WHAT REDUCES A BABYS WEIGHT IN UTERO?

In utero it is expected that baby gains some weight till birth. The estimated normal weight for a new born baby is 2.5 to 3.5 kg.

It’s important to note that some factors can cause your baby to have less weight. Let’s discuss them

  1. Poor nutrition. If the mum does not eat a well Balanced diet with the right amount of nutrients it can cause the baby to have less weight than expected
  2. Pre eclampsia. If you have pre eclampsia and it’s not properly managed it can affect the weight of the baby. Baby will be smaller than expected
  3. Infections. Infections like malaria ,urinary tract infection etc can affect the baby negatively if not treated promptly
  4. Genetics can also play a role in the weight of your baby
  5. Poor lifestyle choices. In general the outcome of your pregnancy can be affected by your Lifestyle. Avoid unprescribed medications, exercise regularly and maintain strict personal hygiene

Always work with your doctor if you have concerns about your baby’s weight gain

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HOW TO MAKE YOUR PREGNANCY EASY

Making pregnancy more comfortable and manageable involves focusing on physical, emotional, and mental well-being. Here are some tips to help:

  1. Stay Physically Active • Exercise Regularly: Low-impact activities like walking, swimming, and prenatal yoga improve circulation, reduce stress, and help with sleep.
    • Stretching: Gentle stretching can ease back pain and reduce muscle tension.
    • Pelvic Floor Exercises: Kegels strengthen the pelvic muscles, which can help during labor and recovery.
  2. Eat a Balanced Diet • Nutrient-Rich Foods: Focus on fruits, vegetables, whole grains, lean protein, and healthy fats.
    • Hydration: Drink plenty of water to stay hydrated and reduce swelling.
    • Prenatal Vitamins: Take as prescribed by your healthcare provider to ensure you’re getting essential nutrients like folic acid, iron, and calcium.
    • Small, Frequent Meals: Helps with nausea and heartburn.
  3. Manage Common Discomforts • For Nausea: Ginger tea, crackers, or small, frequent meals can help.
    • For Heartburn: Avoid spicy and greasy foods, and eat smaller portions.
    • For Swelling: Elevate your feet, wear compression socks, and reduce salt intake.
    • For Back Pain: Use a pregnancy pillow for sleeping and maintain good posture.
  4. Prioritize Rest • Sleep Support: Use a pregnancy pillow for comfort and sleep on your left side to improve circulation.
    • Short Naps: Take breaks when needed to combat fatigue.
    • Create a Routine: Stick to regular sleep and relaxation schedules.
  5. Stay Emotionally Healthy • Connect with Loved Ones: Share your thoughts and concerns with family and friends.
    • Seek Support Groups: Join prenatal classes or online groups to connect with other expectant parents.
    • Practice Relaxation: Try meditation, deep breathing, or mindfulness.
  6. Regular Prenatal Care • Attend Appointments: Keep up with regular checkups to monitor your health and your baby’s development.
    • Ask Questions: Don’t hesitate to bring up concerns with your healthcare provider.
  7. Prepare for Birth • Educate Yourself: Learn about labor, delivery, and postpartum care through books, classes, or healthcare providers.
    • Plan Ahead: Create a birth plan and discuss it with your doctor or midwife.
  8. Listen to Your Body • Take Breaks: Don’t overexert yourself; rest when needed.
    • Adjust as Needed: Modify activities and routines as your pregnancy progresses.

If you experience severe discomfort or unusual symptoms, consult your healthcare provider immediately.

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CAN A PREGNANT WOMAN TAKE HONEY?

Yes a pregnant woman can take honey. It can be used when you have sore throat or coughing. It can also be used a sweetner in place of sugar in your tea or beverages.

But not recommended for kids below 1 year as their bodies may not be able to tolerate or process the bacteria it contains. That can lead to a condition called botulism in children below a year.

Don’t leave your pregnancy to chance!

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IS IT NORMAL TO ALWAYS FEEL HUNGRY DURING PREGNANCY?

Yes during pregnancy its normal to feel hungry within very short intervals

You should not wait to get hungry before eating

Your tummy should never be empty

When you get hungry, nausea also increases and you become very uncomfortable.

Always eat on time and take fruits, vegetables and small chops in between your meals to stay healthy.

Speak to your midwife or doctor if you have issues with your nutrition.

Don’t leave your pregnancy to chance!

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NOSE BLEEDING DURING PREGNANCY

Midwife Sally why do I have nose bleeding during pregnancy ?

Nosebleeds are common during pregnancy, primarily due to hormonal changes. Increased levels of estrogen and progesterone during pregnancy lead to more blood flow, which can make blood vessels in the nose more sensitive and prone to rupture. Additionally, the mucous membranes in the nose can become swollen, leading to dryness and irritation, which further increases the likelihood of nosebleeds.

Other factors that may contribute to nosebleeds in pregnancy include:

  • Increased blood volume: During pregnancy, blood volume can increase by up to 50%, putting more pressure on blood vessels.
  • Dry air or dehydration: Dry air (especially in winter) and dehydration can dry out nasal passages, making them more susceptible to bleeding.
  • Frequent colds or sinus congestion: These are common during pregnancy and can make nosebleeds more likely, especially if a woman blows her nose frequently.
  • Elevated blood pressure: Some women experience increased blood pressure during pregnancy, which can also contribute to nosebleeds.

