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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.

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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.

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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

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“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.

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“ 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.

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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.

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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.”

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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

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Immigration alerts Nigerians to new human trafficking sect

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The Nigerian Immigration Service has raised the alarm over the emergence of a new sect known as “ACHAD Life Mission International” in Kaduna State.

According to a circular issued by the NIS, the sect has its headquarters in Kaduna, while its leader, one Mr. Yokana, resides in Jos, Plateau State.

The NIS has linked the sect to human trafficking and child separation, and warned that it has been canvassing members both within and outside Nigeria.

The circular, dated January 14, 2025, was issued by the Principal Staff Officer to the Comptroller General of NIS, AA Aridegbe.

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It reads in part: “The intelligence reports that the sect has its headquarters in Kaduna, while its leader, one Mr. Yokana, lives in Jos, Plateau State. It further notes that the sect neither believes in Islam nor Christianity but preaches the restoration of the African tradition and support to humanity.”

The NIS urged all its state commands, directorates, zones, and training institutions to be vigilant and report any activities related to the sect.

The emergence of the new sect has raised concerns among security agencies and the general public, with many calling for swift action to prevent its spread.

The NIS promised to work closely with other security agencies to monitor the activities of the sect and prevent any potential threats to national security.

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Over 18 transmission towers vandalised in six days, says TCN

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The Transmission Company of Nigeria (TCN) yesterday revealed that over 18 transmission towers have been between January 9 and 14.

They were destroyed in Rivers, Abia, and Kano States, according to a press statement of the Public Affairs, General Manager, Ndidi Mbah yesterday.

The statement said, “The Transmission Company of Nigeria (TCN) regrets to announce that over 18 transmission towers were vandalized between January 9 and 14, 2025, across Rivers, Abia, and Kano States.

“Engr. Emmanuel Okpa, General Manager of Transmission for the Port Harcourt Region, reported that routine patrols by linesmen on January 10, 2025, uncovered damage to towers 171 through 181 and tower 184.

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“On January 14, vandals targeted towers 146, 147, and 149 along the Owerri/Ahoada 132kV line in Rivers State, removing base brackets and compromising the stability of the towers.”

The TCN statement recalled that in Abia State, Engr. Azuh Lucky, Head of the Lines Department for the Region, reported the theft of bolts, nuts, and structural members from towers 160 to 162 on the Alaoji/Umuahia 132kV line, which was under repair on January 13, 2025.

It said meanwhile, in Kano, towers 105, 106, and 107 along the Katsina-Gazoua 132/33kV transmission line were critically damaged by vandals on January 9, 2025, compromising their structural integrity and risking collapse.

The statement reads in part: “In the early hours of January 17, 2025, vandalized 132kV underground transmission cables were discovered by TCN engineers near Millennium Park in Abuja. This affected power supply to the central area and its environs.

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“These incidents pose a significant challenge to our operations as a company. We have bolstered security measures, increased lines patrol, and the number of vigilante groups, and we are also collaborating with security operatives.

“However, we need and are appealing for the full support of every Nigerian, particularly those in communities hosting our installations. We must collectively recognize that the transmission network is our collective asset and essential for our socioeconomic development.

“The vandals and those who buy stolen materials are sabotaging the nation. All hands must be on deck to ensure the growth of the nation’s power sector, which is critical to the development of our country.

“TCN’s grid expansion plans are under tremendous strain due to the persistent vandalism of its installations. The financial implications of constant repairs to vandalized transmission installations, along with the stress on the grid, are having adverse effects on TCNs grid expansion drive.

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“This is a clarion call for everyone to join forces with TCN to put an end to this menace and safeguard our electricity network.”

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Abia Assembly speaker defects to APC, dumps PDP

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Former speaker of the Abia State House of Assembly, Rt. Hon. Bishop Kennedy Azubuike Njoku has officially defected from the Peoples Democratic Party (PDP) to the All Progressives Congress (APC) in Abia State.

Rt. Hon. Njoku, who previously represented Osisioma Ngwa North State Constituency in the 7th Assembly, resigned his position as Speaker after the PDP reached a compromise to allow Rt. Hon. Chinedum Orji, the son of Abia’s former governor, to assume the role.

Addressing supporters at his country home in Mbutu Nta village, Osisioma Local Government Area, Njoku explained that his decision to leave the PDP was made after extensive consultations with constituents and stakeholders across the state.

“I am grateful to the PDP for the opportunities they provided me and wish them well in their future endeavours,” Njoku said.

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He, however, called on his supporters to join him in the APC, emphasizing that only those ready to work hard would be rewarded, quoting the adage, “Onye ruo, ya erie” (He who works, eats).

The former lawmaker expressed appreciation for the support he has received from the people of Osisioma Ngwa North, Osisioma Ngwa LGA, and Abia State as a whole. He assured them that his move to the APC was driven by a vision to secure a brighter future for the local government area and the state at large.

Prominent stakeholders, including Comr. Odimegwu Aruru, Chief of Staff to the Bishop Campaign Organization; Comr. Emmanuel Nduagu, former president of the Osisioma Ngwa Youth Congress; and Hon. Austin Uruakpa, former leader of the Osisioma Ngwa Legislative Council, expressed full support for Njoku’s defection.

They urged his supporters to obtain APC membership cards from their respective wards and emphasized that the move signals hope for the masses.

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In a vote of thanks, Comr. Oliver Christian, a youth leader from Isiala Osokwa Ward 6, commended Rt. Hon. Njoku’s decision pledged full support and prayed for God’s blessings on him and his supporters.

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