Some Complications in Pregnancy

Serious complications may occur in pregnancy. Some complications may be life threatening to mother and baby. Complications are sometimes unpredictable .

Toxaemias of Pregnancy

Among the complications of pregnancy are the Toxaemia of Pregnancy.  The Toxaemias of pregnancy are serious conditions which occur in the later part of pregnancy, around the twentieth week of pregnancy.  When one hears the word Toxaemia, the first thing that comes to mind may be “toxins in the blood”.  This is not the case.  Toxaemia applies only in pregnancy and the word is a misnomer (a name that does not fit or suit- Oxford English Dictionary).

Toxaemia is characterised by a rise in blood pressure, and an increase in tissue fluid. This is manifested by a sudden weight gain. There is swelling, especially of the face and fingers.  There is also headache and the presence of protein in the urine.

It is usually the rise in blood pressure or the sudden head pains which alert one to the presence of Toxaemia in pregnancy. With good monitoring and professional care the condition can be kept under control.  Toxaemia in pregnancy is known as preeclampsic toxaemia or preeclampsia.  If the condition is not kept under control and the situation deteriorates it is then known as eclampsia.

Eclampsia is characterised by severe headache, severe vomiting, stomach pain, vision problems, coma and fits.  This situation most times warrant a decisive action by the medical team for the life of the mother or the the baby.

Over the years maternal and child health has improved greatly. This is done through increased monitoring of pregnant women  The incidence of deaths in pregnancy has decreased.  If detected early, Toxaemia in pregnancy is taken care of by close monitoring. If case starts to become extreme, then the doctor and team will have to make prompt and reasonable decisions.

Toxaemic conditions of the pregnant woman resolves after the delivery of the baby.

With these conditions in mind it is important that women begin their antenatal care early.  An early time is at the first miss of  the monthly period. An antenatal visit to the doctor close to delivery is a “medical mistake” on the part of the pregnant woman.

The best care a pregnant woman can give herself and her baby , is an early and sustained antenatal care.  Therefore, she must visit her doctor or the antenatal care health clinic and keep all appointments to these clinics.  A doctor or a nurse has much confidence in taking care of a delivery when full knowledge of the pregnant woman’s condition is known from start to finish, regardless of the situation.

In order to improve the well-being of mother and baby, the best thing to do is to give the health providers every opportunity to see to your antenatal care from start to finish.

Miscarriage

This occurs when the fetus is spontaneously expelled from the womb before it can survive outside of the womb.  Miscarriage is what happens when birth of the fetus occurs before the fifth month of pregnancy. Miscarriage should not be confused with abortion.

In pregnancy bleeding from the vagina is the first sign to warn of a miscarriage.

What is the cause of miscarriage?  The cause of miscarriage is best determined by the doctor for the particular cases.  Therefore, this is to say that several things can be responsible for miscarriage. It also indicates that not all pregnant women will have the same  reason for their miscarriages.

Have you ever heard that some women may just be frightened and labour begins right away, before the fifth month of pregnancy?  I have heard and known of a case that heard of a tragic death of a loved one, and the pregnant woman went into labour and had a  miscarriage on receipt of the news. Some women get a slight or hard jerk and there goes the pregnancy.

Of course there are cases of causes of medical conditions of the mother and or fetus.   To give an example, the mother having syphilis, that is to say active syphilis can result in miscarriage.   Frankly, miscarriage may be caused by different reasons.

Broadly, my opinion is that miscarriage is caused by:

  • Stress and emotional factors
  • Genetic defects
  • Medical reasons ( of mother and or baby)
  • Physical exertion to the body
  • Nutritional needs

The doctor is the person who helps to determine the cause of a particular miscarriage or some cases of miscarriage.   He also advises whether or not the woman will be able to carry other pregnancy to term or not.  The cause of the miscarriage may be of such that can be corrected.  That is if the cause is known say strictly medical reasons with possible solutions.  This means the woman will be able to carry other babies to full term.

