CAUSES AND PREVENTION OF STILL BIRTHS

I had lots of clients asking what could be the cause of their still births and how they could prevent this in their next Pregnancy.  They had many questions This may be helpful

#Definition of still birth
The definition recommended by WHO for international comparison is a baby born
with no signs of life at or after 28 weeks’ gestation.

#CAUSES OF STILL BIRTHS
🔴Placenta previa and placenta Abruptio

🔴Post maturity
The above conditions causes the blood that reaches the baby to be reduced and
therefore they get a reduced supply of oxygen and in turn causing fetal hypoxia
which results in still births.

🔴Unknown causes

🔴Infections ,example, urinary tract infections

🔴Taking unprescribed drugs (alcohol and smoking)

🔴Growth restriction due to nutritional causes or medical causes.

🔴Trauma to the abdomen

🔴Chromosomal abnormalities

🔴High blood pressure

🔴Diabetes mellitus
Among others

#PREVENTION OF STILL BIRTHS
❤️Effective monitoring of all pregnant women to detect possible abnormalities
and correcting those abnormalities. Monitoring, recording, and interpreting
fundal height rightly to detect growth restriction.

❤️Screening of patients to rule out infections that can cause growth restrictions
and possible treatments.

❤️Health education on nutrition, personal hygiene, danger signs, rest and
exercise, etc to promote healthy lifestyle among pregnant women.

❤️Taking prescribed drugs

❤️Providing skilled delivery for all pregnant women to prevent and also
reduce the risk of having a prolonged labor which can cause still births.

❤️Preconception care to expectant mothers and their partners.

❤️Performing fetal kick counts starting at 28 weeks of gestation and also being conversant with your body. In recent time its recommended that you will be familiar with your baby’s movement. Report if its excessive or reduced.

❤️Calling your midwife when you experience any unusual symptom or sign

❤️Taking nutritional supplements to reduce the risk of chromosomal abnormalities, example folic acid.

Talk to your midwives or gynaecologist as well. Remember most of these still births are preventable.

Join our Pregnancy class to learn more 0242281957.
patreon.com/user?u=86216005

Thanks. Share to help someone

By Sally’s Tips for expectant mums Available on Amazon… https://www.amazon.com/dp/B08JBY73D2
Also available on
https://okadabooks.com/…/sally_s_tips_for…/37081

#don’t leave your pregnancy to chance

#midwifesally #maternalhealth #WomansHealth #birtheducation #baby #books #fertility #pregnancy #Bigbaby #africa #ghana #StillBirth

MY BIRTH STORY – BREECH PRESENTATION +BIG BABY

EDD : 25th  August

1. All thanks to Yahweh for how he has brought me.

2. second thanks go to our noble and able midwives, Who out of their intelligent, created a group like this so we the Inexperienced can become experience. May Jehovah bless you all.

My nine months journey was 50/50. this is because, the first 4months, I was down to earth. I experience almost all the symptoms of pregnancy. These are: nose bleeding, heart burn, nausea, vomiting etc.
Stood on my feet at 16 weeks. from this time, was feeling hunger regularly.
Fast forward at 20 weeks, I did a scan to know the sex of the baby. The gynecologists’ said baby buttocks was down but I shouldn’t worry since there are more time and baby Can turn anytime.
I have been doing my exercises, house chores hoping for the best.

At 36 weeks, went for another scan and my baby was still breech with weights: 3.1kg.hmmm. I was losing it. At my hospital, I was directed to a specialist who said I should come and book for C.S which will be done at 38 weeks. I quickly posted a question on the platform to know if I can change the hospital to get a second opinion.
Midwife Sally said , yeah I can seek for second opinion.
Now from what we have learnt from the class, which our midwives always saying choose a hospital that that have all the facilities. I went to a regional hospital. I don’t want to leave my pregnancy to chance.
At the regional hospital, the doctor said they help deliver breech babies, but she said, this will happen based on the weight of the baby, that’s 2.5 to 3.5. My hope was high now since I delivered my first child by vagina birth.doc. said if by 39 weeks and baby hasn’t come, depending on the weight, then cesarean section will be done.

At 38 weeks, I went for another scan and hmm baby was 4.2 kg and breech. With this weight, my doctor said CS is the only option. from things learnt from the pregnancy class, I agreed and we booked for CS. on Friday. Labor set in and I rushed to the hospital for emergency cesarean section .My girl arrived at dawn 2:46am.mum n baby doing well.

