I CAN’T FEEL MY BABY MOVE- IS MY BABY ASLEEP IN UTERO?

Its important that once quickening which is the first baby movement a mum feels during pregnancy starts, it should not stop or slow down

At least you should feel your baby move every day

Mums should be familiar with how their babies move and if there is any significant change report immediately.

Your baby’s fetal movement should not slow down or become excessive.

If you cant feel it at all kindly report to the hospital.

Never assume its because your baby is sleeping!

Your baby’s movement can start between 16 to 22 weeks of pregnancy. It can be earlier for mums who have given birth before.

Other factors may affect how you feel the baby’s movement. But do report if it slows down or becomes excessive

Excessive baby movement or decrease in baby’s movement pattern could be a sign that baby is in distress.

Don’t leave your pregnancy to chance!

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MAKING FOOD CHOICES ESPECIALLY DURING PREGNANCY

Went for a walk with my kids, as we were coming back home they asked that I buy fried plantain popularly known as “KELEWELE” in Ghana .

I said no. I love it, but not after taking a long walk to burn calories and then just come back home and replace it immediately is not the best.

We finally bought watermelon which is a healthier choice for the night. Less fat, less calories, more water and a good amount of roughage. Easily digestible and has vitamins and minerals.

Its the same with every day life and pregnancy. The choices of food you make will determine how healthy you will be.

It will determine your weight gain during pregnancy as well

Healthy choices have to be a conscious effort

You should know what works at what time you should take it

Talk to a nutritionist if you need help

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IS IT NORMAL TO LEAK BREAST MILK DURING PREGNANCY?

Breastmilk is the first and perfect food that nature provides for babies. It’s referred to as natures perfect food and golden.

It’s important to know that breastmilk starts to form during pregnancy. It does not wait for baby to be born first. The first milk is called colostrum and this is already formed before the birth of the baby

Mums in their third trimester of pregnancy when they express breastmilk will realise that some liquid comes out. Sometimes yellowish or clear liquid. This is perfectly ok. The body is preparing for the baby

This is why you should trust your body and start breastfeeding immediately the baby is born. Don’t assume there is no breastmilk. There is breast milk. All you need to do is to allow baby to suck more. The more the baby sucks the more breastmilk is produced.

Don’t rush to give formula. The more you give formula the more the baby will be satisfied and will not suck . This can cause reduced breastmilk supply and also nipple confusion

Trust in your body and ability to breastfeed and give baby on demand .Breastmilk has many advantages for both mum and baby.

Let me repeat that your breastmilk leaking during pregnancy is very normal and doesn’t come with any risk. If it’s bloody, brown, greenish, comes with pain or skin changes report to your doctor for prompt assessment.

Thanks and don’t leave your pregnancy to chance!

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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.

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YOUR PREGNANCY IS NOT MY PREGNANCY! YOUR BIRTH IS NOT MY BIRTH!

Mum 33 years having prolonged labor and needs an emergency caesarian section. She calls her partner to consent and he says No! Even teenagers are giving birth vaginally and you want to be lazy

Delay continues as the woman continues to wait for her partners approval. Luckily a midwife in the family intervenes, explain the issue to the husband. He accepts and both mum and baby is saved

A young lady pregnant always tired and having hyperemesis (excessive vomiting). Neighbors and partner says to her. Are you the only one who has been pregnant before? Go to the village and see how you young girls are going to the farm with pregnancy

Some of these statements are not helpful and are said because we lack some understanding

Every pregnancy is unique! No two pregnancies are the same even if it’s the same mum

Some people go through pregnancy without any issue or complications, where as some have to deal with issues from day one till delivery. Example Hyperemesis gravidarum, diabetes in pregnancy, pre eclampsia etc

Instead of comparing one pregnancy to another. Find ways to support her. There could be conditions that need medical advice or help

Always remember no two pregnancies or birth can ever be the same. Each pregnancy is unique! Treat your partner, friend or sisters pregnancy as a unique one and find ways to support her.

LETS STOP COMPARING!

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You can also a copy of our book “SALLY’S TIPS FOR EXPECTANT MUMS” by clicking on the links below

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CAN I GET PREGNANT SIX MONTHS AFTER CESAREAN SECTION?

Whilst practicing as a midwife , I have met many women who have been faced with the challenge of whether to get pregnant immediately after a cesarean section. Let’s go straight into it .

