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Avoiding Excessive Bleeding At Childbirth

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Obstetricians and
gynaecologists warn that women can suffer excessive bleeding after childbirth in some cases that can result in death if not checked fast.
They note that the affected women can lose as much as 500 ml or more within 24 hours during childbirth, observing that such development has been identified as one of the causes of maternal deaths globally.
According to them, affected women feel unwell, faint and dizzy, among other indications, while some of them may become unconscious.
They also observe that some women, in some instances, know about the possibility of bleeding after childbirth and prepare for the challenge.
Medical experts, nonetheless, opine that women, who are aware of postpartum haemorrhage (PPH) —bleeding after childbirth — are often frightened about the amount of blood they will lose and become apprehensive.
They identify failure of the womb to contract properly after the baby is born, problems with the placenta and prolonged labour as major causes of bleeding after childbirth.
Considering its implications, Dr Maureen Ume, a gynaecologist with the National Hospital Abuja, solicited proper sensitisation of women to issues on childbirth and bleeding.
She said that excessive bleeding during delivery had remained the commonest cause of more than 25 per cent of maternal death, especially in developing countries such as Nigeria.
According to her, there is primary and secondary haemorrhage but the commonest is the former.
“Once the excessive blood loss is beyond 24 hours it is called secondary haemorrhage and if it is properly managed, it will not result in death,’’ he said.
Ume observed that poor ante-natal care was another predisposing factor to excessive bleeding after childbirth, saying that many women might induce prolonged labour by preferring to give birth at home.
“Being in labour for some days before childbirth means you have been contracting the womb for long, so after giving birth, the uterus (womb) will be weak.
“By the time she gets to the hospital, it might be too late for her survival because she must have lost much blood,” she noted.
Apart from giving preference to giving birth to child at home by some women, Ume said many   women had also cultivated the habits of seeking spiritual solution in prayer houses when they were directed to undergo caesarian operation.
“With this habit, sometimes, such women become anaemic and by the time they are brought to hospital, it may be difficult to save their lives,’’ she said.
She cautioned against the use of labour-induced drugs, noting that such drugs had been linked to secondary haemorrhage.
She urged expectant mothers to register for ante-natal clinic early enough, insisting that it would enable the obstetricians to detect women who were at risk of excessive bleeding at childbirth.
She also stressed the need for availability of quality and safe blood to save lives of women that suffered excessive bleeding at childbirth.
Ume insisted that providing access to quality education for females would also drastically reduce ignorance about sex related developments among Nigerian women.
“We are in a country whereby most of our women are not educated, their ante-natal care is poor, and they can labour for days at home,’’ she noted.
She also observed those women with multiple gestations (conceptions) and those who had had five or more previous pregnancies, were inclined to experience PPH.
She, therefore, advised couples to go for family planning as it could play a role in tackling postpartum haemorrhage.
She said that expectant mothers could prevent excessive bleeding after childbirth if they sought proper ante-natal attention at conception.
“Most of our women are dying because of inadequate ante-natal care, during ante-natal clinics, these women are supposed to be identified.
The gynaecologist also said that authorities should ensure that there was adequate supply of blood to maternity centres, expressing concern about deaths that occurred due to scarcity of blood.
She called on Nigerians to imbibe the habit of donating blood, saying that it would go a long way to save the lives of women that bled after childbirth.
Suggesting other precautions, Dr Joy Okwuogori, a gynaecologist, advised that women, who were at risk of excessive bleeding after childbirth, should be identified for the purpose of planning for their delivery dates.
In the same vein, Dr Nathaniel Adewole, a gynaecologist with the University of Abuja Teaching Hospital, said that PPH could be prevented early if women gave birth in good hospitals.
According to him, giving birth in registered healthcare centres would enable the doctors to give necessary medical attention to prevent excess bleeding.
“When it comes to somebody who has the tendency to bleed, steps are taken to ensure that it is prevented and for those who still bleed, we look for the cause and control it fast.
By and large, medical experts insist that appropriate authorities must educate pregnant women on the importance of giving birth in good healthcare centres rather than their homes or prayer houses.
Sharang writes for News Agency of Nigeria.

 

Naomi Sharang

Pregnant women in postnatal class

Pregnant women in postnatal class

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Woman Sells Two Daughters For N300,000 In Ogun

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A 35-year-old housewife, Blessing Agoro, has been arrested by men of Ogun State Police Command for allegedly selling her two daughters, Semilore Agoro (four), and Deborah Agoro (two).
The suspect was arrested, following a report lodged at Redeemed Camp Divisional Police Headquarters by her husband, Oluwaseyi Agoro.
The Police Public Relations Officer in the state, DSP Abimbola Oyeyemi disclosed this in a statement, yesterday.
Oyeyemi said the husband reported that when he returned from travelling last Tuesday he couldn’t find his two daughters.
The PPRO said, “The man stated further that all efforts to make his wife tell him the whereabouts of the children proved abortive, hence his report.
“Upon the report, the DPO Redeemed Camp division, CSP Alabi Akinjide, detailed his detectives to apprehend the suspect, who had already been with the camp’s code of conduct department.
“On interrogation, the suspect explained to the police that her husband left home for the past two years, and while he was away, she found it difficult to cater for the two children with her other two children she had for another man.
“She stated further that while she was contemplating on what to do, one Kolawole Imoleayo introduced her to a couple in Port Harcourt who was in need of children. She sold the two daughters to the couple at the rate of N300,000.
“Her confession led to the arrest of the said intermediary, Kolawole Imoleayo. They are both assisting the police in their investigation.”
The Commissioner of Police, Edward Ajogun, has ordered the transfer of the suspects to the Anti-Human Trafficking and Child Labour Unit of the State Criminal Investigation and Intelligence Department (SCID) for discreet investigation.
Oyeyemi added that Ajogun directed that the children must be rescued and brought back to their parents as soon as possible.