Join our Pregnancy class to learn more. 0242281957.
patreon.com/user?u=86216005

By Sally’s Tips for expectant mums Available on Amazon… https://www.amazon.com/dp/B08JBY73D2
Also available on
https://okadabooks.com/…/sally_s_tips_for…/37081

#don’t leave your pregnancy to chance

#midwifesally #maternalhealth #WomansHealth #birtheducation #baby #books #fertility #pregnancy #Bigbaby #breechbirth #africa #ghana

BLEEDING AFTER BIRTH

The leading cause of maternal deaths during delivery is hemorrhage (Bleeding)

It’s important that women do well to keep their blood levels high above 11g/dl HB. During pregnancy before labor sets in

Also make sure you choose a hospital ready for emergencies

In case you need a transfusion there should be a blood bank and blood products available

In case you need an emergency obstetric care when bleeding occurs  items should be available

Medication to stop bleeding should also be available

If you need a referral, there should be an ambulance and it should be available

Feel free to ask all these from your facility

It’s your life!

There is no second life!

Join our Pregnancy class to learn more. 0242281957.
patreon.com/user?u=86216005
By Sally’s Tips for expectant mums Available on Amazon… https://www.amazon.com/dp/B08JBY73D2
Also available on
https://okadabooks.com/…/sally_s_tips_for…/37081
#don’t leave your pregnancy to chance

#midwifesally #maternalhealth #WomansHealth #birtheducation #baby #books #fertility #pregnancy #bleedingafterbirth #africa #ghana

#SHARE TO HELP SOMEONE

POLYHYDRAMINOUS, TOO MUCH AMNIOTIC FLUID AROUND THE BABY

Polyhydramnios or hydramniosis occurs when the fluid in the amniotic sac surrounding the fetus becomes more than 2000mL.

The normal amount of amniotic fluid is 800ml, which is noted at 34 weeks of pregnancy.

This amount further decreases as the pregnancy progresses and is around 600 ml at 40 weeks.

The cause of polyhydramnios is usually unknown but can be linked to conditions in the mum or the baby.. Eg Uncontrolled diabetes in mum or and abnormality in the gastrointestinal tract of the baby.

Some signs and symptoms include

🔴Breathlessness when lying down

🔴Palpitations or feeling of one’s heart beat

🔴Your feet swelling and there is varicose veins as well.

🔴Abdomen becomes larger the normal

It can lead to complications like premature birth, malpositioning of the baby, cord prolapse, fetal abnormalities etc

It can be mild and will require no treatment. In severe cases patient will require treatment to control the underlying cause. Example if mother is diabetic the sugar will be controlled to prevent further complications.

Depending on what causes it investigations will be done and appropriate treatment given.

If diagnosed with polyhydramnios, just do well to comply with treatment. Not all mums diagnosed with polyhydramnios end up with complications. Just adhere to your doctors instructions

Join our Pregnancy class to learn more. 0242281957.
patreon.com/user?u=86216005

By Sally’s Tips for expectant mums Available on Amazon… https://www.amazon.com/dp/B08JBY73D2
Also available on
https://okadabooks.com/…/sally_s_tips_for…/37081

#don’t leave your pregnancy to chance

#midwifesally #maternalhealth #WomansHealth #birtheducation #baby #books #fertility #pregnancy #wateraroundthebaby #amnioticfluid #africa #ghana

HOW LONG DOES IT TAKE FOR THE PLACENTA TO BE DELIVERED?

After the birth of your baby, its not over. The delivery of your placenta follows.

Within 30 minutes after birth the placenta should separate and be delivered.

It’s a very critical time and if not well managed can lead to serious complications like bleeding which is life threatening.

The placenta has membranes covering it, lobes that faces the mum(maternal surface) and a smooth part that faces the baby. The  cord has two arteries and a vein.

The midwife/ doctor has to inspect the the placenta to make sure everything came out. There should be no missing lobe. The membranes should come out completely.

Any retained product can possibly prevent the uterus from contracting and cause bleeding.

Retained products can also get infected and cause problems several days later.

If after birth whilst in the recovery room or at home your bleeding doesn’t subside but you are actively bleeding call  the team to re examine you.

Severe lower abdominal pains which is extreme after birth should also be reported for re examination.

Doing so in time can save your life!!!

Bleeding after birth is the no. 1 cause of maternal mortality worldwide. Take early steps to save your life!

