Kvng Jay 😷 Profile picture
Aug 6, 2018 • 23 tweets • 6 min read Twitter logo Read on Twitter
"We need to do an Operation"

Those "evil" Words that no pregnant woman wants to hear..

But why is it so bad?
Why is it "not my portion"?
Why do we need to do an Operation?
What are the complications?
What are the other options?

Ladies and Gentlemen...

#IssaThread
#DrJohnAfam
Ceaserean Delivery ( C-Section, Surgical Birth, Abdominal Delivery) is the delivery of a baby or babies, through an incision (cut) in the abdomen, and the Womb. This is often indicated when a Vaginal birth ( Normal delivery) would put the mother or baby at risk
#DrJohnAfam
Its one of the most frequently performed surgical procedures.
There are a LOT of reasons, why your Doctor would recommend a C-Section and not all of them can be covered in this thread (That's how many there are).
But lets look at a few.
#DrJohnAfam
Other than Doctors advice, a Mother can by herself opt to do a Ceaserean section, for (Personal Reasons) . Also this list is by no means exhaustive.There are a lot of other reasons why your Doctor would prescribe a surgical birth, and he/she would be happy to explain it to you
The reason could be,
Maternal Reasons (For the sake of the Mother)
*Previous C - Section- In our Clime, your chances of having a C-Section is Increased after a prior operation . This is because a C section leaves a Scar on the Womb, which has a significant risk of tearing....
.... during the process of Labour.and could cause serious complications. So the decision as to whether to do a CS after a Previous CS, or to try for a VBAC (Vaginal Birth after CS) is something that should be discussed between you and your Doctor.

*Pelvic abnormalities - Some ..
....women have prior had Fractures. These aor anything that affects the Normal "Birth canal" could make normal delivery impossible.

Fetal Indications( For the sake of the Baby)

Fetal Distress- This is one of the more common indications and one of the more difficult to explain..
....It simply meant, Baby in distress, at this point, the objective of the Managing team, is to deliver the baby , as fast as possible, which means if patient isnt progressing well, a C-S might be indicated.

Fetal Macrosomia- In some situations, especially in Women in thier ...
... first Pregnancies, A BIG Baby, could be an indication for a C-S although this is a scenario, which should be discussed with your Dr.A big baby, however in a woman, who has had a prior CS, is almost always an indication for C-S.

Fetal Malpresentation - Baby not well.....
... positioned, this has so many varieties the Lie, (Is the baby lying across? ) The presentation, ( What part of the Baby is coming out first) etc .
The ideal way is for the Baby to be coming"Head First" and if this isnt the case, depending on other factors, (Skill of the ....
... doctor delivering, How many previous deliveries the woman has Had) a CS might be the Safest route to get mother and baby through with no problems.

*Placentation- The placenta, is the babys connection to the mother.the "life plug". In most Women, it is High...
.....up in the womb, but in some women, it is down, and blocks the birth canal. In cases like this, a Vaginal birth is almost impossible and a CS is required.

Abnormal Labour - i.e Poor progress in Labour.
Labour is mostly a natural process, with the managing team there to....
...watch out for and prevent any complications, but when Labour isnt progressing normally despite "help" from the managing team a C-S could be indicated because prolonged labour has risks to both mother and Fetus.

Maternal Health, - In Some Conditions like Pre Eclampsia, ...
...the Managing Dr can advise for a C-S.

Like we said at the beginning these dont even begin to scratch the surface of "reasons" for CS ...but it is important to note that, it is your right to know why and be informed before making a decision.

Also note that a C-S might....
....be the difference between going home in tears, or going home with your baby as the above reasons have mentioned above.

CS is done to Save Mother And Baby.

A C-S is a relatively "Short" operation , 30mins to 50 mins on the average, and has very good prognosis.
If properly managed, the risk of complications is relatively low.
It doesnt impede the mother from Breastfeeding!

Questions
1 Why do some Doctors cut Vertically? - This is usually indicated by the reason for the CS. There a quite a number of reasons for any of the "styles"
2 Does CS affect fertility- A normal CS , without any complications has no impact on Fertility.