Ectopic Pregnancy

Ectopic pregnancy occurs when a fertilised egg begins to develop in the Fallopian tube rather than making its way to the uterus (womb).  The womb is the designed structure for the development of the egg.

Ectopic pregnancy is most times referred to as “tubal pregnancy”.  Often times persons may talk about ” pregnancy in the tube”. One would realize that as the egg grows in the tube it causes damage to the tube.  This is a serious complication in pregnancy.

What are the signs and symptoms of ectopic pregnancy?

Medicine net states that there are three classic signs/symptoms of ectopic pregnancy.  These are abdominal pain, the absence of menstruation and vaginal bleeding..  Approximately half of the women with ectopic pregnancy may not have all three signs.

In some cases women were not aware that they were pregnant until the signs/symptoms of ectopic pregnancy came up and they had to seek emergency service.

Medicine.net further states that the signs and symptoms of an ectopic pregnancy typically occursix to eight weeks after the last normal period.   There may also be dizziness, weakness,breast tenderness, nausea and low blood pressure.

What should one do if ectopic pregnancy is suspected

  • Treat situation as a case of urgency
  • Consult at the Emergency Room,immediately.
  • Do not stay at home and watch anything.  Some persons have the tendency to want to wait and watch what the outcome would be. See the doctor immediately.

Risk Factors of Ectopic Pregnancy

Who is at risk for having ectopic pregnancy?

Any woman who is sexually active and has not been using contraceptives.  In other words, any sexually active and fertile woman with the capability and likelihood of being pregnant.

Pregnant women who have had previous surgery to reproductive organs

There are also pregnant women who have had  history of sexually transmitted infections  such as gonoccocal and or chlamydial infections. Women who might have been infected with a sexually transmitted infection and never knew of its presence.

Women who have not had treatment, not treated early, and may not have been adequately treated for a sexually transmitted infection.

Women with history of Pelvic Inflammatory Disease (PID) or experiencing same.

These diseases left untreated or inadequately treated can cause damage or scarring to the fallopian tubes thus making the smooth passage of a fertilized egg through the tube to the womb, difficult or impossible.  Thus resulting in the development of the egg in the tube.

Rh Factor

Briefly put, Rh factor complication arises when a Rh negative pregnant woman develops Rh positive antibodies from her Rh positive fetus that passes its Rh positive blood cells to its mother through the placenta.  The fetus being Rh positive indicates that its father is Rh positive.

At the first pregnancy the outcome may be successful.  However, with subsequent pregnancy the risk becomes higher. In subsequent pregnancies antibodies from the mother pass through the placenta and enter the fetus’ blood.  These antibodies begin to destroy the blood cells of the fetus and trigger a serious type of anemia.   This can cause the death of the fetus immediately after birth.

In order to make corrective measures to this situation and to prevent death to the newborn, knowledge of the maternal and child health history of the pregnant woman is important.  Early antenatal care is an asset.  These make it convenient to make preparation for the baby’s delivery. That is subsequent baby or babies.

Before the birth of the baby , preparation is made for the baby’s “mixed” blood to be transfused.  The baby’s blood with the hostile antibodies is replaced with friendly blood.

Have you ever considered how important it is to know your spouse’s blood type and the whole necessary chemical make up and other medical situations of you and your partner before sex or unprotected sex and marriage?

Think about it when it comes to child bearing and rearing blood-health wise, so many things can come against the mother and baby’s well-being.  Looking at cause and effect and how to prevent, one may considers diseases such as Sickle Cell Anemia, HIV, Syphilis, Congenital Syphilis and the Rh factor.   These are examples that should awaken the concerns of couples who are interested in having children.  The fact is some persons are not aware.

Then again, what if the persons love each other and the consideration is unconditional?  I may not have answers to every question, but I would like to hear from you.  Please let me have your comments.

