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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
Iran’s football squad have been finally granted visas to enter the United States so they can play in the World Cup, US Ambassador to Turkey Tom Barrack confirmed Friday.
A US administration official confirmed this separately in a statement issued by the State Department.
The visa issuance means Iran will compete in the world’s top sporting event even as the Mideast war pitting it against the United States and Israel continues, albeit with a shaky truce in place.
“Proud of our outstanding team at the U.S. Embassy in Ankara for their work processing visas for Iran’s national football team on their road to the @FIFAWorldCup in the United States,” Barrack said, commenting on a news report that Iran’s World Cup players have been granted the visas to enter the United States.
“Sports transcends borders, and we look forward to welcoming competitors and fans from around the world,” the ambassador said.
The unnamed administration official confirmed Iran’s team has been issued visas, and added: “We will not allow the Iranian team to abuse this system to sneak terrorists into the United States under false pretenses.”
The Iranian team is due to fly from Turkey to Spain on Saturday before travelling on to their base camp in Mexico, where they will arrive on Sunday.
The team will be based in Mexico during the tournament in North America, but all three of their group stage matches are due to be held in the United States.
They were originally due to be based in the US but switched their camp to Mexico due to the tensions between Iran and the United States over the war that began February 28 with US and Israeli attacks on Iran.
Iran begin their World Cup campaign against New Zealand on June 16 in Los Angeles.
They will play further group matches against Belgium, also in LA, and Egypt in Seattle.
AFP
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Photos: Tinubu Courageous Leadership, Vision Transforming Nigeria Through Infrastructure, Says Wike
Minister of the Federal Capital Territory (FCT), Nyesom Wike, on Saturday, declared the courageous leadership, vision and political will demonstrated by President Bola Ahmed Tinubu, as responsible for bridging Nigeria’s longstanding development gap, citing ongoing infrastructure projects across the country as evidence of purposeful leadership.
Speaking at the 36th Convocation Ceremony of the University of Port Harcourt, where he delivered a lecture titled; “Leadership and Infrastructure Development in Nigeria: Lessons for Future Leaders,” Wike described the scale, direction and momentum of infrastructure initiatives under the Tinubu’s administration as a reflection of a leadership committed to national transformation.
According to him, the President has shown an uncommon willingness to confront difficult decisions and mobilise resources towards addressing Nigeria’s infrastructure deficit.
“What the present moment offers is a rare and defining possibility, a window in which purposeful leadership can begin, in earnest, to narrow the enduring gap between Nigeria’s vast potential and its historically uneven performance,” Wike said.
“In this regard, the evidence increasingly suggests that President Bola Ahmed Tinubu has demonstrated, beyond reasonable doubt, the courage to confront difficult choices, the capacity to mobilise national resources, and the will to pursue infrastructure as a serious instrument of transformation.”
The FCT Minister argued that infrastructure remains the clearest measure of leadership effectiveness, stressing that roads, railways, power projects, housing schemes and digital infrastructure are critical foundations for economic growth and social development.
He noted that while some ongoing projects were inherited from previous administrations, the Tinubu government has injected renewed urgency and strategic direction into their execution.
According to him, projects that previously existed as isolated initiatives are now being integrated into a broader national development framework aimed at stimulating productivity, strengthening national cohesion and expanding economic opportunities.
Wike cited major projects including the Lagos-Calabar Coastal Highway, the Sokoto-Badagry Super Highway, the Abuja-Kaduna-Zaria-Kano Road, the East-West Road and access roads to the Second Niger Bridge as examples of the administration’s commitment to reshaping Nigeria’s economic landscape.
He also highlighted ongoing investments in rail transportation, including the rehabilitation of the Port Harcourt-Maiduguri railway corridor and efforts to expand standard gauge networks across the country.
In the power sector, Wike pointed to the implementation of the Presidential Power Initiative in partnership with Siemens, as well as rural electrification programmes and mass metering schemes designed to improve electricity supply and restore consumer confidence.
The minister further commended the administration’s energy transition agenda, particularly the Presidential Compressed Natural Gas (CNG) Initiative and the National Hydrogen Policy, describing them as forward-looking interventions that align Nigeria with emerging global energy realities.
He also referenced investments in housing, aviation, broadband infrastructure, security architecture and education, including the Nigeria Education Loan Fund (NELFUND), which he said is helping to expand access to higher education.
Wike described the removal of fuel subsidy as one of the boldest decisions taken by the administration, arguing that the policy has created additional fiscal space for governments at different levels to invest in critical infrastructure and development projects.
“Transformative leadership often requires the courage to choose long-term stability over short-term comfort,” he stated.
The former Rivers State governor maintained that infrastructure development should not be assessed by the number of projects announced but by their successful completion and long-term impact on citizens.
He warned that Nigeria’s development aspirations would remain unattainable without sustained investments in roads, power, transportation, healthcare and education.
While acknowledging that infrastructure development is a long-term undertaking whose benefits may not be immediately visible, Wike urged Nigerians to support efforts aimed at building a functional and integrated economy.
“If this trajectory is to be consolidated, deepened, and translated into lasting national outcomes, it requires not interruption in leadership, but continuity; not hesitation, but sustained commitment,” he said.
The minister stressed that leadership should be judged by its ability to translate vision into concrete outcomes, insisting that no nation can rise above the quality of its infrastructure and the commitment of those entrusted with governance.
The convocation lecture formed part of activities marking the university’s 36th Convocation Ceremony attended by academics, students, alumni, government officials and other dignitaries from across the country.
News
PHOTOS: Dutiful wife of FCT minister Wike, adjusting her husband’s cap at ongoing UNIPORT Convocation lecture
Hon Justice Suzzette Nyesom-Wike, Wife of the FCT Minister, Nyesom Wike, sighted adjusting her husband’s cap and cleaning his sweat as he delivers his UNIPORT Convocation Lecture titled; “Leadership and Infrastructure Development in Nigeria: Lesson for future leaders” going on now.
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