It’s advisable to wait for a period of two years after a cesarean section before conceiving. This allows you to heal properly .
Pregnancy after a short duration of cesarean section has risk. One of the main risk factors is uterine rapture.

Uterine rapture usually occurs when the woman goes into labor and the site of the previous cesarean section is not properly healed. The tear usually occurs through the past scar due to strong contractions.

This can be stopped or managed if the woman is closely monitored and her birth planned. She also has to cooperate with her doctor for the best outcome. If you were scheduled for cesarean section, do not stay home when you realise labor has started and you are contracting.

And also remember spacing the babies have lots of benefits for both mum and baby .

It’s also advisable to see a gynaecologist for the best advice specific to your situation. Remember every woman is different

Let me add that if you found your self pregnant before the time allowed by your health care provider, just remember it can be managed and you will still have a successful pregnancy and a healthy baby if you are well monitored.

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CERVICAL CERCLAGE

The cervix is the opening of the uterus.

It closes during pregnancy and firm to prevent the fetus from coming out.

For some women due to some birth defects, previous surgery or D&C on the cervix. Cervix is weak and a cerclage has to be done to prevent the cervix from opening.

This is usually done during the second trimester when cervix is likely to open due to the weight of the baby.

It can be diagnosed earlier by your doctor through a scan or done if you had previous history of frequent miscarriages. A threatened abortion can also alert your doctor to investigate further if you need a cerclage.

Women with cerclage are usually advised to reduce activity to prevent pressure on the cerclage.

Strict personal hygiene is also key. Infection cause problems and you need to do all in your power to stay clean

If you have contractions or lower abdominal pains report immediately.

Before labor sets in cerclage will be removed so baby can come out. You don’t have to be contracting while cerclage is in situ.

If your waters break, you bleed or have abnormal vaginal discharge, report immediately.

Join our Pregnancy class to learn more 024 228 1957
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You can also book a session with us

You can also a copy of our book “SALLY’S TIPS FOR EXPECTANT MUMS” by clicking on the links below
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Also available on
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HOW DO I MAINTAIN A HEALTHY WEIGHT DURING PREGNANCY?

One strategy for maintaining a healthy weight during pregnancy is to eat fruits and vegetables in between meals.

It works!

It keeps you feeling full and has less calories with more roughage

It also has lots of water to keep you hydrated as well as vitamins and minerals that nourishes you and your baby

What ever fruits you love or can tolerate just enjoy it

🔴Water melon

🔴Oranges

🔴Banana

🔴Mangoes

🔴Pear

🔴Sugar cane

Take in moderation➡️

Pineapple In your first trimester

Let fruits be part of your journey.

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BE CONSIDERATE TOPREGNANT WOMEN!!

Story, story!……. Story.

There lived a young lady

She will always say.. “Pregnancy is not an excuse”

Share the job with pregnant women equally!

Now she gets married…

Gets pregnant and wants to be treated like an egg.

Using her pregnancy in every single statement…

So you see, what goes around comes around

Be considerate if you have an expectant mum you work with!

Her energy level is not the same!

Yes she is not sick but becomes more vulnerable than you

She needs the support of every one around her.

Tag that lady or boss who needs to hear this

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PICA DURING PREGNANCY

PICA DURING PREGNANCY

Lets talk about #addiction.In a focused group discussion, one woman who had severe anaemia told the group, addiction to #Ayilo within our #community is worse than #tramadol.

She would eat more than 20pieces a day and still want more. She confessed she was not the only one and that there are several women in her community with the same problem of addiction to ‘Ayilo’. She has been addicted for more than 5 years. She decided stop when she realized it was having serious effect on her #health

Pregnant women also crave for substances that may not have any nutritional value for their babies as well as their health! One of such things is baked clay popularly called ‘Ayilo’ or ‘shile’ in Ghana. It is taken to reduce the morning sickness as well as make them feel better.

Medical professionals have warned expectant mums about the negative effects it can have on their health. It makes them to feel satisfied and therefore eat less resulting in nutritional deficiencies. Anaemia, low birth weight, worm infestation , underweight and poor birth outcomes are some of its effects.

It is important that pregnant women eat foods that are nutritious and cravings substituted with healthy foods that provide nutrients to the baby and mum. If there is a severe #nausea and vomiting see a medical professional or #doctor for the best care.

Also seek the help of a #nutritionist to help improve your nutrition during pregnancy. Share with a loved one.

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