Signs and Symptoms of Complications in Pregnancy

Again, if you experience any of these signs or symptoms, report to your doctor or antenatal care nurse immediately.

  • Headache
  • Vision problem
  • Nausea and vomiting if this is happening after the third month of pregnancy
  • Dizziness
  • Bleeding from the vagina
  • Swelling of hands and feet
  • Infections and other illnesses
  • Pain or cramps in abdomen

Please let me have your comments.

 

Common Problems in Pregnancy

There are some common problems in pregnancy.  These problems do make the pregnant woman uncomfortable.

It is important that these be taken care of.  After pregnancy they will eventually subside.  Some will go even before delivery.  However, the pregnant woman’s well being must be attended to, in pregnancy and even after delivery.  Therefore, let us look at some of these briefly.

Morning Sickness

The symptoms of morning sickness for most women are what indicate to most women that they are pregnant.  I am saying that for most women, this is the first evidence of being pregnant.  On the other hand, a missed period may be the first evidence.

The symptoms of morning sickness are nausea and vomiting.  As the name implies, these symptoms occur in the morning, mostly.  For most persons, morning sickness last for the first three months of pregnancy.  This may persist longer for other persons.

My experience with morning sickness was terrible. The symptoms were weakness, fatigue, extreme sleepiness, nausea and vomiting. For my first child it continued up to the seventh month of pregnancy.  I was hospitalized once and merely escaped hospitalization two other times within that same pregnancy. I was not responding to the doctor’s prescribed treatment.

However, on my second pregnancy, the same thing started again.  This time I found that I had to eat around the clock in order to evade the nausea and vomiting.  This I did.  This was my only solution. This was my answer. It worked!  Would this work for you? People may be different at times. I had some greedy babies, maybe.

You can then be sure that I had to attend the doctor and other maternal child health clinic to ensure I was within my right weight limits (for the trimesters) and so forth.

  • In answer to morning sickness, if this is unbearable or persisting, check with your doctor.

Food Cravings.

Some pregnant women crave for particular foods.  What is the cause for these cravings.  One school of thoughts says it maybe hormonal changes and the increase in the hormonal level encourages food cravings.   Another said it may be due to deficiency that the woman is experiencing.  No one seem to have the answer.

Is food cravings a true problem in pregnancy? This should not be, as long as the pregnant woman does not eat food that is injurious to her health or go overboard with eating.

There is also the case where some pregnant women crave for other things that are not considered food.   In these cases I found these women to be more passionate to their cravings  Maybe I think so, because these things are not food. This condition is called Pica.  In these cases pregnant women crave for chewing on tobacco, eating ashes, starch, chalk, marl dust, charcoal, among other things.

The cause for food craving is not known. However, some school of thoughts claim that it is caused through nutritional deficiencies.  While on the other hand others state that, it is caused because of emotional situations.

  • Talk with your doctor, nurse or your nutritionist if there is this problem.

Fatigue

The pregnant woman experiences fatigue mostly in the first trimester of pregnancy.  This is normal because the body is making new arrangement for child bearing and birth.

  • Get adequate sleep.  Go to bed early and take some rest during the day also.

Frequent Urination

Frequent urination usually occur early in pregnancy and also at the latter stage. This is caused by the womb (uterus) getting larger and pushes against the bladder.  Sometimes there is not even much urine in the bladder but yet the bladder sends a message of urgency.

  • If it is bearable, you will realize that this too shall pass.
  • If the symptom is unbearable or if there is burning when the urine is passed  consult your doctor.

Heartburn

Heartburn happens mostly when the woman is in an advanced stage of pregnancy.   The feeling of pain at the lower part of the chest or near the heart, maybe heartburn.  This is caused because the growing baby within the uterus is now causing a push on the digestive organs.  This may cause interference with the normal function of the digestive organs.  This carries a great measure of discomfort but it is not considered serious.

