DO YOU KNOW CAESARIAN SECTIONS CAN BE DONE BASS ON THE FOLLOWING REASONS?

Big baby.. Fetal macrosomia

Fetal distress

Placenta previa or abruptio. Depending on its severity

Two previous caesarian sections

Short interval after a previous caesarian section

Twin Gestation(Not all)

Breech presentation (Not all)

Bad obstetric history

Maternal conditions… Severe pre-eclampsia, eclampsia, diabetes etc. When it’s an emergency and induction is not possible

No matter the reason speak to your doctor about your concerns

Remember the aim of pregnancy is for a healthy baby and mum

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PENGUIN NEWBORN SUCTION – IT’S USE!

After the birth of your baby one of the things we expect is for respiration to be established

Some baby’s may be going into distress before they are born

Some fluid may be obstructing the airway making  it a bit difficult for the baby to breath

A penguin is one of the equipments used for resuscitation

It’s used to remove fluid from the nose and mouth that may be obstructing the airway

For most babies a using a penguin to suction and providing warmth plus a little stimulation is enough to establish respiration

In choosing your hospital for delivery. Consider neonatal resuscitation. Hospitals should be ready to initiate resuscitation immediately when a baby is born if need be.

Speak to your doctor/midwife about what happens when your baby needs resuscitation?

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COMPLICATIONS IN EARLY PREGNANCY – ECTOPIC GESTATION

Midwives please, what causes ectopic pregnancy???why does that HAPPEN??

A friend of mine died yesterday, she was just 2 months pregnant, she went to the office in the afternoon to relieve her colleague, started complaining of abdominal pains and was rushed to the hospital 😔 and they said she has lost a lot of blood then she died😭😭😭

🔴Incidence

It is one of the leading causes of maternal deaths in early pregnancy worldwide.

🔴Definition

An ectopic pregnancy occurs when Pregnancy occurs outside the uterus or womb.  The fertilized egg implants in the fallopian tube, ovary, cervix and sometimes the abdomen.  The embryo implants and starts to grow, it gets to a point where it  cannot accommodate it. The fallopian tube ruptures or bursts and that is what we term a ruptured ectopic. A woman can bleed to her death if she doesn’t receive care immediately.

🔴Causes

Previous surgical procedures that cause scarring, pelvic Infections and some forms of birth control increase the incidence though it can occur in every other woman. The cause may also be unknown

🔴Signs of a ruptured ectopic

There is a missed period and there is a sudden severe  lower abdominal pain at one side, later becoming generalized . There could be scanty bleeding as well.  There could be fainting due to the excessive bleeding

🔴Diagnosis

A missed period, signs as indicated above , and an ultrasound can be done to confirm ectopic gestation. A Pregnancy test can also be done to confirm Pregnancy

🔴Treatment

Both surgical and medical interventions are used and survival rate is high

🔴Fertility

If it affects one fallopian tube, talk to your health care provider about how best to keep the other and optimize your chances of getting pregnant. With modern treatment women with both tubes removed can still have babies.

🔴Caution

Report to the hospital immediately if you miss your period or have scanty menses.

Do an early scan as recommended by your doctor when pregnant.

🔴If there is sudden abdominal pain at one side with a missed period visit the hospital to rule out ectopic.

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PREVIOUS CESAREAN SECTION IN LABOR- WHAT YOU SHOULD KNOW

Uterine rapture is real and can be fatal… If you have a previous surgery or caesarian section always take note of the points below

After one previous cesarean section if you have waited for more than 2 years you can have a normal vaginal delivery if all other things are well and confirmed by your doctor

If you get pregnant shortly after a previous c/s, you will not be allowed to try a vaginal birth. You will also need close monitoring during the pregnancy

Women with more than two previous c/s in Ghana are not encouraged to have a vaginal delivery due to the risk of uterine rapture

Women with two previous c/s and also women who get pregnant shortly after one caesarian section should not wait to get into labor.

Always have a birth plan and plan your birth with your healthcare provider.

Once you start having contractions and pain especially where you had your previous scar… Report immediately to the hospital. You should not go into labor.

Always remember once you have a previous cesarean section or previous surgery, mention it to your midwife during antenatal and also alert them when you report to the hospital in labor since it can pose a danger to you and the unborn baby.

Uterine rapture definition: It is the spontaneous tearing of the uterus that may result in the fetus being expelled into the peritoneal cavity. Uterine rupture is rare. It can occur during late pregnancy or active labor. Uterine rupture occurs #most often along healed #scar lines in women who have had prior cesarean deliveries.

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THE GOLDEN MINUTE- NEONATAL RESUSCITATION

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

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

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

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

Resuscitation 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.

It’s 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 resuscitation 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.

Resuscitation 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

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LET’S FIGHT PRE ECLAMPSIA AND ECLAMPSIA.

Pre eclampsia is one of the leading causes of maternal death in Ghana as we speak. Claiming the lives of young women and their babies. But we can do something about it. Every pregnant woman should know this and stay alert. The earlier it is detected the better it can be prevented and controlled.

High BP above (130/90mmhg) during pregnancy is not safe… It’s not a friend of pregnancy. You may feel well but it will be causing more problems there.

