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.
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
We invite you to join our class WhatsApp +233242281957
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.
Some information about your pregnancy should be at your finger tips You should ask your midwife or doctor whether these specific things are within normal and what you can do After reading take your antenatal book and check Its not enough if you are just told all is ok!
Your blood pressure (BP) Your Haemoglobin level (HB) Your expected date of delivery (EDD) Your placenta location Your specific health condition, example previous c/s, diabetes, fibroids etc Sickling status Your weight gain
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
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
Some times you wonder why you are still shouting, having all the pains and your midwife is still asking you to hold on!
She checks and says, it’s only 1 cm dilated.
After a long wait or 4 hours, she rechecks and says it just 3cm.
You feel it’s been too long and the pain is unbearable so you should push your baby out.
This is why you should cooperate with your doctor or midwife.
The cervix which is the opening of the cervix should open from 1cm to 10 cm to allow the baby’s head to be birthed followed by the body.
Cervix should not be felt any more when your doctor or midwife performs vaginal examination.
If it’s still felt and you push through it, you can tear your cervix which is difficult to repair and requires special skills. Bleeding can also be severe.
Only push when your doctor or midwife has confirmed that you are fully dilated. (10 cm and no cervix can be felt on vaginal examination)
Sickle cell disease is a blood disorder usually passed down from parent to child. People with sickle cell disease have abnormal hemoglobin. Hemoglobin is a protein in red blood cells that carries oxygen to the body.
In an adult red blood cells can live up to 120 days before they wear off or die, but in a sickle cell patients it takes about 10 to 20 days. It takes a shorter time. This is the cause of the anemia in sickle cell. There is also jaundice due to the excessive breakdown of the red blood cells. The cells that are sickle shaped can stick to each other occlude vessels and cause crises, pain and also reduce blood flow to certain organs. Symptoms depend on the organ affected.
Before pregnancy/marriage… Go for #genetic counseling you and your spouse. It’s best if both of you do not carry the gene. If both couples carry a trait the likelihood of having offspring with sickle cell is high. People can either be carriers, sickle cell or Non carriers. Your doctor will explain more what it means to be AA-no trait , AS&AC – trait/ carrier’s , SS&SC-sickle cell disease., among others. Based on his/her findings he will counsel couple so they can make an informed decision.
Women with sickle cell disease can get pregnant but should make sure they are fit. They should they go for preconception care where the doctor confirms they are fit. If there is a deficiency it is corrected first and all infections treated as well. It’s advisable for them to take a form of contraception to avoid unplanned pregnancy.
During pregnancy you will need close monitoring. Take prescribed medications, rest exercise. Enough fluids and avoid stress. Foods rich in iron, vitamins and protein in recommended. Report to the hospital immediately you feel sick. Prompt treatment is essential. Regular antenatal visits is beneficial.
Delivery should be in a #hospital with specialized care and monitoring. Plan your delivery together with your midwife and as well cooperate with her.
After #birth continue to take your prescribed medication and rest. Let people help you. More fluids, go for follow up clinics
They need support from relatives and spouses to stay healthy. It is not a communicable disease and can be managed with close monitoring and dedicated medical staffs. In case there is crises send client to the nearest facility as soon as possible.
Midwives in the periphery compound should refer clients to hospitals for specialized antenatal care. They should as well be handed over to community health workers for home visits and other support they may need.
If you already in the marriage/relationship you can still go for counseling if both couples are carriers or one has sickle cell. Children with sickle cell have specialized clinics in most hospitals and can be managed effectively. Thanks. Kindly #SHARE
Join our Pregnancy class to learn more if you are expecting.0535764057. Outside Ghana click here to join
Your blood pressure (BP)
during pregnancy and at birth. The placenta can detach pre maturely because it’s not in the right position
Strict personal hygiene, bath twice daily
