Auntie Sally! Let me ask you? Can you get pregnant even after taking emergency contraception. Could that be the cause of my ectopic gestation?

I did my search.. I was also alarmed since she was not the first client asking me this question.
Let me share what I got with you.

Emergency contraceptives are used to prevent pregnancy in situations where no protection was used and there is a possibility of pregnancy to prevent it. Usually effective within the first 72 hours.

“The Centre for Adverse Reactions Monitoring has received three reports of ectopic pregnancy following use of a progestogen-only emergency contraceptive pill. This is a reminder that women who have amenorrhoea (or other symptoms suggestive of pregnancy) following use of progestogen-only emergency contraception should have a pregnancy test. If the result is positive, the possibility of ectopic should be considered”

My main concern now is the #misuse of emergency contraceptives among ladies. It is not supposed to be used as a regular method of family planning. The earlier it is used , the more effective it is within 72hours.

1. Use a regular family planning method and don’t depend on it as a family planning method. Only use when it is an emergency.

2. If you took one and still missed your period talk to your doctor to rule out pregnancy ! Very important.

3. Use a regular family planning method if you want to avoid pregnancy except in times of emergencies as the name suggests! Talk to your midwife about the options available!

4. Thanks, Share with a friend. Let’s stop misusing emergency contraceptives. Before I go lets also remember it does not prevent STI’s like HIV/AIDS… Visit the family planning unit to learn more.

More research needed !

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Have you ever wondered how you survived 9 months in your mums womb!

Thanks to this magical organ which forms when a woman gets pregnant.

It serves as a connection between mum and baby.

It has three parts, the maternal surface that attaches to the mothers womb, the fetal surface which faces the baby and the cord which contains a vein and two arteries that transport oxygen, nutrients and other needed substances.

The placenta during pregnancy attaches to the upper part of the uterus. It produces hormones that help to maintain pregnancy.

The placenta at a point during pregnancy, when baby is fully matured may stop functioning effeciently. It is important that all pregnant women do not allow their pregnancy to go beyond 42 weeks gestation. At 41 weeks you and your doctor should decide mode of delivery if labor has still not set in.

It can also have problems like placenta previa where placenta, is not in the right location. It can cause problems, but can be managed

After delivery placenta is birthed. A retained placenta or portion remaining after delivery can cause bleeding. Report to the hospital immediately you have severe bleeding after delivery.

After delivery, some cultures have different ways of handling it. If requested, it will be given to you under hygienic conditions. You decide what to do with it as your culture permits.

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Afternoon Midwife Sally. I want to ask this question, is it safe for pregnant women to do belly massage, I mean those traditional massages offered by elder women in the society? for example when the baby’s head hasn’t dropped down this elders can massage the belly to initiate the head to drop down. Are this massages clinical proven to be ok.

Sally: In my line of duty, we have experienced similar cases where women go to untrained persons for their baby’s to be turned. Example when a baby is breech they try to maneuver the baby to get into the right position without any scan, special skills or proper monitoring

Some come with placenta abruptio. Placenta separating prematurely due to the maneuver. Which further results in bleeding and complications.

It’s important you to seek help from trained professionals.

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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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Include fruits and vegetables in your diet

🔴It provides roughages which helps to ease digestion and prevents Constipation

🔴Has vitamins and minerals

🔴Keeps your tummy full

🔴Helps control weight gain

🔴Nourishes your baby

🔴Fruits with lots of water keeps you hydrated

#Don’t leave your pregnancy to chance

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Midwife Sally, my breast is small and can’t produce enough breastmilk for my baby.

The simple answer is that the amount of breastmilk produced produced by a lactating mum is not dependent on the size of the breast.

All things being equal, the more you allow baby to suck, the more breastmilk will be produced. The size of the breast does not matter

Feeding baby on demand helps more breastmilk to be produced. Lactating mums can do exclusive breastfeeding regardless of the size of their breast

Lactating mums should take more fluids, beverages and soups to stay healthy.

Initiation of breastfeeding should also be started within the first hour of the baby’s life .

If you still have challenges with breastfeeding kindly see a lactational consult, midwife or your pediatrician

Never worry about your breast size. It’s enough to feed your baby!

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Coconut water is a natural and refreshing beverage that can offer several benefits during pregnancy. Here are some of the key advantages:

1. HydrationCoconut water is an excellent way to stay hydrated, which is especially important during pregnancy as the body’s fluid needs increase. Its natural electrolytes like potassium, sodium, and magnesium help maintain fluid balance and prevent dehydration.
2. Boosts Energy LevelsThe natural sugars in coconut water provide a quick energy boost, helping pregnant women combat fatigue, which is common during pregnancy.
3. Prevents ConstipationCoconut water contains dietary fiber and acts as a natural laxative, helping to prevent constipation, a common issue during pregnancy.
4. Supports DigestionCoconut water can soothe the digestive system and reduce acidity, which may help alleviate heartburn and indigestion, frequent complaints during pregnancy.
5. Promotes Healthy Blood PressureThe high potassium content in coconut water helps regulate blood pressure, reducing the risk of hypertension during pregnancy.
6. Relieves Morning SicknessThe mild, natural taste of coconut water can help settle the stomach and reduce nausea, making it a good option for those experiencing morning sickness.
7. Boosts ImmunityCoconut water contains antioxidants and nutrients that can help strengthen the immune system, protecting both mother and baby from infections.
8. Prevents Urinary Tract Infections (UTIs)Its diuretic properties promote healthy urination and help flush out toxins, reducing the risk of UTIs, which are common during pregnancy.
9. Supports Fetal DevelopmentThe vitamins and minerals in coconut water, such as calcium, potassium, and magnesium, contribute to the healthy growth and development of the baby.10. Low-Calorie HydrationCoconut water is naturally low in calories and fat-free, making it a healthier alternative to sugary or caffeinated drinks.How to Include Coconut Water During Pregnancy: •

Drink fresh coconut water in moderation (1–2 glasses per day). • Avoid packaged or processed coconut water with added sugars. • Opt for coconut water from young, green coconuts for maximum nutrients. Always consult your healthcare provider before adding new foods or beverages to your diet during pregnancy.

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 The placenta connects the baby to the mother and plays a critical role.

It is attached to the mum at the upper part of the uterus or the fundus and this is the normal position. In this case during delivery baby can be born first and the placenta follow. There is less bleeding and its more safe

On the other hand if the placenta leads or finds itself in the lower uterine segment(previa)It can lead to severe bleeding during delivery since it will separate first.

In your third trimester a scan will be done to determine the location of your placenta before your day of delivery. If its too low, covering the opening of the uterus, vaginal birth will be contraindicated. Cooperate with your doctor for the best outcome of pregnancy!

Women with their placenta located in the upper uterine segment without any other indication can have normal vaginal birth.

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