DR Chinedu Ndubuizu is the Medical Director of Rosevine Hospital, Aba, in Abia State. Recently, the' amiable Obstetrician and Gynaecologist spoke to Daily Sun on issues bothering on fertility and safe motherhood. Excerpts: 

 

Safe motherhood 

Safe mother is that situation where a woman gets pregnancy in good health and carries pregnancy to t&m, and delivers in good health, and she's safe and healthy with a good baby, a good normal baby. The delivery might be either vaginally or through any other means of assistance. But as long as the delivery is safe and did not encounter much of complications and the outcome is good both to the mother and the baby, we describe such as safe motherhood. So from the medical angle.and.even to.the public, that's when we say, "safe motherhood." 

 

Effect of many deliveries In medical terms, this is called 'multiparty.' In too much of delivery, it will be weighing down on the woman, her immunity, physical beauty, biological structure, and the woman could also get older than her age. They are likely to occur especially if there's no much of spacing. 

 

And it is worsened when she delivers without full recovery to good health and gets pregnant again, and before you know it she puts to bed again. Most of them can be anemic since they may not have recovered even the nutrients you get from food that would build the immunity that could build and condition the blood to build resistance to infection. The woman is exposed to a lot of danger, even in terms of post parturn hemorrhage. These are some of the .effects or implications as you can see. 

 

It may not really be fair to her as a woman, or to the public, not to the government, and not to the children she's delivering, as they may not be well taken care of, as a lot of risks abound in some of the deliveries. In all, it is wiser and advisable for people to have as few children as they 

can take care off. 

 

Abnormal pregnancy 

 

Abnormal pregnancy has many ways of defining it. When you say a pregnancy is not abnormal, we tend to categorize from. A pregnancy may be abnormal if from the time of conception there is malformation and somehow most of those ones may lead to early termination and abortion and some, when they are in the womb too. There're some cases of malformation of conjoint twins, and their likes are all abnormal pregnancies. Some would lead to early miscarriage; some are also born with that abnormality like deliveries looking like monkey. Some also come with certain tumors or frightfully very tiny sized babies. 

 

 

There are some even when they are normal, but thy not situated or positioned righty, either they are in thetube over in the abdomen, they are all wrongly situated. When a pregnancy is not being formed as a normal child, is seen as abnormal pregnancy. There are those that are seen to be normal pregnancy but are not situated in the right place like in womb, which is the normal place they should be found are classified as abnormal pregnancy. This is because the woman may not be able to deliver them through the vagina which is the normal route of delivery. In that case they should also be seen as abnormal pregnancy.

Women insisting on vagina delivery.

 

There are risks associated with vagina delivery after having gone through the caesarian session- once or twice before. This is very important warning to note by every home, especially couples still making babies. 

The first thing to find out was the reason for the caesarian session she has had before. Supposing a woman has a contracted pelvis and  this means is not the type most women would have to guarantee easy passage of the baby. When she goes for assessment and she is told her pelvis is not adequate, is not roomy enough; though baby had entered but may not be able to come out through same route, she is quietly advised to deliver her baby through the caesarian session. Now, after having a successful birth through the CS, if she now comes back to deliver her next child, the same danger that was noticed initially is still there to mili- tate against the second pregnancy. 

 

They are advised to have their babies through the same CS. Most of them would say, is not their portion.  They quickly tell you their mother delivered all of them through natural birth vaginally. Thus insisting she must deliver from the vagina. 

 

But she should understand it that her pelvis is not good and will not allow the baby to pass; especially, when that pelvis may be abnormal. A baby might be a normal baby or, bigger than normal, but the woman might have abnormal pelvis, but because the baby is small, can still deliverthrough the vagina. What we do is that if a woman has passed through a caesarian session to have her first baby, if she comes for the second one, the doctor may reassess her. If  the baby is not too big she might be asked to try labour with caution under doctor's supervision. But if she's not making progress, and there's danger or risk of either rupturing, or prolonged labour or certain signsor obstruction is likely to set in, the best thing is to save the life of the baby in time, and also save the woman from prolonged suffering, and let her have a second caesarian, and all will be happy. But if there is any other indication for a C.S, take it the first pregnancy was placenta previa or a big baby or high blood pressure or any other condition which' is not recurrent and may not happen in the second pregnancy, as we must establish that what is permanent is that thing that is contracted. Any other condition may be subjected to a change. That is why antenatal is still very necessary and a review by the doctor is also necessary to see what is best for the woman. So that if she goes for labour, she will not lose her baby and she will not risk her life but still have a safe delivery. 

 

Virgins at marriage 

 

To start to have sex at adult age of 30 or 32 and all that is not the best in my opinion. These ladies under this classification are beginning their sex life later and it may affect them. The reason is because this is something one is not used to. Again the fear of frigidity, may always set in, because she is about learning to do something at old age so to say, which she ought to have been used to maybe 10 -15 years.before. Now the fear ofdoing it may be imminent, and not having sexual satisfaction or knowing all she needs to do to her husband on bed is also another matter. 

 

She may seem to be having painful sexual intercourse as most of her body structures are either stiff or contracted because of old age. 

 

She's no longer free, and may not really enjoy sex as a woman. If she is pregnant, and goes for antenatal, and at the age of 30 and above, she may be at some risk. It is a period of high level of malformation, and other health conditions may have arisen. She may not be advantaged to have more children other than one or two. But when luck sets in, the third child may still come. At delivery, this woman may not find it easy, but it does not mean she cannot deliver a baby. The truth is that her body muscles, tissues and other parts have not been free and made flexible which sex over the years could have done. But if she picks interest and start having sex more regularly with passion, she may overcome these fears and disadvantages. But please that is not to say a lady should go and start making love or having sex indiscriminately when she's not married. If a woman is religious, with fear of God, you should remain abstinent until you marry. What doctors advice is that the earlier one gets married the better for her, instead of starting to deliver children at old age, which exposes her to many risks Painfully too some ladies at this stage do have malformed babies. We acknowledge one fact, because of social factors, economic hardship,vocational training, educational pursuit and career attainment etc; ladies are really marrying late, thereby placing themselves and their babies at high risks during pregnancies and births. 

 

By Victor Amadi 

Daily Sun