This is when you can see the top of your baby’s head through the opening of your vagina.

This occurs during the second stage of labor when the cervix is fully dilated.

The continues contractions and maternal efforts will aid the birth of the newborn

It’s an exciting time for the midwife and the client

Some midwives will even announce this to the mum to give her more hope that baby is just about to be born

She may even be allowed to touch the babies head to confirm it

At this time you need to cooperate with your doctor or midwife for the best outcome

Depending on the situation they may decide whether the mum needs an episiotomy or not

The midwife will also make her observation and examination, just to make sure there is no cord that is preceding the head as the pressure on the cord at this time can cut off blood supply to the baby leading to fetal distress.

At any point during the birth process communicate all your feelings to your doctor or midwife.

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After the birth of your baby, the placenta has to be delivered

It has to come as complete or whole. No portion of the placenta or membranes should be left in the uterus.

The midwife examines to make sure all the lobes, membranes have all been delivered.

if anything remains in there it can cause infection, as well as severe bleeding

The retained product can prevent the uterus from contracting.

If you suddenly have heavy bleeding after birth or an abortion , kindly report to your midwife or doctor.

Some times after an abortion, you may need
further investigations or a scan to make sure the abortion is complete and no other product of conception is left in the uterus.

Further investigations and interventions will be done to prevent further bleeding

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In utero your baby is covered by an amniotic sac and surrounded by amniotic fluid(Liqour or water around the baby) .

The water around the baby is what keeps the baby healthy and also nourishes the baby

The amniotic sac should not break before labor sets in. When it breaks you can loose the water around the baby and babies development will be affected negatively . Baby can also get an infection due to a break in its protective covering

Any time your waters break during pregnancy. It needs urgent attention. Dont wait for too long. Report to the hospital immediately.

It is completely ok of it breaks when labor has set in. Also remember that if your labor sets in and it doesn’t break your doctor or midwife will do that if its necessary

Finally dont be worried if your waters has not broken and you are full term. When labor sets in your doctor will take care of that

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The cord connects the baby to the mother in utero. At birth it is separated so that both baby and mum becomes independent.

The cord at the time of delivery pulsate and contains a good amount of blood.

Research has shown that cutting the cord immediately after birth whilst cord is still pulsating will reduce amount of blood baby can receive as in figure 1. In 2nd picture the cord was not cut immediately, pulsation stopped and there is a greater likelihood that the baby will receive enough blood before it is separated from the mother.

Midwives normally allow delayed cord clamping by cleaning the baby, putting baby to breast, even initiating resuscitation if baby needs it, just to give ample time for cord to stop pulsating and baby to receive enough blood before it is separated from the mother.

It reduces the likelihood of anaemia and other complications in new borns.

You can add this to your birth plan or ask your midwife about delayed cord clamping and it’s benefits to you and the baby.

It may not be done in exceptional cases when life of baby or mother is at risk and needs immediate resuscitation. But in majority of births it is possible.

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Did you know squats allow the pelvis to open up more.

The baby gets more space to rotate and come out freely

There is less incidence of injury as compared to lying on your back

Gravity aids the birth to make it more easier

It is also faster as compared to lying on your back.

Talk to your doctor or midwife about birth positions

Watch our video on labor positions

https://youtu.be/BCZqq_kjLWM

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The water that surrounds your baby in utero performs so many functions

Your baby cannot do without it

It allows the baby to move freely, it nourishes your baby and also allows proper development of the fetus etc

It should not get finished whilst your baby is in utero

If your waters leak or breaks before labor sets in report to the hospital

Just as we cant live without the air that surrounds us.

Your baby cant live without the the water that surrounds it

Report immediately if you suspect your water has broken and amniotic fluid is leaking.

Dont wait for days before reporting.

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So my EDD was 18th September, 2021. So on Tuesday 14th September, I had done a lot of cleaning in the house preparing for my date. In the evening I had a long walk with hubby and was very tired but hubby still tried to have his way during the night….

And I woke up on Wednesday 15th September around 7:30am and headed to the washroom. Whilst there I felt some slight pain like menstrual pains. I checked myself and saw blood. Immediately I called hubby and told him labor had set in. I took a sharp bath. And afterwards I started having painful contractions but within short intervals. So I called Midwife Sally and told her everything and she told me what to do. My hospital was closer so I went with Hubby without my things. I was checked and had dilated 4cm.

Later I was told to go and bring my things. So to cut it short, dilation kept progressing. But the painful thing was when the midwife had to check with their hands for dilation. Another wahala. So I kept checking till I was told I was 10cm dilated. And that was when another ‘push story began’. I was told to gather strength to push when there is contraction. Eeei I will push and push but no show. At a point in time was given malt to drink water.

Thinking I was weak or hungry. This happened for almost an hour. At one point I held my husband’s hand who was with me in the labor ward and told him to pray because all my strength was gone. But I don’t know how but I gathered all the strength to push at the last minute and the baby girl came out around 5pm with cord around neck. Was told later that was why the baby couldn’t come out whilst I pushed. But by grace Baby and mummy were all doing well. Thanks to Midwife Sally and her team for the good work they are doing. I pray that God sees everyone here through successful.

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EDD 30/09/22
GOT 29/09/22

Thank God almighty for seeing me through and thanks to midwife Sally, for availing herself as a pillar between God and all pregnant women to help our 9months journey become a successful one (God bless you ).
My pregnancy journey wasn’t all that smooth, the spotting, the vomiting and early morning sickness all came to an end in my third trimester.
At 39 weeks plus 4 days I was told to go and come on 2nd October, 2022 if I have not delivered to see a doctor. Being a mother of two, all through vaginal delivery was scared and worried I might end my third one through CS. But my husband’s hope was high and he told me I should not worry because he believes I will deliver before the appointment date.
Immediately we got home we prayed and we did the do. To cut everything short on the 28th September around 3pm contraction started small small and I was in it till 29th September 5pm. Contraction became very painful so I told hubby am now ready to go to the hospital.
When we got to the hospital around 6:23pm, I was already 6cm dilated and the nurses were surprised about my behavior soo calm. While the nurses were preparing the labour room for me, baby came out on the first aid bed. It was exactly 8:15pm weighing 3kg.

Thank to all the able midwives here, Midwife Sally, midwife Eunice and midwife Munira God bless you all for your support am grateful.

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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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