  • Check with your doctor.

Constipation

Constipation occurs most times in an advance state of pregnancy.The cause of constipation may be of different reasons:

  1. Food passes through the intestines slowly.
  2. Because of the enlargement of the uterus from the growth of the baby, there is much pressure on the rectum
  3. There is lack of fibre in the diet
  4. High dosage iron supplement (This may cause diarrhoea in some persons)
  5. Delay in attending the lavatory for a biological call (to pass stool).
  6. Inadequate drinking of water

In order to treat or prevent constipation:

  • Do not strain to pass your faeces (stoop, poop)
  • Add more fibre to your diet.  Eat more fresh fruits and vegetables.
  • Listen and act accordingly to your biological calls. Pass stool when there is an urge.  Do not put it off.
  • Drink plenty of water. At least eight glasses of water.
  • Exercise regularly. Walking is quite in order. Do not do  strenuous exercise.
  • Consult your doctor if constipation persist or becomes unbearable

Hemorrhoids

These are enlargement of the veins in the anus.   This causes much discomfort and can be unbearable at times.

  • Do not strain to pass your faeces especially, during pregnancy
  • Use a little petroleum jelly to lubricate the anus
  • Rest your legs as much as possible
  • Get adequate rest during the days
  • Consult your doctor

Muscle Cramps

These may happen because of reduced circulation in the legs.  It is said that muscle cramps are most times caused by some deficiency in the diet.  These may be calcium and vitamins.

Muscle cramps are not considered serious.

  • If muscle cramps in the abdomen becomes intense and rhythmic consult your doctor.

Backache

This is most times cause by the necessary change in posture.  Some people do experience backache also because of the weight of the baby and its other attachments.

It is advisable to wear  low heeled shoes.

Get adequate rest. at nights and during the day.

Consult your doctor. She/he may need to give you some exercise

How many more common problems in pregnancy can you tell me of?

Please let me hear from you.

Nutritional Needs in Pregnancy

The nutritional needs of the woman in pregnancy is by far greater than that of the non-pregnant woman.

The pregnant woman’s baby depends on what she eats. Her baby eventually becomes what she eats, so to speak. The baby’s skin, muscles, teeth, bones and other organs are products of the mother’s nutrition among other things, such as genetics.

I must disclose that I am not an Obstetrician and neither am I a Nutritionist.  Therefore, I will discuss that which I fully understand concerning the nutritional needs of the woman in pregnancy.  The main objective of this post is to show the importance for the optimization of nutrition for the pregnant woman.

Over the nine months of pregnancy, a fertilized egg grows quickly to appear as a fully grown baby at birth.  The placenta, amniotic sac and the umbilical chord develops very early to begin to carry out their functions.  The placenta is a spongy structure.  This important organ carries fetal and maternal blood.  They flow side by side.   They have their separate conduits.

As the time goes by, what appeared as a small dot previously in four weeks after conception (the embryo), is well on its way, taking form  to grow, in  becoming a full term person.   This is happening in someone’s body.  How amazing!  I said it like that to spark your imagination.

By three months the embryo is then known as the fetus.  It has established features of the body.  By the ninth month the baby is ready to be delivered. With all the development, the baby is dependent on the mother for sustenance.

Nutritionally , it is a great dependence, as the nutrients before conception and even up to child birth is important. Let us look at some of the nutrients that are needed in the development of the baby.

During pregnancy, as you already know the woman’s body makes great changes.  There are so many changes during this time.   There are changes to blood supply and muscle strength.  Her joints have to improve and become more flexible. Her feet may become swollen sometimes because of high concentration of hormone which causes her to retain water.

Nevertheless, the uterus and her body in totality is being made ready for bearing the child and also for delivery.  You must understand also that, if things are not in good form the body may expel the baby before the expected time. With all these changes and more, the pregnant woman has to “sign” to a good diet which answers to the preparation and the expected outcome.

