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Women with too many children prone to bleeding after delivery – Gynaecologists
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Women with too many children prone to bleeding after delivery – Gynaecologists
By Francesca Hangeior
Maternal experts have said death during pregnancy and after childbirth in Nigeria could be averted if women have fewer children.
The gynaecologists said having too many children comes with a lot of health consequences on the health of the woman, stressing that every pregnancy and birth comes with risk.
According to them, one of the most common reasons why women die after delivery is haemorrhage- excessive bleeding.
This, they added, was common among women with too many children.
The physicians who spoke in a separate interview with PUNCH Healthwise also said having pregnancies too close together doesn’t give the mother time to recover after losing nutrients such as iron and folate after pregnancy and breastfeeding.
Nigeria’s fertility rate, which is put at 5.3 births per woman, is notably one of the highest in the world even as the country’s maternal mortality ratio stands at 512 per 100,000 live births, as contained in the National Demographic and Health Survey 2018.
The gynaecologists said lack of access to skilled birth attendants negatively impacts pregnancy outcomes, lamenting that about 80 per cent of women in the country still deliver their babies at home.
A Consultant Obstetrician and Gynaecologist, Dr Joseph Akinde, told our correspondent that pregnancy and childbirth complications are among the leading causes of maternal deaths in Nigeria.
Akinde who is a former Chairman of the Society of Gynaecology and Obstetrics of Nigeria, Lagos chapter, noted, “We have the psychological demand and of course, the health needs are there.
“ And then, when you have too many children, there is also the danger of the woman losing her life in the process from excess bleeding. If pregnancy continues to strain and put a burden on the body system repeatedly, the woman could have burnout syndrome
“But the truth of the matter is that each time the woman gets pregnant, the womb expands to accommodate the baby and when the baby is expected, it must contract. That ability to contract is progressively weakened and the woman may have bleeding after delivery.”
The gynaecologist also said there is a danger of having abnormal children when you continue to have children at a very late age.
“One of the most common reasons why women die after delivery is haemorrhage- excessive bleeding. When a woman has too many children, she is prone to excessive bleeding after delivery. So, she might end up losing her life.”
Akinde pointed out that pregnancy puts a lot of pressure on a woman’s body system, a development he said was further compounded if the woman has chronic diseases.
“ Women with chronic diseases like hypertension, diabetes, cancer, stroke, and heart disease should not have many children because pregnancy puts a lot of pressure on the woman’s body system.
“When you have hypertension, the hypertension might even get worse in pregnancy. When you have diabetes too,
the diabetes will get worse in pregnancy.
“If you have diabetes or hypertension for example and you now get pregnant, it’s like pouring petrol on a burning house.
So, if you put further pressure or further strain on the woman’s body system, you might more or less be aiding and abetting her death or demise following the pregnancy.
“The pregnancy may send her to her grave. So, women with such chronic diseases should have two children, a maximum of three. They shouldn’t have many children”, he explained.
He urged pregnant women with chronic diseases to begin antenatal care early and register in well-equipped hospitals where there are skilled birth attendants.
The World Health Organisation says women die as a result of complications during and following pregnancy and childbirth.
“Most of these complications develop during pregnancy and most are preventable or treatable. Other complications may exist before pregnancy but are worsened during pregnancy, especially if not managed as part of the woman’s care.
“ The major complications that account for nearly 75 percent of all maternal deaths are severe bleeding (mostly bleeding after childbirth); infections (usually after childbirth); high blood pressure during pregnancy (pre-eclampsia and eclampsia); complications from delivery; and unsafe abortion”, the WHO said.
Also speaking, a Consultant Obstetrician and Gynaecologist at the Nnamdi Azikiwe Teaching Hospital, Akwa, Anambra State, Dr. Stanley Egbogu, said pregnancy among women with co-morbidities comes with lots of complications.
Egbogu also said pregnant women with these conditions should not use Primary Healthcare Centres for their antenatal care, stating that pregnancy among them is associated with high risk, especially during delivery, and therefore cannot be managed at the PHCs to avoid the death of the baby, the mother or both.
He said, “Women that have diseases like sickle cell, asthma, hypertension, diabetes, and heart diseases before pregnancy must not use PHCs for their antenatal. They must register in a teaching or specialist hospital for their antenatal because they need specialized care from experienced obstetricians and gynaecologists.
“If such women should visit PHCs for antenatal care, they should be referred to a teaching hospital immediately because they are prone to so many complications during the pregnancy.”
The Society of Gynaecology and Obstetrics of Nigeria says Nigeria is nowhere near achieving the Sustainable Development Goal target.
“Nigeria’s maternal mortality rate is still among the highest in the world, with an estimated 512 deaths per 100,000 live births, which is nowhere near the SDGs target of 70 per 100,000 live births”, the body said.
The UN Sustainable Development Goals target is 70 maternal deaths per 100,000 live births by 2030
A late-night fire has destroyed six houses, several shops and storage facilities at Kofar Wanbai Market in Kano State, with property worth millions of naira reportedly lost.
The fire broke out at about 9:43pm on Friday in the Babban Layi, Yan Robobi section of the market, according to the Kano State Fire Service.
