that one may be developing gestational diabetes. Other signs include increased thirst, and also polyuria

This test does not conclude that you have pre eclampsia or gestational diabetes. Further investigations will be done to confirm. There could also be some margin of errors in how sample was collected.

Follow your midwives instructions on how urine sample should be taken for the best results

Also make sure all further investigations requested by your doctor or midwife is done.

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