The Need for Energy

There is need to have food which addresses energy needs.  It is recommended that the pregnant woman eat as the non-pregnant woman and plus that.   Extra calories for the pregnant woman is quite in order.  In other words, for example, eating ordinarily as as a woman who is not pregnant.

She will have to make additions. She may add an extra slice of bread or a slice of or two of yam, extra serving of vegetable, an ounce of lean meat, a piece of fruit, and a cup of milk. An underweight pregnant adolescent and an active woman will need much more than this.

Nutrient dense foods such as eggs , chicken meat, beans, dark green leafy vegetables, fruits whole grains and cereals are valuable.

Need for Protein

Additional amount of protein is also necessary.  High protein dietary supplement should not be considered without the advice of the Obstetrician.

The Need for Vitamins and Minerals

The need for Vitamin B6 goes hand in hand with Protein.   It is very important that the pregnant woman gets enough Vitamin D and Calcium.  Calcium is responsible for building bones.  Of course the woman is carrying a fetus that is in the bone building process.  Magnesium also address the making of good teeth.

How does the pregnant woman get these Vitamins and minerals?

Vitamin D can be had naturally.  Vitamin D is the sunlight Vitamin.  It can also be milk fortified.  The need for vitamin and minerals increases during pregnancy. Some sources of vitamins and minerals are meat fish,cereals, dairy foods, vegetables and nuts.

The Need for Iron

Iron is a mineral. The need for iron increases in the second and third trimester. Therefore, this is supplemented as the demand for this is greatly needed.   The need for iron is great as it gets less in pregnancy. Iron is needed for placenta and thus for the fetus.  Apart from this it must considered that the need is also great because of blood loss in delivery. Thus the need to  optimize the iron reserve. There is also the need to treat or prevent iron deficiency and anemia.

The lack of enough red blood cells can cause anemia.  The person having anemia will have problems. This will cause  low haemoglobin to be in the blood.  Anemia is a gateway for the lack of oxygen in the blood. The lack of oxygen in the blood and cells.

Sources of iron: Some sources of Iron are:Dark green leafy vegetables, eggs, whole wheat bread, chicken and beef liver. Supplementing with iron.

The Need for Folate and Vitamin B12

Folate and Vitamin B12 is extremely necessary.  The manufacturing of new cells demands these nutrients are greatly needed. These nutrients are responsible for the making of blood cells and growth.

Remember that the fetus grows at a fast rate.  Therefore it needs it the nutrients to facilitate blood cells and growth expeditiously.   These necessary nutrients can be had from fresh fruits and vegetables especially green vegetables and whole gran foods.  Supplementation may be necessary.

Folate is also important in the diet to prevent central nervous systems disorders or  defects.  It maybe necessary for some women to begin taking folate supplements prior to conception in order to prevent these problems from happening in another of her baby.

The use of Vitamin B12 causes folate to become more active or potent.  The pregnant woman needs to eat, meat, fish, eggs, and milk products. Vegetarians need to discus with Obstetrician as supplementation maybe necessary.

Proper nutrition is important to everyone. It is just as important to the baby growing inside the woman as well as the person carrying the baby.  Can you imagine that the baby cannot take care of itself?  Therefore the pregnant woman has to care for herself and the baby.  Eating adequately for her health is tantamount to her health and to the baby’s health.

Please let me hear from you regarding the nutritional needs of the pregnant woman.

 

Malnutrition Risks in Pregnancy

Malnutrition in pregnancy poses great risks for the fetus and the mother. Let us look briefly at some of these risks.  Nutrition forms a good foundation to the lives of people.

Nutrition greatly addresses the immune system and all other development systems of the person.   There is good nutrition and bad nutrition.  Nutrition without qualification is good nutrition.  that is to say if one speaks of “nutrition”, it goes without saying that the person is speaking of good nutrition.

