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Women with too many children prone to bleeding after delivery – Gynaecologists

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
News
“Our National Chairman Goes Mad Again,” LP Reps Reply Abure Over Claimed Suspension

By Gloria Ikibah
Three federal lawmakers of the Labour Party extraction have brushed aside recent claims of their suspension, calling the move unserious and politically motivated. According to them, the action appears to be the last gasp of a former party leader who no longer holds authority.
Julius Abure, the party’s former National Chairman whose tenure was recently brought to an end by a Supreme Court decision, had issued a statement declaring the suspension of Rep. Afam Victor Ogene, who leads the Labour caucus in the House of Representatives, his deputy Hon. Seyi Sowunmi, and Hon. Amobi Ogah.
In addition to these lawmakers, Abure also named Abia State Governor Alex Otti, Senator Ireti Kingibe, and Senator Darlington Nwokocha who now serves as secretary of the party’s caretaker leadershipas being suspended.
The lawmakers, however, maintain that these announcements lack legitimacy, suggesting they are the reaction of an individual no longer in control of the party’s affairs.
In a joint statement signed by Rep. Afam Victor Ogene, Rep. Seyi Sowunmi, and Rep. Amobi Ogah, titled “Our Former National Chairman Goes Mad Again,” the three LP lawmakers expressed dismay that Abure, instead of working to improve the fortunes of the Labour Party, seemed focused on orchestrating its disintegration to appease external forces driving his actions.
They said further, “From yesterday’s overreach of himself and his band of jesters, it is now evidently clear to everyone who has followed recent events in the Labour Party, that our former national chairman, Barrister Julius Abure, has gone mad again, in a desperate move not to go down alone.
“It’s utterly absurd that Abure, who failed to demonstrate moral integrity during his tenure as national chairman, now claims the authority to sanction party leaders. Only in Abure’s distorted reality can those with questionable character judge others. In the real world, his Supreme Court-nullified leadership status has reduced him to a self-serving shameless impostor driven by personal gain.
“A political party is set up for the specific goal of participating in the democratic process, especially the contestation for power.
Since the Peter Obi effect of 2023, what has Abure and his gang of undertakers done to enhance the fortunes of the party? In fact, we challenge him and his cohorts to name one single individual of note that they have attracted to the party since 2023.
“From Kogi to Bayelsa, Ondo to Edo, what Abure has done is lead the Party to disastrous outcomes.
“All they have excelled in, is run the party as a criminal enterprise, fleecing aspirants of hard-earned cash in exchange for party ticket.
“Even in his native Edo, where he was dragged on the floor like a common felon because of disputations over misappropriated delegate funds, the over-bloated and egoistic Abure couldn’t even win his polling unit for the party.
“Pained of being kicked out of his lucrative position as national chairman, on account of abuse of official malfeasance, Abure and his gang of jesters have resorted to desperate antics in a bid to stay relevant.
“Which self-respecting national chairman of a political party busies himself running around media houses like a press boy? The last time around, it was announcing the sack and replacement of Hon. Ogene as caucus leader, but when that didn’t work, he has resorted to contriving a fake suspension order.
“Abure has appointed himself as a willing undertaker for the destruction of the soul of the Labour Party but ironically, he is only supervising the burial plan of his image and integrity as a public servant and political leader. We wish him well.”
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Trump Congratulates First American Pope, Leo XIV

United States president, Donald Trump, has congratulated cardinal Robert Prevost on his election as the new Pope, Leo XIV.
In a post on his Facebook page, Trump expressed excitement over the development and described the election as an honour to the American people.
“Congratulations to Cardinal Robert Francis Prevost, who was just named Pope. It is such an honor to realize that he is the first American Pope.
“What excitement, and what a Great Honor for our Country. I look forward to meeting Pope Leo XIV. It will be a very meaningful moment,” he stated.
White smoke rose from the chimney above the Sistine Chapel in Vatican City, indicating the election of a new pope.
Robert Prevost is to be addressed as Pope Leo XIV.
News
Akpabio drags Natasha to court over satirical apology

Senate President Godswill Akpabio has petitioned the Federal High Court in Abuja to compel suspended Kogi Central Senator Natasha Akpoti-Uduaghan to delete a satirical apology she posted on her social media pages.
On 27 April, Akpoti-Uduaghan shared a short video in which she mockingly apologised to Akpabio, claiming it was for not allowing him to have his way with her.
Akpoti-Uduaghan stated she was ‘sorry for the crime of maintaining dignity and self-respect’ and for rejecting the advances of the Senate President, whom she implied believed no one could refuse him.
The dispute between the two senators stems from an altercation in the Senate chamber over seating arrangements.
This led to Akpoti-Uduaghan initiating a suit that sought to stop the Senate from investigating her for alleged misconduct.
In particular, the senator asked the court to prevent the Senate Committee on Ethics, Privileges and Public Petitions, chaired by Senator Neda Imasuen, from taking any disciplinary action against her.
Akpoti-Uduaghan was later suspended following her accusations against the Senate President, accusing him of sexual harassment.
The presiding judge, Justice Binta Nyako, on 4 April 2025, restrained all parties involved in the suit from making public comments about the ongoing case.
Meanwhile, Akpabio’s legal team, led by Kehinde Ogunwumiju, has filed a fresh application asking the court to direct Akpoti-Uduaghan to delete the video, arguing it violated a judge’s directive.
In his application, Akpabio’s lawyer also requested the court to order Akpoti-Uduaghan to remove the post from all her social media accounts.
Additionally, Ogunwumiju urged the court to mandate Akpoti-Uduaghan to publish a written apology in at least two national newspapers and file an affidavit confirming her compliance.
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