In utero it is expected that baby gains some weight till birth. The estimated normal weight for a new born baby is 2.5 to 3.5 kg.
It’s important to note that some factors can cause your baby to have less weight. Let’s discuss them
Poor nutrition. If the mum does not eat a well Balanced diet with the right amount of nutrients it can cause the baby to have less weight than expected
Pre eclampsia. If you have pre eclampsia and it’s not properly managed it can affect the weight of the baby. Baby will be smaller than expected
Infections. Infections like malaria ,urinary tract infection etc can affect the baby negatively if not treated promptly
Genetics can also play a role in the weight of your baby
Poor lifestyle choices. In general the outcome of your pregnancy can be affected by your Lifestyle. Avoid unprescribed medications, exercise regularly and maintain strict personal hygiene
Always work with your doctor if you have concerns about your baby’s weight gain
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First of all big thanks to Jehovah our God for his kindness, and also to the midwives and class members. My Pregnancy was very smooth from beginning but during the third trimester I was admitted around 29 weeks for preterm labor and UTI infection then later discharged, around 37 weeks I was admitted again for severe malaria and UTI infection and discharged again and I was given an option for CS but I said they should give me two more weeks, I went for my review at 38 weeks and I collapsed in the hospital. When they checked my urine there was protein in my urine so I was booked for immediate cs.
When I got into the theatre immediately the anesthesia was given my BP started going down and they operating me,.
My advice is that anytime you’re given an option about CS think about it well.
My baby was brought out 4:25 pm at 3.2 kg week 38. Thank God mother and baby are fine and discharged. Safe delivery to all expectant mums.
Don’t leave your pregnancy to chance.
Sally.. Mums always know before a doctor or midwife will request for a procedure for you, they know what they have seen and in most cases its important. Always cooperate with them or ask a second opinion from a qualified person. Don’t risk your life!
TYING THE WOMB AFTER BIRTH For many women how they look and feel becomes an important aspect of postpartum recovery.
During pregnancy the uterus grows from being a pelvic organ to an abdominal organ. There is an increase in shape and size which is very significant.
For the abdomen during pregnancy, there are many other factors that determine the size of your bump
Abdominal fat, gas, mass, size of the baby or fluid. All these can affect how the abdomen looks like even after pregnancy.
It’s important to Tackle all these if you want the abdomen to look flat after birth
The uterus in itself takes about 6 weeks to go back into its pre-pregnancy state. So you need to be patient with your self
The first is for you complete your postpartum period. For the uterus to contract, make sure your blood level is high before delivery. Low blood level can cause bleeding and uterus will not contract .
In case you notice bleeding or any form of severe pain report early. Retained products can prevent your womb from contracting . Also your midwife can teach you how to rub the uterus so it contracts. Also breastfeed your baby it helps the uterus to contract.
Contractions of the uterus is what will make the uterus look smaller.
Other things you can do to get the womb or abdomen reduced is by burning the fat you accumulated during pregnancy. Exclusive breastfeeding helps, Exercise and also choosing the foods you eat is very important.
After birth the water in your body will also come out as urine in the first few weeks and this also helps to reduce your weight .
You should also choose the foods you eat carefully to reduce gas in the abdomen. If you have any mass, eg fibroids etc , see a gynaecologist and plan how it can be removed
When it comes to tying the abdomen after birth, it can be done from the first day after birth if the woman had vaginal birth . There should be some considerations, You should feel well and comfortable, it should not be tight on you and you should be able to breathe without struggling. Also choose a binder that works and fits perfectly. If you feel pain, uncomfortable, or experience any complications, stop and report to your doctor. It should not be tight. Start gradually and don’t wear it for a long period of time. You can prolong the time as you heal. Follow the recommended duration given by the manufacturer of the abdominal binder or cosset you use. It should be approved for medical use by the governing body in your country
If you can cesarean section I advise you wait until the wound has healed and your doctor allows you to use it. Do not tie your abdomen just after cesarean section except it’s for the sole reason of promoting comfort and reducing pain. In that case the abdominal binder should be loosely applied. Also speak to your doctor first
In conclusion combining a healthy diet, exercise, self care and using an abdominal binder can help you get your postpartum body back into shape and improve a positive self image
You can also speak to coach who will help you better in your journey
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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Have you heard many stories of women who say they have been pregnant for years and so on… If yes let’s have this explanation
First of all the most reliable confirmation that you are pregnant is when a heart beat is seen during a scan. There is another method not popularly used
There are so many reasons you could feel or look pregnant but in reality you are not.