0242281957.

https://www.patreon.com/user?u=86216005

By Sally’s Tips for expectant mums Available on Amazon… https://www.amazon.com/dp/B08JBY73D2

Also available on

https://okadabooks.com/…/sally_s_tips_for…/37081

#don‘t leave your pregnancy to chance

#midwifesally #maternalhealth #WomansHealth #birtheducation #baby #books #fertility #pregnancy #stageoflabor #placentadelivery #africa #ghana

BABY IS IN BREECH PRESENTATION, CAN THE BABY TURN BEFORE BIRTH?

Your midwife or doctor may have told you your baby is not lying in the womb as expected.

In breech presentation it means the presenting part of the baby is the buttocks and it has some implications during birth

Though vaginal birth is possible it depends on several factors example.. Is it your first time giving birth? The weight of the baby, the skill of the midwife etc.

Depending on the stage of the  pregnancy, the breech presentation may turn. As the pregnancy grows its likelihood of it turning especially in the last weeks of pregnancy reduces.

Your midwife or doctor may teach you some exercises to help baby turn. It may or may not turn in some cases. Not all are also fit for some exercises. Speak to your midwife or doctor

It’s important to plan your birth and also listen to your doctor or midwifes recommendation. In some cases a caesarean section may be requested.

Don’t leave your pregnancy to chance.

Sign up for our Pregnancy class to learn more 0242281957.
https://www.patreon.com/user?u=86216005

Get a copy of Sally’s Tips for expectant mums
https://play.google.com/store/apps/details…
Available on Amazon… https://www.amazon.com/dp/B08JBY73D2
Also available on
https://okadabooks.com/…/sally_s_tips_for…/37081

Let’s pack your hospital bag for you. 0242281957

#midwifesally #womenshealth #maternalhealth #breechbirth #BreechPresentation #birtheducation #baby #book #africa #ghana

NOW I HAVE COME TO KNOW HOW BOTH PAINS ARE

Birth story .. long post alert 🚨

On Friday dawn around 2:51am. I felt I was urinating on my bed . This time I couldn’t control wat was coming out unlike you can always control your urine. Luckily for me my mom has arrived Just on Thursday, so I woke mummy up to look at it . Immediately she said we have to go to the hospital.

The water never stopped.. I remember (Haj) talked abt that water sometime ago with her delivery. We arrived at the hospital by 4am n I was 3cm gone. Contractions were normal. @ 8am I was checked again n it was 4cm .. so I knew I was moving small small . Den from 4cm contractions kept going up saaa. It got them to check n surprisingly I have moved from the 4cm back to 3cm after a whole 4hurs (mercy🙏🏻)

My only hope at that moment was to look up unto the man up der . Meanwhile in all this the water that came out earlier was the one around the baby which makes the baby survive . Now there wasn’t any water n I wasn’t progressing as well . I was left in the position to do everything possible for myself n my baby to survive.  
Now at 2am on Saturday dawn I was checked again n now o have moved to 7cm

Here there was some kind of joy in my heart at least the pain was becoming worth it . At 6am I was checked again n now still 7cm . At this point dilation wasn’t going again . Now it means that I have laboured for 24 hours . It means that CS has to take place. At this point the only thing i could tell God is (in your hands on lord) . Remember I was still going thru contraction pains . By 7 :20 am from the way I was screaming in pain the midwife Just got me dressed n ready for theater . @ the theater in less than 8mins baby was brought out . The first qtn doc asked me is why did I allow all the water around baby to dry off and do I know I could have lose my baby .. I couldn’t say anything but said thank you Lord .

I held my baby wen I was brought from the theater tried raising her high n said ( ewurade maseda nie🙏🏻)
. Baby is well am Just being the one monitored because BP keeps going up . But I know that the lord has won victory for me .

I want to entreat us all that every birth story shared on this page has it on way of working thru our lives so we should read them well . Cos I remember one mummy said she was 10 cm but still ended with CS . At that point I was motivated . God works in many ways .
My current problem am facing is the emotional n psychological stress. But I know I will overcome with time .

I wish all mummies Good luck.

Mum…Sally’s Pregnancy School (No editing)

Join us to more 0242281957.
https://www.patreon.com/user?u=86216005

Get a copy of Sally’s Tips for expectant mums
https://play.google.com/store/apps/details…
Available on Amazon… https://www.amazon.com/dp/B08JBY73D2
Also available on
https://okadabooks.com/…/sally_s_tips_for…/37081

Let’s pack your hospital bag for you. 0242281957

#midwifesally
#womenshealth

THE BABIES CORD SHOULD NOT COME OUT FIRST DURING LABOR- CORD PROLAPSE

🔴Umbilical cord prolapse is a complication that occurs prior to or during delivery of the baby. In a prolapse, the umbilical cord drops (prolapses) through the open cervix into the vagina ahead of the baby

🔴This is an emergency.

