Tag / ghana

by midwifesally

HOW LONG DOES IT TAKE FOR EPISIOTOMY TO HEAL?

Episiotomy is a cut given in the perineum when a woman has crowned during labor to make baby come out easily and also to prevent possible tears or complications. It’s not a routine. Should only be done when it’s very necessary with a woman’s concern.

Healing will depend on the degree of tear and also the care given to the wound

With no infection or complications, it should heal fast. Some can heal within two weeks. Others can take a month to six weeks

If you realise it’s gapping, having offensive discharges, Stiches coming out, bleeding and too painful, you should report back for further examination

Remember the Stiches will be absorbed and should not ne coming out. Most episiotomies use the absorbable Stiches unless your doctor stated other wise

Also take your nutrition, Selfcare and Exercise serious to help heal faster.

Discuss your concerns with your doctor or midwife

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by midwifesally

WHY AM I HAVING PAIN IN THE VAGINA OR PERINEUM IN MY THIRD TRIMESTER?

This is to some extent expected. The baby puts on most of its weight in the third trimester. This weight puts pressure on the perineum . It can be painful since it’s stretching and the nerves there are sensitive

To reduce the pain and discomfort you feel in your perineum, don’t assume one position for a long time. Change your position frequently. It helps a lot.

If the pain in the vagina or perineum is extreme, report to the hospital for further investigations .

Don’t leave your pregnancy to chance.

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by midwifesally

CAN I BE MENSTRUATING WHILST PREGNANT?

When you get pregnant and it is confirmed, Menstruation ceases. Having light spotting or bleeding is not considered as menstruation.

Remember there are many reasons why you may bleed during pregnancy and that is not the same as menstruation.

Example , a miscarriage can cause bleeding, inplantional bleeding and also cause light spotting etc

In the second trimester bleeding can be due to placenta previa or abruptio etc

The point is once pregnancy is confirmed , any form of bleeding should be investigated. Don’t assume it is your menses

Early interventions can save your baby.

Don’t leave your pregnancy to chance

Sign up for our pregnancy class let’s guide you!

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by midwifesally

ANOMALY SCAN- AN IMPORTANT SCAN DURING PREGNANCY

During pregnancy, it’s important that you take an anomaly scan. This is usually done around 18 to 22 weeks of pregnancy

It’s purpose is to detect any abnormalities or deviation from normal

It checks the organs of the baby and if there is any abnormalities it can detect it

It helps the mum to know if there is any condition to be concerned about before the baby is born

In some instances some conditions detected may not be compactible with life. The mum is given the option to continue the pregnancy or not

But yes most baby’sdevelop as expected so don’t panic.

Ask your doctor or midwife about it

Pregnant? Our pregnancy class will guide you. 0242281957

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by midwifesally

WHY DO YOU NEED AN EPISIOTOMY DURING BIRTH?

WHY DO YOU NEED AN EPISIOTOMY DURING BIRTH?

Hi mums I teach a lot and give lots of information in the class. We also reply all your personal questions, I invite you to join us

This question came up during today’s class…

Why do you need an Episiotomy at birth?

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It’s not a routine. It has to be done only when it’s extremely necessary.

It’s done when the baby’s head has crowned.

If the doctor or midwife anticipates that the woman will have a bad tear or she needs more space for the delivery process she may give you an episiotomy

It’s also done with the woman’s consent

A pain relief can also be given be for you are cut.

Cooperate with your doctor for the best outcome

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by midwifesally

HOW CAN I OPEN MY CERVIX IF ITS SMALL?

During pregnancy your cervix which is the opening of the uterus is supposed to be closed till you are term and labor sets in.

Your cervix dilating before term can lead to miscarriages or preterm labor

Do not force your cervix to open in any way.

To aid dilation during labor, staying active and Exercising during pregnancy can be helpful. Also stay calm so your body can relax .

Remember induction of labor is always done under strict supervision in a hospital.

Don’t leave your pregnancy to chance. Join our pregnancy class +233242281957

by midwifesally

MY BIRTH STORY – BABY WEIGHED 3.5, WITH NO TEAR OR EPISIOTOMY (FIRST TIME MUM)

Alhamdullilah, and a very big Thank you to all the Midwives on the page and all the Midwives of Madina .
I am a follower of this humble page, I read a learnt from this page.
My journey was a smooth one, no nausea ,no vomiting. At 32 weeks months I had issues with my eye so I had to an early maternity leave from work. At 36 weeks, I kept praying labor should set in latest by 38 weeks. I prayed so much but God’s time is the best.

I started feeling some waist pains on 18th April. The following morning around 10 am contractions began and i started recording it. It was very severe so I endured and went about doing my chores and did some exercises afterwards, around 6am the following day I saw the blood show. I called my midwife and she suggested I wait till the contractions become unbearable then I report to the hospital. Surprisingly the contractions stopped till later that evening then my water broke. As I learnt on this page about the possibilities of an infection after the water breaks, I hurriedly reported to hospital but when I was checked I was only 1 cm, I was hospitalized and then they infused some antibiotics. The contractions were on and off, I was restricted from exercises or doing anything vigorous as the water kept ozing out. On Thursday 21st April, I began feeling pains in the chest I did a scan and was told the baby was alright and the water around him was adequate it’s his butts that is pressing my chest eeeiii.

