LETSTALKHEALTH CHILDBIRTH COMPLICATIONS



on the program today we have sister Jacinta do meze she is a midwives who will enlighten us on this topic to stay tuned okay if you're just joining us this is the segment's where we get to speak with the medical practitioner and today on the program we have here sister Cheney and Menzies she is a midwife from the medical missionaries of Mary congregation thank you for joining us on the program today thank you all right today we were talking about complications during childbirth and we knew that there can be complications that can you know arise before during and after childbirth can you just let us in on some of those things that can happen okay I'm talking about the complications of childbirth first of all childbirth by definition is the expulsion of the fetus from the bed canal and every mother you know it's always happy whenever she thinks about it that and every person's the aspiration a married person is to become pregnant and to have children so it's always it enough joy for the mother now having said that at times complications arise despite efforts to make sure that the woman delivered safely and such complications can either be envisaged or inevitable so some of the complications we have encore presentation my presentation normally the fit was inside no faces the maternal back the head is down and the head is slightly flexed so that the v-tex the small lip smaller portion of the head is able to fit into the bed canal to facilitate the delivery of the baby like you can see in this diagram does the presentation you can use the text presentation the v-tex presentation and then the head can come out easily easily easily and then the head is completely out facilitating the shoulder then to come out and then the end baby coming soon so in your deposition presentation effect I said this would cause complication to the mother and to the baby like bridge presentation to tox presentation that is bridge and then the hand presents or the leg presents or the face presents so when any of this happens the mother can go into exertion because you find it difficult to deliver the baby and then the assistant also the person trying to deliver may try to maneuver and get out the baby and that can cause trauma to the tissue soft tissue the maternal pelvis revolver and then bruises or lacerations on the baby's buttocks or the arm it could lead to fracture and then trauma to the muscles and nerves too that can lead to malformation point wait in return at that point normally a midwife is supposed to then refer the child if we prefer the mother to a facility that has a an operative a theater to hit her win and save the mother and the child the wise boot can suffer distress these other points that operation concerned yes if the Midwife or the doctor cannot manova if it is breech presentation if it is hand really they have to do something caesarean section or maybe forcible delivery and at times the process of trying to deliver with vacuum there could be injury to the scope of the baby or to the modality to bleeding ta and you know infection okay now how many virginal examinations should be done before childbirth before the baby actually comes out how many those examinations were and what kind of examinations as aside from examinations before they becomes up before the baby comes out the woman is usually assessed physically to know if she'll be able to deliver vaginally and then during the active phase of Labor we do vaginal examination to assess the opening of the cervix because it is normally when it is ten centimeter open that the woman will then be asked to you know give attention to contraction which helps to push the baby without much effort from the mother and any mother pushes and this expulsion and for newly expecting more than what at what time is it what time is right to start going to the hospital or do you have to see there are whom I wait for labeled start to believe what pains to come oh and what time is appropriate to touch it with hospital with her birth for okay during antenatal yeah the woman is told the signs of labor okay the register see those signs she goes to the hospital then there are other complications too like oekaki follow pelvic disproportion here the baby's head is too big for the birth canal body maybe is too big to be able to pass through the birth canal so when that happens the woman might not be able to deliver on her own so they would do enough vacuum instruction which in most cases will be inappropriate so here Ibraheem extraction were instruments i used to extract the baby and I can't post trauma to the baby fetal scalp and bruise the mother cousin bleeding she and other complications so and this can also be prevented the woman attends antenatal care ultrasound is done investigations physical assessment is done to know if the woman's height and the pelvis is adapted for chabot because we have what we call kinda quiet pelvis this Ganic Hoyt Purvis for most women you know you see it in women who have hips at times no hips but the the pelvis is adapted for Chobot and any man's pelvis is walk all the Android pelvis is narrower and then the woman's Heights – and how is this factor whoo yes yes we determine if this woman should be allowed to try to deliver her so all right exactly would be okay 170 centimeter from 140 cm above a woman of that Heights good day live on her way talking about this is an accordion you mentioned for those who have wide hips is it true I always have that those who have women who have wide hips it's always easier for them to push their naval countries that yes it's possible depending on the kind of pelvis we have this plenty pillow it it's so wide and this one is very easy for a woman to deliver along with this kind of pelvis it's very roomy and the baby can't just you know pass through well she's never ready to deliver oh really yeah but this is the pelvis that most remain is adapted for child because the coccyx this bone here can give way easily follow baby so it doesn't matter if you slim or on the big side no if you can a slim person can have this perigorskiy okay now as a midwife I will look at your worst case scenario in child giving helping people put to bed what has been you was was kissing area now most times is usually a fellow pelvic disproportion when that happens the woman cannot push all when there is no dissent at all no feet no contraction no contraction there's no contraction the baby's hanging up is not coming down is not coming down and when it exists 24 hours the minds already exhausted the child is in distress so if can't do anything and then cesarean section becomes inevitable okay what's the longest was the normal time for leave whenever you say it's the personnel stayed for too long during labor was the longest time I was the exist 24 hours four hours okay me as it should be another intubation good man cannot just keep pushing and pushing and pushing okay there was a shortest time 24 I was weeping mindfulness be nothing less than we didn't win the one should accept she started laboring at home because most multiparous like women who have delivered previously they can they know when they are going to deliver they're used to it so when it's time maybe weeding they just come by the time they comb the cervix is already 8 cm open maybe within 3 hours 10 cm they can deliver what kind of woman to to avoid them the center infection for the baby is any anything like any case like that yes it could be if the woman is sexually is infected with sexually transmitted infection okay like HIV hepatitis all those infections can affect the baby because the placenta is a channel through which the baby fits and gets the nutrition blood oxygen and so during ante natal there are tests that we have to do on the woman when around disease tests hepatitis HIV blood group and M Thomas malaria to syphilis test to make sure that the man is fine me and an ultrasound to know the position of the placenta cause on placenta can be no line and can be very close to the opening of the cervix so that if the man is in labor before she even goes interactive level today bleeding and then the baby was a phone call hypoxia lots of oxygen and will be in distress and down mainly to fetal deaths finally before I let you go over your last advice to women expectant mothers who women who are almost usually what are those things are there do's and don'ts yes my advice to women especially pregnant women used to always go for antenatal as soon as they know that they are pregnant one month two months pregnant they should begin the antenatal then and then they should also carry out those tests and investigations that are recommended for pregnant women especially the ultrasound which helps us to model the fluid the amniotic fluid volume and then the size of the baby weight of the baby and any position of the placenta and just it helps us to know the progress of the pregnancy and how the baby's doing thank you very very much for coming on the program today well we've been talking to sister Cheney and the men say she is a midwife from the medical missionaries of Mary congregation and we've been talking complications during childbirth thank you for staying with us on this segment let's talk health continues right after now

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