On the other hand , whenever one speaks of malnutrition, the person is speaking of bad nutrition.  Simply put , this is not having or getting enough nutrient or energy.  In other words a lack or an excess in nutrient or energy is of major concern to one’s body.   These will affect the person.   In pregnancy it is persons-mother and baby.

Whenever things are out of balance it is just not good.  Generally, nutrition falls on three levels.  These are :

  • Over-nutrition              malnutrition (bad)
  • Nutrition                        good
  • Under-nutrition            malnutrition (bad)

Malnutrition carries risks. The woman in pregnancy carries added and multiplied risks.  In this, this is the only time that one time one equal two.  These risks do not affect the mother only but also the fetus or the baby.   Let us briefly look at the risks of malnutrition in pregnancy.

Malnutrition and Fertility

It cannot be over-emphasized that the health of the woman, especially in the child bearing age and  before conception bears effect on the woman in pregnancy.  On the other hand, malnutrition to an extent, can also cause the woman’s ability to conceive, one of question.

Malnutrition and lack of food can affect fertility.  Malnutrition can cause a cessation of the woman’s monthly period.  Women who are not properly fed may also experience low libido.  Basically, they are most times not interested in sex.   (I must say however that one may say that this point is debatable since it is mostly observed that it is the persons who are unable to afford food the way it should be had, who are having the most children.  What do you think about this?)

On the other hand, over-eating and excessive working can also have the same effect.

Malnutrition and Development

Women need proper nutrition to provide for the developmental needs of the fetus. The different systems in the body are provided for, through the activity of the placenta.  Thus the proper development of such as the nervous, respiratory systems and other systems.  There is also the need for the development  of teeth, bones and other functions.

Being Overweight and Underweight

During pregnancy underweight and over-weight are problems by the degrees. These are malnutrition markers. These two situations offer much complications to the woman in pregnancy.   A normal weight is a balance to strike.

Overweight and underweight may cause varying medical problems for the mother and baby.  There is the risk of the baby being born before the expected time.  This is most times caused by the woman being underweight in pregnancy.The weight in pre-term delivered baby can be of much concerns. Fortunately, a woman falling in this category who has a good pre-natal follow-up may escape this because of close monitoring.

On the other hand, there is also the problem of having a baby after the expected date of delivery.  Owing to these cases, babies are sometimes overweight and a Caesarean Section operation maybe the counted emergency answer.

Pregnancy and Malnutrition at an Early Age

Can you image a woman- maybe teenager who at an early age, is malnourished and pregnant?  This is a double whammy.  In recent years, infant mortality among teenage mothers have decreased.  Nevertheless, there is still statistics.  Women in low income and underdeveloped countries most times fall prey to this situation.  The ability to provide is lacking.   There is also the situation of lack of knowledge of (maybe illiteracy) the effects of malnutrition.

What are your thoughts about this issue? Please let me have your comments on this matter.

Malnutrition in Early Pregnancy

I must differentiate.  In this topic I write not of malnutrition in age but rather in stage. That is stage of pregnancy-early pregnancy.  For example first trimester and to the fifth month.  Malnutrition in early pregnancy can be downright problematic and very risky. During early pregnancy there is the need to have proper nutrients for the baby to develop properly and also to have the right environment in the womb.

Malnutrition in early pregnancy can cause placental inadequacy. The placenta may not develop fully in order that the fetus be properly nourished.  Babies in these cases are usually small and underweight and may exhibit abnormalities and other deficits.

Prevention of Malnutrition in Pregnancy

  • In order to prevent these situations, one must be conscious of these facts before pregnancy.  It is always better to deal with nutrition before pregnancy. It is always better to deal with this before than to treat the consequences.  Women must try to have healthy or normal body weight before pregnancy.
  • Eat nutrient dense food.
  • An over-weight woman should avoid getting pregnant until her weight is normal and under control.  Gestational diabetes and high blood pressure in pregnancy are possible risks and are important for consideration.
  • Healthful eating habits-eating the right food and being adequate in eating are of importance.
  • It is a no-no for women who are already pregnant to be on a weight loss regimen.
  • Good physical activities are in order.
  • Do not do excessive exercises in pregnancy.