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World Bank Trains 54,000 Women, Youths On Economy

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The Kebbi State Government has disclosed that over 54,000 women and youths have been trained by the World Bank to be economically active.
The government also revealed its readiness to reciprocate its achievement recorded in rice production in other products such as onions, sheer-butter and soya beans for exportation purposes.
The Kebbi State Governor, Abubakar Atiku Bagudu, who stated this while launching women and youth export development facility, in partnership with Nigeria Export-Import Bank (NEXIM), said, the state has comparative advantage in agriculture over other states.
Represented by the Secretary to the State Government, Alhaji Umar Babale Yauri, Bagudu said, “As you know, Kebbi State is blessed with a population of women who are engaging in rice production and it is now a top talk across the nation due to efforts and support of state governor.
“The state government is trying to reciprocate the achievement recorded in the rice production into sheer butter, onions and soya beans.”
He added that with the partnership with NEXIM, Kebbi State would start the export of soya beans, shea butter and onions.
The Special Adviser to State Governor on Women Development, Hajia Zarau Wali, disclosed that through partnership with the World Bank, over 54,000 women have been trained to be economically active.
According to her, “It is also worthy of note, that the state government in partnership with the World Bank empowered 54,000 women to be economically active through the formation of Women Initiative Group in Maiyama, Ngaski and Argungu local government areas.”
She explained that more women and youths, especially in the rural areas, are actively involved in the production of rice, sheer butter, onions and water melon stressed that they are capable of feeding the nation and exporting the products if they were properly guided.
Wali urged NEXIM to include in their programmes mode of processing and packages of perishable products during their training session for women and youths.
Earlier, the Managing Director and Chief Executive, Nigerian Export-Import Bank (NEXIM), Mr Abba Bello, had commended the state government over it investment on rice production in the state which has increased the IGR of the state.
“Let me commend the investment drive in the state by your administration, particularly the Rice Revolution, which recently led to the unveiling of the rice pyramid as well as the cassava-based ethanol project with huge prospects for production of biofuel and renewable energy.
“Your efforts in this direction have not only contributed to the significant increase in the Internally Generated Revenues (IGR) but have also positively impacted the socio-economic indices particularly in the areas of jobs creation and sustainable development”.

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Eve Afrique Red Ball Takes Centre Stage In PH, Sunday

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This year’s Eve Afrique Red Ball event with theme: “Together, Ensuring Peace and Development Across the Niger Delta”, is set to take place on Sunday in Port Harcourt, Rivers State capital.
In an interview, the Editor in Chief of Eve Afrique Magazine, Mrs Ivy Davis Etokakpan, said, this year’s Red Ball event is the 10th and will focus on the socio-economic wealth of the Niger Delta region.
She stated that, over the years, Eve Afrique had worked on eight health related issues, but this time, because of times and seasons, “we are focusing on peace and development across the Niger Delta.
According to her, “we hope to achieve this with the cooperation of leaders of corporate organisations in the Niger Delta. We believe that with the cause action on the Red Ball, we hope to do that with our Non-Governmental Organisation (NGO), Eve Afrique Empowerment Initiative”.
Etokakpan added that this year will focus basically on internship programme for young people by asking partners of the NGO to accept and train secondary school students during holidays in their companies.
She said, “in the past, we used to do vacation jobs in the oil companies, even in our parents’ companies. We hope that our partners would teach our children workable skills. If this is done, the Niger Delta child would know his or her skill and work on it.
“We want these young ones to learn management and accountancy skills through these internship programmes. Our dream is that, in five years’ time, we would have raised a group of’ equipped and empowered Niger Delta youths who in turn will mentor those coming after them. We need to prepare these ones for the future.
At the Red Ball event this weekend, we expect Elsphon Nigeria Alabo (Dr) Emi Membrane-Otaji, Managing Director, to present a keynote address on “Economic Development across the Niger Delta. Also, former MD of NDDC, Mr Timi Alaibe will present a paper on Peace Across the Niger Delta at the event”, she said.
It would be recalled that over the years, Eve Afrique Red Ball has achieved levels of successes over the previous Red Ball events in raising awareness on general health matters, empowerment programmes as a way of giving back to the state and society at large.
Eve Afrique had hosted programmes which include the sickle cell awareness programme, cervical cancer awareness and prevention programme, diabetic management awareness and prevention programme, prostate cancer awareness programme and colon cancer awareness programmes.
Eve Afrique had the mandate of changing the narrative concerning the Niger Delta.
They are on a mission to highlight and showcase the beauty of the Niger Delta and Nigeria as a whole, she added.

By: Ibinabo Ogolo

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