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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

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By Kayode Sanni-Arewa

The daughter of Arise News Managing Editor, Christian Ogodo, was among graduands who bagged various degrees from the prestigious Havard University in the United States.

Oghenetega Steffi Eberechukwu Ogodo, was conferred with a masters degree in Urban Planning of the Graduate School of Design of Harvard University on 23rd May, 2024.

Tega was also a Bloemberg Leadership Fellow, who did her industrial training with the Rochester City Council in New York, while her field work had the theme: “People must feed,” postulating that there must be decent and nutritious food even for the downtrodden people in society.

Tega is a graduate of the University of Lagos with a Second Class Honours [Upper Division] from the Faculty of Environmental Sciences, majoring in Urban and Regional Planning.

She is the daughter of Nigeria’s foremost News Anchor on Arise News on WEEKEND NEWSNIGHT, Christian Ogodo, who is the Managing Editor of Arise News Media Group.

She is currently working with an engineering consulting firm in Chicago that specialises in logistics.

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National Anthem: Nigeria switches from fatherland to motherland



By Francesca Hangeior

The Federal Republic of Nigeria, today, officially reverted to the National Anthem that heralded its independence as a sovereign Nation.

President Bola Tinubu, after he met a joint session of the National Assembly, signed into law, the adoption of the old National Anthem, “Nigeria, We Hail Thee.”

“Nigeria, We Hail Thee” was adopted as Nigeria’s first national anthem on October 1, 1960.

The anthem’s lyrics were written by Lillian Jean Williams, a British expatriate who lived in Nigeria when it achieved independence.

Frances Berda composed the music for “Nigeria, We Hail Thee.”

However, the second national anthem, “Arise, O Compatriots,” was adopted in 1978.

The lyrics of the now jettisoned anthem were a combination of words and phrases taken from five of the best entries in a national contest.

The words were put to music by the Nigerian Police Band under the directorship of Benedict P. Odiase (1934–2013).

The Nigerian national anthem lyrics were created by five people: P. O. Aderibigbe, John A. Ilechukwu, Dr. Sota Omoigui, Eme tim Akpan and B.A. Ogunnaike.

With the return to the old anthem, Nigeria officially switched from a ‘Fatherland’ to a ‘Motherland’.

Hereunder are the Three Stanzas of the old but now new National Anthem:

1. Nigeria we hail thee,
Our own dear native land,
Though tribe and tongue may differ,
In brotherhood we stand,
Nigerians all, and proud to serve
Our sovereign Motherland.

2. Our flag shall be a symbol
That truth and justice reign,
In peace or battle honour’d,
And this we count as gain,
To hand on to our children
A banner without stain.

3. O God of all creation,
Grant this our one request,
Help us to build a nation
Where no man is oppressed,
And so with peace and plenty
Nigeria may be blessed.

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BREAKING! Tinubu extends Abuja free train ride for six months



President Bola Tinubu has approved the extension of free train rides on the Abuja Rail Mass Transit, also called the Metro Rail, for the next six months until the end of the year.

The FCT Minister, Nyesom Wike, had announced free train rides for two months, to ease the burden of commuting for residents of the FCT.

Tinubu gave the approval during his address at the inauguration of the commencement of operations of the Abuja metro rail in Abuja on Wednesday, May 29.

The president appealed for the extension to offer hope to the people of the FCT and give them reasons to celebrate.

“Our dear landlord and his team, I heard you saying two months free ride. I appeal to you to make it till the end of the year. Since today you’re not going to charge me, that will give the people hope and reasons to celebrate,” Tinubu said.

Details shortly…

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