Are there other pointers you can add to this list? Please let me have your comments.

 

 

Planning the Family

 

parents-holding-baby-Who never thought of planning their family? The planning of one’s family should take place before the first pregnancy.  Planning the family is a part of planning for the family.

Tips in Making Family Plans

It is important to make a family plan. Some important tips in making the family are:

  • One should decide the number of children wanted
  • When baby one should come on board and
  • When will baby two follow.
  • Planning for the family is the plan which says, what will be done in the interest of the family and for individuals within the family as time goes by. It dictates what is necessary for the family
  • Needed and available resources.
  • It also includes expected outcome.  However, it is somewhat difficult to separate the two plans, (that is, planning the family and planning for the family) Nevertheless, for the purpose of this article we will discuss Planning the Family.
  • As I have said before, planning the family should be done before the first pregnancy.  This cannot be over-emphasized.  In this plan, consideration should be given for expected available resources to meet the needs for preparing and providing for mother and baby.   Will you be able to afford this baby at the time you have planned for this child?
  • By the way, planning for the family is certainly not the job of any one person.  This is the couple’s duty- you and your spouse. It should be considered a mistake for any one person to consider planning the family.  After all, two persons are responsible.  On the other hand, I must say however, that any one individual on his or her own can consider, propose a family plan. This too is good- the draft. This type of plan is usually one built in the mind. This helps one to put into focus “the intention” and the likely plan.  Most times this “draft” works as drafted. This may sound funny, but true.
  • Have you ever considered that most times it is the female who does the family plan?  But after all,  it is the ball court of the female to make the final decision on what is what-that is the final  outcome.  Pardon me, it is the female who may decide whether or not the embryo or foetus will be carried to full term, then to delivery.  Let us face it.  I am  talking that even in cases where there is not threat of ill-health on the part of the baby or mother.

On the other hand, another aspect to which the males sometimes are caught off guard is that most times they are left out of planning (having a concrete plan) the family because it may not be seen to them as being very important to plan since:

  • Most men always want children , therefore it does not matter to them.
  • Most men feel it is the job of the female to do what is to be done.  Most men feel that they do not have control about pregnancy.
  • Most men feel that their involvement is not very practical since contraceptive methods are for women.

It must be noted though depending on culture some men:

  • Do not feel that planning the family is really necessary.  However, if they were not in the the planning they felt as if they were trapped and just go on since the pregnancy has already happened.
  • On the other hand, some men are down right happy planning, or no planning, because their names are getting widespread.
  • While some other men, see it fit to be in the planning and the thick of things, come what may.  They are always there in anything concerning their offspring , come what may.  They do help to plan the family.

What do you feel about this?  Please let me hear from you.

The number of children a couple should have should depend their available resources, which will make the whole family comfortable in all aspects of life.  They should not have enough children to make them sick.  They should not be mentally, physically, emotionally, financially nor medically unwell, because of having too many children

Therefore, I posit that any person(s) can have as many children that they can afford to have as long as they can  keep the family well comfortable.     What is your view on this?  Please let me hear from you.

After the baby’s delivery  the mother attends the doctor for the six weeks review. She and her baby do have their postnatal review at this time. The doctor or the
nurse may counsel about choosing a family planning method. it is always good woman consulting with doctorto have in mind before hand, the best method you would want to choose.

it is always good to:

  • Read up beforehand about the methods.   In your reading, you may have questions about the methods.  You may even have questions about the one you consider best for you.
  •  Listen to the health provider about the different types of methods
  • Ask questions about each method
  • Make an informed decision

Please let me hear from you.  It is always good to hear from you.  When you do, others  will know more.