Certain health conditions and hormonal imbalance can make you feel tired, sick, nauseated etc. You need to check and confirm pregnancy before concluding it pregnancy.
Also you can have a big abdomen due to abdominal fat, fluid, gas, mass etc
Never conclude you are pregnant because of how you feel or just because you missed a period.
Though some may be harmless some conditions can also need immediate intervention to prevent further complications
And yes I have also heard of stories where women were told they were not pregnant but found out they were actually pregnant later. If you find your self in this situation, seek a second opinion from another facility. Don’t stay home!
Moments when I love midwifery practice; when a new baby is born and when I find myself in the centre of issues that affect women .
The worst moments when men who are seen as the family heads and also decision makers take decisions that are detrimental to the well being of their partners.
Calling for the discharge of women who are pregnant and sick against medical advise. These vulnerable , sick and poor women will give in because they actually have to depend on them for everything therefore if the decision will even cause harm to them, they have no say.
Most of these cases come back to our facilities worse of and even causes death for some women. Some men will even pretend to be sending the women to close facilities and keep this vulnerable women at home.
The question I ask myself is it greed, poverty, selfishness, illiteracy or what can make some men so insensitive to the plight of women.
We need change! The life of every woman counts. Men get involved in maternal health , understand our issues and help reduce the needless deaths.
How can a husband or partner keep a woman he loves at home when she is suffering from severe preeclampsia and has been referred to a higher facility. If this woman dies who will be blamed?
We still have a long way to go. Remembering how I helped save a young woman who was very sick and partner wanted to take her to the northern part of the country .After a long and tough deliberation he changed his mind and the life of this young lady was saved.
She could have had serious complications on her way since they were not going with ambulance or any health personnel.
Well after that incidence, similar incidence kept repeating it self and I kept asking my self when will all these end?
When will society place value on the health of women? When will women be empowered enough to take decisions that affect their own reproductive health? Hoping for better days ahead.
Let’s empower our women both economically and psychologically. Yes it’s possible end Maternal deaths.
When babys head becomes visible and doesn’t go back any longer
You know you are almost through
Your midwife will encourage you to bear down with your last energy
Tears can be prevented if you had already prepared your perineum with a
perineal massage,
Kegels exercise
Pelvic tilts
Squats etc
During the birth cooperate with your midwife
Assume a position that will open your pelvis widely and reduce tears and complications
Also speak to your midwife about how you can prevent perineal tears
#Crowning is often referred to as the “ring of fire” in the birthing process. It’s when your baby’s head becomes visible in the birth canal after you’ve fully dilated. It’s the home stretch — in more ways than
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It’s best to assume a comfortable position during pregnancy
In your first trimester when your bump is still small. You can sleep on your back
As your bump grows and your weight increases you need to assume a position that will be comfortable to you and the baby.
Sleeping on your back is no more recommended once your bump grows and your weight increases especially in your second and third trimester
It’s best to sleep on your side. You can sleep either on your right side or the left side. Change positions to make you comfortable when need be.
Support your self with enough pillows to make you comfortable
Your bed should be firm enough to prevent back ache
Sleeping on your back will reduce the blood flow to you and your baby. It can also lead to fainting in the mum. The weight of the baby occludes blood vessels in the abdomen.
If you wake to realize you are lying on your back, quickly adjust to sleep on your side
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She went into labor and decided to report to the hospital.
At the hospital her fetal heart rate was not checked.
Only a vaginal examination was done and she was told dilation has not started she should go back home.
She went home and after a few days she realized her vaginal discharge has increased. She reported back to the hospital.
This time the fetal heart was listened to but it could not be heard.
Induction was done and a still birth was the result.
Lessons… Baby could have been saved if the fetal heart rate was checked to rule out fetal distress.
Even if it had already occurred it will have been seen earlier and baby delivered to prevent further complications it can bring to the mum.
If you are in the first trimester where the fetal heart is not being heard with a fetoscope at least be sure you feel pregnant. Know how you feel. If pregnancy symptoms stops suddenly kindly do report
Every little thing counts
Don’t leave the hospital without you checking on fetal heart
You can Book a one on one session, Buy your baby Items, Book for an interview or other matters and also Buy a copy of our book and it has all the information you need! from us. 024 228 1957