The agency’s Public Relations Officer, Saminu Abdullahi, confirmed the incident in a statement issued on Saturday.
He said a distress call from a Principal Fire Superintendent, Usman Idris Fagge, prompted the immediate deployment of firefighting teams from the state headquarters and stations at Rijiyar Zaki, Sabon Gari, Government House and Bompai.
Abdullahi said firefighters arrived to find the blaze had engulfed parts of a two-storey building measuring about 120 by 125 feet and used mainly as plastic shops and storage facilities.
He identified the affected houses as Gidan Alhaji Sani, Gidan Sani Muhammad, Gidan Alhaji Kwa Kwa, Gidan Alhaji Shafi’u and Gidan Alhaji Sulaiman.
According to him, the fire started on the upper floor before spreading to two shops on the ground floor, two on the first floor, six permanent stores and four temporary units on the top floor.
Firefighters eventually brought the inferno under control and prevented it from spreading to adjoining sections of the busy market.
Preliminary findings by the fire service indicated that the blaze was caused by a faulty solar system installation.
The Director of the Kano State Fire Service, Sani Anas, urged traders and residents to observe fire safety measures, install smoke detectors and ensure that functional fire extinguishers are available in commercial and residential premises.
A Kaduna-based man, Nasiru Musa Idris, has accused Islamic cleric Sheikh Ahmad Gumi of allegedly keeping his Moroccan wife away from him for about 11 months after he took her to the cleric for counselling.
Idris made the allegation in an interview with RFI Hausa, claiming he took his wife to Gumi after the cleric requested to counsel her because she was young.
According to him, his wife stopped responding to his calls after the meeting, while attempts to have security agencies investigate the matter were allegedly frustrated.
“For 11 months now, my wife has been in his hands through injustice and ill-treatment. He has no relationship with her; she had never known him. The only place they knew each other was through me,” Idris alleged.
Gumi, however, has denied the allegation, insisting that the Moroccan woman had already left Nigeria and was in Morocco with her parents.
The cleric, who declined to provide further details because the matter is before a court, also threatened to sue Idris for defamation.
“But I will take him to court for defamation against me. As for the issue of the girl, she has already left Nigeria and she is in Morocco happily with her parents,” Gumi said.
Idris said he first met Gumi at a pharmacy on Isa Kaita Road in Kaduna while he was with members of his family and later introduced his Moroccan wife to the cleric.
He said his wife had no prior connection with anyone in Nigeria before he travelled to Morocco to marry her, adding that the marriage was conducted with the approval of her parents and relevant authorities.
“The Moroccan girl had never known anyone in Nigeria and nobody knew her except through me. I went to seek her hand in marriage in her country, and we had an engagement with the approval of the embassy and the approval of her parents,” he said.
The dispute, according to Idris, escalated after Gumi allegedly asked him to obtain another marriage certificate from a Sharia Court despite the couple already having marriage documents issued in Morocco and Nigeria.
“I told him that I did not agree with the marriage certificate he told me to obtain. Later, he went to the Sharia Court in Malali and asked them to issue one to him,” Idris alleged.
He said he submitted several documents supporting the marriage, including papers from Nigeria’s Ministry of Foreign Affairs and the Nigerian embassy in Morocco, alongside other documents and a police character report.
Idris further alleged that Gumi later sought the dissolution of the marriage and interfered with efforts by security agencies to investigate the matter.
He urged the cleric to honour a police invitation and submit himself to questioning.
“My complaint is that he should come forward and answer the invitation of the police so that an investigation can be conducted. If he is right, there is nothing stopping him from going to the authorities to clear his name,” he said.
Idris also rejected claims that his wife’s mother travelled to Nigeria and took her daughter back to Morocco.
He maintained that he personally processed the documents that enabled his wife to travel to Nigeria, insisting that he only took her to Gumi because he trusted the cleric and believed he was seeking to help the young woman.
“Because I trusted him, I took her there. From then on, whenever I called, she did not answer the phone,” he alleged.
Meanwhile, Malam Nasiru Ayuba, popularly known as Dan Agaji, chairman of the Volunteers of Sultan Bello Mosque, Kaduna, and Gumi’s personal assistant on special assignment, denied that the cleric kept Idris’ wife in his house.
“The allegation that Malam kept his wife in his house is not true. It was the woman herself who went to Malam to ask him for help,” Ayuba said.
He claimed that the Moroccan woman approached Gumi over a personal matter and sought his intervention, after which the cleric took the matter to court.
“She brought the matter herself because she knew what she was going through. Th
Today sons and daughters of Ikwerre LGA in Port Harcourt held a civic reception in his honour.
The message was as they declare that on election day, before 11 am, Rotimi Amaechi will tell his people to boycott the election because he knows there’s no way he’ll defeat us. If he wins his village, Ubima, then he has won the election. That’s if he will win his own polling unit.
Watch below:
Fire Guts Kano Market, Destroys Six Houses, Shops, Warehouses
Moroccan Wife Has Been Away From Me for 11 Months — Husband Accuses Sheikh Gumi
Watch Wike delivering his speech at civic reception held in his honour today
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