To avoid nose bleeds , stay hydrated, avoid nose picking and also stay in a room that is well ventilated

Also know that ones in a while high blood pressure can cause nose bleeding. It’s important to check your blood pressure if you experience nose bleeding

Although nosebleeds are usually harmless, if a pregnant woman experiences frequent or heavy nosebleeds, it’s best to consult a healthcare provider to rule out any underlying issues.

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CAN I SLEEP ON MY RIGHT SIDE DURING PREGNANCY?

Yes, sleeping on your right side during pregnancy is generally safe and cause no risk for both mum and baby .While there’s often a focus on sleeping on the left side, especially as pregnancy progresses, sleeping on either side is fine, particularly if it feels comfortable. Here are some key points to consider:

1. Left Side vs. Right Side

  • Left Side: Sleeping on the left side is often recommended because it can improve blood flow to the heart, uterus, and fetus, and may help kidneys efficiently eliminate waste.
  • Right Side: Sleeping on the right side is also safe. It helps to alternate positions and promotes comfort

2. Importance of Comfort

  • Ultimately, the most important thing is to find a comfortable sleeping position that allows you to get adequate rest.
  • Many doctors emphasize that side sleeping (either left or right) is preferable to back sleeping after the first trimester, as lying on your back can put pressure on major blood vessels and may affect circulation. This can reduce blood supply to the baby and mum .

3. Using Support

  • A maternity or body pillow can make side-sleeping more comfortable, offering support for your belly, back, and legs.
  • Placing a pillow between your legs can also help keep your spine aligned and reduce discomfort.

4. Listening to Your Body

  • If you feel discomfort or dizziness while sleeping on your right side, it might be a sign to adjust your position.
  • Always consult your healthcare provider if you have specific concerns, as every pregnancy is unique.

Getting enough rest is essential during pregnancy, so choose a side that allows you to sleep well, and feel free to switch between your left and right as needed.

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CLEANING THE PERINEUM FROM THE FRONT TO BACK

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.

Its 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.

Its important to keep your perineum clean and dry to prevent infection.

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ABORTION/ PREGNANCY TERMINATION

The rate at which women are aborting is becoming alarming.

Am writing because my inbox is suffering from women seeking ways to terminate their pregnancies

Some taking several tablets and medications

Some bleeding and keeping for days before reporting

My advice is that if you are pregnant and confused about what to do visit the family planning unit of any hospital for counseling and guidance

Don’t terminate pregnancy at home. It can lead to several complications

You can also use a method of contraception to avoid pregnancy so you don’t even worry about abortion or termination

Please take charge of your life!

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DON’T RISK THE LIVES OF YOUR UNBORN BABY

Mums walks to me smiling. Midwife Sally I am pregnant for 43 weeks and I have reported since labor is still not setting in.

Sally.. Really, which midwife saw you and did not let them see you for admission and further management at 41 weeks.

She goes ahead and mention a midwifes name. I got confused but could not react.

Then I led her to the midwife. The midwife opens the folder and draws my attention to the date.

She was supposed to come on admission a week earlier. She refused and went home. Reported back and mentioning a colleagues name.

She didn’t know we document everything we tell them

The point is your placenta will stop working at a point if your baby is not born. It cant support your baby any more especially after 42 weeks.

So at 41 weeks if baby hasn’t arrived. You will be closely monitored and a possible intervention, either induction or caesarian section will be done to save the baby.

Women come with still births due to delay.

Know your expected date of delivery(40 weeks) and don’t let it pass for more than two weeks.

At 41 weeks… You need to ask your doctor what next?

Also cooperate with your health care provider. Give accurate information.

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YOUR HEMOGLOBIN(HB) LEVEL BEFORE BIRTH

Hemoglobin (Hb or Hgb) is a protein in red blood cells that carries oxygen throughout the body. Normal range is between 12 to 16 g/dl for adults

During pregnancy #hemoglobin is needed for the growth and development of your baby. In the mother low hemoglobin leads to anemia which can lead to further complications like hemorrhage during birth.

During pregnancy your HB is expected to be within a high range for your safety and that of your baby.

HB of 11g/dl or more is recommended. 10 g/dl is safe but even in this case you will be encouraged to boost your HB before delivery sets in.

Hemorrhage/bleeding is one of the causes of maternal mortality in #Africa.

Having a high HB makes you more safe during delivery.

In case of any complications because your HB is even high, emergency procedures can be started earlier to prevent further complications.

🔴Always take your prescribed hematinics to keep you HB high.

Eat well, take foods rich in Iron, red meat, milk green leafy vegetables etc

Take your prescribed dewormer

Know that if your HB is very low blood transfusion may be requested before your delivery or to keep your pregnancy healthy

If you have any condition like sickle cell, G6PD etc talk to your doctor and request to be seen by a specialist.

If your #HB is low 7, 8, 9 ask your midwife what you can do to increase it. You can speak to a #nutritionist as well.

#Share to save a woman.

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