The perineum refers to the area between the vagina opening and the anus

During birth pressure from the baby’s head or presenting part can cause the perineum to tear on its own. It ranges from a 1st degree tear to a 4th degree tear which is more severe

Majority of the tears are first degree and can usually heal on its own

Third and fourth degree tears can result in fistula, post traumatic stress disorder among others

Some reasons for perineal tear include

🔴If it’s your first delivery.

🔴The position of the baby (face-up deliveries).

🔴Use of forceps or a vacuum during delivery.

🔴A large baby (more than 8 pounds).

🔴If you’ve had an episiotomy.

Some midwives anticipate the possibility of a tear and give an episiotomy instead to prevent complications

Some perineal tears can be mild and can heal even without repair. Some are more severe and needs repair

To prevent perineal tear

🔴Cooperate with your midwife

🔴Perineal massage

🔴Exercise during pregnancy

🔴Give birth at the right place with skilled professionals

🔴Choose the right birth positions

Speak to your doctor or midwife to learn more about it.

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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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I am carrying my second pregnancy and just want to tell you my experience here (Name withheld) when I was first pregnant.

I started my antenatal when I was three weeks pregnant until I gave birth. And through out this period, I have never gone for Antenatal and they will educate me about pregnancy and the problems associated with it.

It was not the main hospital but a private clinic. I didn’t even know that when is time to give birth the midwife has to insert her hand in my vagina to know where it has gotten to.

Is actually frustrating when you find yourself in this situation

This is my second pregnancy and am about 13weeks pregnant. I am yet to start antenatal. Am learning a lot of things since I joined your class.

May the Almighty God continue to bless you and lift you to higher grounds so that you can do more to help the less privilege ones.

Our class provides and takes care of any frustrations you may have as a new mum.

Results oriented. Join us now . 024 228 1957
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Midwife Sally what causes the water around a baby to become greenish and why do midwives/doctors consider it as an emergency?

During pregnancy the baby is surrounded by fluid/water which is called #liquor. It protects the baby in utero.

#Meconium is the first stool of the baby and it is also greenish in color

In utero a healthy baby will not poo into the liqour that surrounds it.

Several factors can cause your baby to go into distress in utero. Once your baby does not get enough oxygen in utero, with time if no intervention is given. The anal sphincter muscles and the other sphincter muscles of the baby will relax.

Baby will start to poo into the amniotic fluid, and also aspirate. Meconium liqour can also get into the respiratory system. It gives the liqour that greenish color

If your waters break and the liqour is greenish in color it shows that your baby may be deprived of oxygen and is struggling to survive. Delivery has to be as soon as possible to prevent further complications.

The more greenish or thick the liqour is the worse the complications can be.

Always cooperate with your midwife or doctor to expedite delivery. The earlier baby is delivered the better complications are reduced.

In some cases an emergency Caesarian section can be done to save the baby. Other investigations will be done to ascertain whether baby Is really in distress or not.

If you get into labor pay attention to the liqour around the baby, if it’s greenish in color immediately alert the medical staff or report immediately to the hospital. That is possible if your water has broken.

Once baby is born, they may need additional care at the neonatal intensive care unit or help with breathing.

Midwives are always be ready to resuscitate new born that need help with breathing.

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One main concern women have during labor is vaginal examination. Some have asked whether something else can be done to substitute vaginal examination during labor.

It’s one of the procedures that just can’t be avoided once you are In labor as it’s significance can’t be underestimated. It can be done using a speculum or the fingers, sometimes both. There are key roles it plays. Vagina examination allows your midwife or doctor to check the following

🔴Vulva and vagina to make sure it’s can allow vaginal delivery. No sores, rashes, female circumcision etc

🔴Cervix-It’s dilation

🔴Membranes- Whether it’s intact or not

🔴Liquor- If the water around baby is clear r meconium stained

🔴Presenting part- Which part of the baby is coming first

🔴Pelvis- Whether it’s adequate or not

It is an uncomfortable procedure and can be a little painful. Your doctor or midwife will prepare you by informing, seeking your consent and reassuring you before its done

Its done usually after an abdominal examination. It is not done except it is really needed as frequent vaginal examination can result in infection if care is not taken. It is done under sterile conditions. During labor it is usually done every 4 hours and more frequently when it is very necessary.

Your midwife will communicate all finding ro you after the procedure. Cooperate with your doctor or midwife for the best outcomes.

In some cases vaginal examination may be contraindicated. Example. Complete placenta previa previa.

Share your experience with us!

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PINK- The color of your new born baby at birth should be pink

It shows that baby has enough supply of oxygen to all parts of the body

BLUE- If the palm and feet are blue, it indicates a sign of cyanosis, a sign of reduced oxygen.

Cyanosis or reduced oxygen is more severe when the chest region is blue.

YELLOW SKIN- Baby is jaundice and will have to be seen immediately to prevent complications. It can also be seen in the eyes, nail beds, palm and sole of the feet

Call the attention of your doctor immediately

Report if your baby is blue, pale or yellowish in color.

If your baby is dark in color and you cannot see the pink color, check the palm or the sole of the feet. It should not look pale or bluish.

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The second stage of labor starts when the cervix is fully dilated. In the fist stage of labor the cervix is still dilating.

At this stage the mum will be encouraged to bear down since the cervix is fully dilated. The cervix is fully taken up and it cannot cause a cervical tear

The second stage of labor can last between 30 minutes to an hour or two. If it last for too long we call it prolonged second stage of labor.

It can lead to maternal exhaustion, fetal distress and can even result in complications

If prolonged labor occurs an assisted birth or caesarian section will be recommended to prevent further complications

During the second stage of labor

🔴You will be positioned for delivery

🔴Push with contractions with the guidance of your midwife

🔴Rest in between contractions

🔴Cooperate with your doctor or midwife and communicate how you feel or your needs

The second stage of labor ends when your baby is delivered. This ushers in the third stage of labor which is the delivery of the placenta.

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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 efficiently. 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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