WELCOME NOTE

Welcome to my blog.

My name is  Kelechi, a staff nurse midwife.
Healthy care blog is created to enlighten you on antenatal, pre-natal, and post natal care and other health issues.

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KNOWING WHEN OBSTRUCTED LABOUR HAVE OCCURRED

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OBSTRUCTED LABOUR Whenever labour is moving the way it should be,the health workers are happy.But when the labour is undergoing any difficulty it instills fear to the mother and is distressing to both the mother and health workers. Labour is obstructed when there is no advance of the presenting part despite strong uterine contractions.The obstruction usually occurs at the pelvic brim but may occur at the outlet for example deep transverse arrest in an android pelvis. CAUSES OF OBSTRUCTED LABOUR Cephalopelvic disproportion Deep transverse arrest Malpresentation pelvic mass Fetal abnormalities such as hydrocephalus SIGNS OF OBSTRUCTED LABOUR The presenting part does not enter the pelvic brim despite good contraction. As the presenting part is unable to descend,cervical dilataton is affected and dilatation is slow.The cervix is describing as loosely like an empty sleeve as the presenting part is not applied to it.The uterine contraction exert pressure ...
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POSTPARTUM HEMORRHAGE AND IT,S WAY OUT

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POSTPARTUM HEMORRHAGE AND MANAGEMENT Sometimes one need to ask why postpartum hemorrhage should occur during and after child birth and how can one know if she will encounter bleeding during and after delivery.  These questions sometimes instill fear into the minds of expectant mothers,if actually they will survive after delivery. Postpartum hemorrhage is one of the most alarming and  serious emergency a health care provider needs to give a special attention. It is always a frightening experience for the mother and Sometimes it undermines the woman confidence,influence,her attitude towards future childbearing. postpartum hemorrhage occurs as a result of excessive bleeding from the genital tract at anytime following child birth up to 6 weeks after delivery.                    CAUSES OF PPH 1. Atonic uterus 2.Trauma 3.Blood coagulation disorder TYPES OF POSTPARTUM HEMORRHAGE ...
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BIRTH POSITION AND WHAT YOU NEED TO KNOW ABOUT THEM

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      POSITION USED IN LABOUR One can ask if there is a best position one can adopt during labour But research have made it to be that any position that allows the bearing down efforts of the mother to be aided by gravity,promote fetal descent and rotation, and avoid supine hypotention can be adopt during labour. There are different birth position but we are going to discuss a few here.                 POSITIONS LITHOTOMY POSITION: One of the most commonly used position nowadays are the lithotomy,modified lithotomy or recumbent positions. These position enhances the maintenance of asepsis, asses the fetal heart rate,abdominal examination and the performance of episiotomy and repair.The position is most suitable for operative delivery or obstetric procedures. The disadvantage of these position is that it causes a decrease of as much as 30% in the blood pressure of 10% of ...
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