🔴If the cord is seen coming before the head of the baby and membranes are broken

🔴Blood supply to the baby can be cut off and you end up losing the baby or come with complications like severe asphyxiation

🔴If this happens at home, don’t spend a minute waiting.

🔴Move into a knee-to-chest position on the floor, with your bottom higher than your shoulders, to take the baby’s weight off your cervix. Stay in this position until the ambulance or until help arrives.

🔴Go to the hospital immediately

🔴Handling it unnecessarily can cause it to go into spasms which will cause more problems.

🔴At the hospital delivery will be done in the shortest possible time. An assisted delivery or an emergency Caesarian section will be done to save the baby.

Sign up for our Pregnancy class to learn more 0242281957.
https://www.patreon.com/user?u=86216005

Get a copy of Sally’s Tips for expectant mums
https://play.google.com/store/apps/details…
Available on Amazon… https://www.amazon.com/dp/B08JBY73D2
Also available on
https://okadabooks.com/…/sally_s_tips_for…/37081

Let’s pack your hospital bag for you. 0242281957

#midwifesally
#womenshealth #cord prolapse #emergency

PRECIPITATE LABOR- MY EXPERIENCE

40+ weeks and expecting my labor to set in.

No sign of Labor

Walked all day to induce labor. Nothing happened

I had false contractions which obviously wasn’t enough

I was a bit anxious but kept calm. At 41 weeks I will see the doctor for the next step

I went to bed. At around 10 :40 pm. I had the urge to urinate.

I woke up only to realize I was having severe contractions.

We called our next door neighbor to take me to the hospital.

In his car, a strong urge came and nothing could prevent it.

It was my baby’s head! Around 11 pm.

Every thing happened within 20 minutes

My mum had to become the midwife. She received the baby, cut the cord and wrapped the baby in the compound.

She was scared of delivering the placenta although I was encouraging her to take it out.

We got to the hospital and the placenta had already Separated by itself.

The midwives on duty cleaned me and made us comfortable.

Once in a while birth can happen this way. Very fast!

It’s called precipitate labor. Though it looks so simple.

It can sometimes have negative effects as well

By God’s Grace my baby was born safe!

It’s 3 years today and we are grateful to God for his mercies.

Happy Birthday Sharon Rose Avor!

Don’t forget to join our Pregnancy class to learn more! 0242281957.

https://www.patreon.com/user?u=86216005

Get a copy of Sally’s Tips

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

Also available on

https://okadabooks.com/…/sally_s_tips_for…/37081

#midwifesally #maternalhealth #womenshealth #baby #Books #birtheducation #labor #precipitatelabor #africa #ghana

THE GOLDEN MINUTE-NEONATAL RESUSCITATION

This refers to the first minute a baby is born into the world.

Once baby is born a quick assessment is done to ascertain the health of the baby. It is known as “APGAR SCORE”

It involves assessing baby’s appearance , pulse, grimace, activity and respiration. A score of 0 to 10 is given.

If baby has a low apger or problem with respiration, activity or any of these vital signs, resuscitation is immediately started within the first minute.

Resucitation can be as simply cleaning and stimulating the baby to using advanced methods to help baby breath. The lower the apgar the more advanced methods will be needed.

The earlier it is started the better. Delaying in initiating resuscitation can result in complications to the neonate, even brain damage.

Its important that before the baby is born the midwife prepares for resuscitation, regardless of the situation

It can be traumatic to both mum, baby and the medical team when baby is born needs some form of resucitation and items are not available

In choosing your hospital this is one thing you should consider. How ready is the hospital for neonatal resuscitation. How skilled is the team to provide this if need be.

Resucitation saves the lives of babies and very effective if initiated in the first minute

Neonatal resuscitation involves methods and techniques used to help your baby breath

Join our Pregnancy class to learn more 024 228 1957
https://www.patreon.com/user?u=86216005

Get a copy of Sally’s Tips
Available on Amazon… https://www.amazon.com/dp/B08JBY73D2
Also available on
https://okadabooks.com/…/sally_s_tips_for…/37081

#midwifesally #books #maternalhealth  #baby #pregnancy #womenshealth #Ghana