Other signs you may notice.

🔴Severe headache

🔴Swollen hands and feet

🔴Epigastric pain

🔴Protein in urine

🔴Severe abdominal pains may also occur

🔴Dizziness/palpitations

🔴In severe cases you begin to feel nauseated start  to vomit

If not controlled well you may start to fit like an epileptic fit which is more severe with poorer outcomes.

If diagnosed with preeclampsia…

✔️Always take your prescribed antihypertensive and medications

✔️Report early when you have signs listed above

✔️Plan your birth with your doctor or midwife

✔️Healthy lifestyle, eat nutritious meals exercise and learn to rest between your activities

✔️Cooperating with your health care provider and following a treatment regime will go a long way to bring the best outcome of your pregnancy. Thanks.

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CAN I JUST TELL MY DOCTOR I WANT A CESAREAN SECTION TO AVOID VAGINAL BIRTH?

Lots of new mums have heard so much about birth.

There are lots of stories that make them fear the thought of giving birth vaginally.

Then the way out to them is to just have a cesarean section so they avoid all the issues that come with vaginal birth

The fact is just like vaginal birth comes with some risk, cesarean section also comes with its risk as well.

It is a procedure that was made to help mums who have issues or indications for it

Example

🔴Baby is too big

🔴There is fetal distress

🔴Baby can’t pass through mums pelvis

🔴Placenta previa

🔴Previous c/s+ short interval

🔴Prolonged labor

🔴Bad obstetric history etc

It’s not the best to just ask for a cesarean section without any indication or proper reason

Speak to your midwife or doctor. Make a proper birth plan that suits your condition. It should not be based on your fear or what people have said about birth

You can approach birth more confidently by preparing for it.

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KEY THINGS TO PAY ATTENTION TO DURING PREGNANCY!

Some information about your pregnancy should be at your finger tips
You should ask your midwife or doctor whether these specific things are within normal and what you can do
After reading take your antenatal book and check
Its not enough if you are just told all is ok!
Your blood pressure (BP)
Your Haemoglobin level (HB)
Your expected date of delivery (EDD)
Your placenta location
Your specific health condition, example previous c/s, diabetes, fibroids etc
Sickling status
Your weight gain
Add yours
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MY BIRTH STORY – AFTER 5 YEARS OF TRYING

For 5 years of trying to get pregnant, hallelujah the test  came Positive… The regular waist and abdominal pains were the only thing I could experience… MS always says, you are what you eat which I find this statement funny but true… Eating healthy, taking my prescribed drugs, going for AnC and exercising were what I’m proud of doing throughout this journey…

So at 39 weeks, the Doctor told me to add sex to the routine since I’m a 1st time Mom nanso Chairman says my tummy always scare him nti no sex🤣🤣. I could cry nyinaaa nanso no show…

Fast forward at 40 weeks 2 days with EDD as 1st April🤣🤣 and still strong with no labor signs, Doctor and Midwives advised me to be admitted on Sunday 4th April so i will be induced Monday Morning… 1st drug under my tongue was given at 5:35am eeiii Sister still with smiley face and no show hmmm… 2nd drug was given at 11am and still nothing oo..

Honestly all the vim tear my eyes eeii but still I was reciting my  Rosary, reading and meditating on Psalm 23, Psalm 121 and Isaiah 41:10… At 4pm, the 3rd dosage was given and after 30 mins chaaaiiiiii come see pains😭😢😭… They checked and I’ve dilated 4cm with pains eeii🤣🤣

… Around 5:30, I was checked and it was now 8cm and the pains were now abnormal😭😭 6pm and I was 10cm dilated and could feel the baby  coming… I was taken to the delivery ward and after some few pushes, the baby was out at exactly 6:30pm with weight 3.0😍…….. Nyame nhyira everybody for the love, advice, support and prayers🙏🏽😍🥰❤️…. May we all have a successful delivery😘

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HOW A COMMON HEADACHE DURING PREGNANCY RESULTED IN FITS (PRE ECLAMPSIA ALERT)

She started to experience headaches during pregnancy. She was told its a normal part of pregnancy by her neighbors. They encouraged her to take some paracetamol and that it will go away.

Days passed and it was still persist. One morning she decided to walk to the pharmacy to buy paracetamol. On her way she fell to the ground and thats all she remembered. She opened her eyes on the hospital bed when an emergency cesarean section had been done to save her life and that of the baby who was preterm.

She was told exactly what happened when she fell by a relative. She fitted. And was rushed to the nearest hospital for care. It was “Eclampsia”. On arrival to the hospital her blood pressure was very high and urine protein was +++3. This were indications that she had high bp which was causing the headaches but due to lack of knowledge she ignored all these signs.

Headaches during pregnancy should be investigated. Severe persistent headache which doesn’t go away with rest could be a sign of pre eclampsia together with other symptoms I will talk about later.

This can ruin your life. Pre eclampsia is a life threatening condition and should be taken seriously. Report to the hospital and also check your Blood pressure if you have persistent headaches.

Dont leave your pregnancy to chance!

This week will be going into details on how you can stay safe with preeclampsia during pregnancy.

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Don’t leave your pregnancy to chance!

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