I was checked around 2 pm and was 4 cm eeeeiii after all the pains I was enduring. Well to shorten the long story, I was given a drop which I believe had some kind of drug in it to fasten the contractions because at some point I got tired , whenever I was down, l remembered your words of encouragement. At some point I disconnected the drip because I was shivering 

🙈

. There was blood everywhere and was from my hand.

Around 4:40 am on 22/4/25, I called the nurse on duty to come and check how much I have dilated because at that point I was really getting tired and breathing in and out during contractions wasn’t helping. She felt reluctant at first because I wasn’t shouting like the rest of the women in the ward, she was surprised when she checked and I was fully dilated. I was very happy also, I was asked to push around 5 am and I did 3× all that came was poo

🙊

, eeii another wahala. They cleaned me up, and after the 2nd push my baby boy was out. I actually gave birth on the estimated due date : 22/4/25, baby weighed 3.5kg no episiotomy, no tear. And am a first time mum.
I was able to go through this because I read a lot and followed almost all the advice you gave on this page.

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by midwifesally

WHAT IS THE RISK OF A LOW LYING PLACENTA AT BIRTH?

The placenta with nourishes the baby with nutrients and oxygen during pregnancy is supposed to be located in the upper part of the uterus. If it is in the lower segment, we call it placenta previa

In placenta previa the location of the placenta is low and it comes with risk.

Some of the risk include

1. It can lead to bleeding 🩸during pregnancy and at birth. The placenta can detach pre maturely because it’s not in the right position

2. It can lead to preterm birth

3. It can affect the growth of the baby since the placenta is not in the right position

A scan can help diagnose placenta previa. If it is diagnosed, your doctor can help you go through the pregnancy with ease.

Your birth should be planned and the hospital you give birth should at least have a theatre and blood bank in case you need it.

In severe forms of placenta previa, your activity level will be limited and a cesarean section will be the mode of delivery. You will also be monitored closely throughout the pregnancy.

Our pregnancy class will help you go through your pregnancy with ease

To sign up 024 228 1957

by midwifesally

“YEM KRO” HEALING/RECOVERING AFTER BIRT

Many women believe there is wound literally in the stomach or abdomen after birth, they resort to so many preparations and concoctions to heal this wound that is left in the stomach after birth. Sometimes trying to heal this wound rather bring them more issues since the stomach does not really play a part during labor. Is it the uterus they call stomach or this is to help new mum take good care of themselves.?Let’s learn

During birth the baby is actually in the uterus/womb and attached to the mother via the placenta. The placenta is what connects mum and baby. After baby is born in the 2nd stage of labor as shown in the diagram, the 3rd stage follows which is the birth of the placenta.

After the birth of the placenta the uterus continues to contract which makes it smaller, the smaller it becomes the more bleeding is also prevented. So literally we are more concerned about the place where the placenta detached to heal properly and regain its strength.

Within the next six weeks after birth contractions will continue and the uterus will continue to become smaller. The uterus sheds of all the left over blood gradually over time and it’s called lochia. It is a natural process and will cleanse itself. The tips you will need to make sure you are safe and free from infection include

⛔ Strict personal hygiene, bath twice daily

⛔ Change pad frequently and wear clean cotton panties

⛔ Take prescribed antibiotics to prevent infection

⛔ Eat nutritious meals rich in vitamins and minerals to promote healing

⛔ Passive exercise, like walking, and deep breathing exercise

⛔ Report immediately if you have severe bleeding, pain or offensive discharge

⛔ Remember, breastfeeding helps the uterus to contract after birth. Breastfeed baby

⛔ Rest is also medicine. Get people to help you so you can have enough rest

These basic things will keep you healthy, there is literally no #wound in your stomach. You only need to take care of your self after birth. If you feel sick talk to your midwife/doctor . #Share to help someone. #MidwifeSally #maternityleave health #yemkro

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Get a copy of my book via.
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Also available on
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by midwifesally

WHY DO WE PASS A CATHETER DURING BIRTH/ CESAREAN SECTION?

WHY DO WE PASS A CATHETER DURING BIRTH/ CESAREAN SECTION?

During birth, women are encouraged to empty the bladder. This helps the baby’s head to descend or come down. A full bladder can slow the progress of labor.

If you can urinate freely you will be encouraged to do so. But if not your midwife will empty the bladder with a catheter

If you have to go through a caesarean section, it’s usually mandatory to have a catheter in place. A full bladder can cause injury to the bladder. The bladder is close to the uterus so if not emptied when the doctor is performing the operation, he/She may cause injury to the bladder

Always cooperate with your doctor or midwife for the best outcome

Let’s guide you through this pregnancy , join our pregnancy class 024 228 1957. Outside Ghana click here to join
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