3 Why do women suffer "womb gumming" - i am not quite clear ,what you mean by this but ....
When a CS is done, as the incisions heal, they might heal while "adhering" (gumming) to....
...other organs in the abdomen. Steps are taken by the Doctors to prevent this. Hope this answer suffices.

4 How long should a woman wait after CS to conceive.- Generally the WHO recommends women wait 2 yrs, between births, whether CS or Normal Delivery,
But generally, any....
....pregnancy, within 6 months of a CS is considered Short, and comes with an increased risk of complications..

5 Does CS cause painful periods- CS , without any complications doesnt affect the "periods" .
If you experience such after CS, see your gynaecologist
6 Should a woman opt for CS before Due date- If a woman wants CS , she should discuss with her Dr but generally "planned"CS are usually done 1 week before EDD

7 Does CS limit the No of Children,- Because of the increased risk of complication with each CS , The Usual "Limit"...
...is 3 Caeserean Sections, but under certain consideration and in Specialist Care, more than 3 can be performed..

This thread doesn't do justice, to the CS topic cos its too expansive, but please note that there are many reasons for a CS and they are done mostly for the...
... best Outcome.

Any further questions will be gladly entertained in the comments.

RT and Follow, I follow back

Thanks for reading.

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More from @DrJohnAfam

Aug 21, 2018
Hello Sister?
Yes ! You should pee after Sex !

Its significantly reduces your chances of getting a UTI, especially for people who have recurrent UTI's.

#DrJohnAfam
#Issathread

The Urinary tract is made up of Kidneys, Bladder,....
....Ureter (Kidney to bladder) and Urethra ( Bladder to "outside"). Most Infections affect the Lower part, i.e Bladder and Urethra, but it can sometimes ascend to the Kidneys.

A variety of Microorganisms can cause UTI. And UTI's are quite common.

Women are more prone to UTI's..
..than men, because thier Urethra is shorter.

Symptoms of UTI, include,

Pain, Burning Sensation when Urinating,
Urgency (inability to hold pee),
Frequency ( urinating more often),
Cloudy, Bloody Urine,
Lower abdominal pain,
Pain in the Sides (Flank)
Fever, etc
Read 7 tweets
Aug 10, 2018
Something a Little "Mature" for the Evening.

Sex could improve memory in women.(Aerobics can too, but Sex is way more fun)

Sperm is Fast (For its size, Imagine a Fish, swimming 5000mph)

Apples are Aphrodisiacs (Healthy and Sexy)

#TGIF
#FridayFeeling
#RT
#RETWEEET
Size doesn't really matter! (Yup, She really doesnt care)

Women are more likely to Orgasm when they wear Socks (Keep the feet warm)

Drinking Water will make you "Wetter" (3L!!!)

Sex can help with Headaches and Migraines (Not everytime Paracetamol)
A Buddhist master, named his Penis 'ThunderBolt of Flaming Wisdom'.

Studies have shown that Arts and Social Science Students have most Sex, while Science and Engineering Students had least Sex.

By Department however,Medical Students were said to be having the most Sex
Read 4 tweets
Jul 27, 2018
Amaka : I have been having unprotected sex and now i am itching down there , how do I tell my Mom, i need to see a Dr

Inner Amaka : Tell her you have Toilet Infection

Stop Lying on Toilet!

THERE IS NOTHING LIKE TOILET INFECTION!!!

#Issathread
#DrJohnAfam
But but ..

It was after i used that dirty toilet i started having symptoms.

Still No ..

ITS NOT THE TOILET THAT GAVE YOU THE SYMPTOMS!
STOP LYING ON THE TOILET!
#DrJohnAfam
You have heard now abi?

Okay!
We would treat this from 3 angles.

1 What do we actually have when we say toilet infection?

2 Why cant i get infection from the toilet?

3 How can you prevent the things we call toilet infection, that is not toilet infection?

#DrJohnAfam
Read 16 tweets
Jul 19, 2018
Do Girls Mature Earlier than Boys?

Is it Scientific? Or Just a Social Construct?

If they do, why do they?

If they dont ,why do we think they do?

Fam,
#IssaThread
#DrJohnAfam
Girls actually Mature earlier than Boys,it is a Scientific and Cultural fact

Here's why,

Girl hit puberty earlier than boys, at this stage you body starts preparing for the possibility of having and raising a child.

There is an increase in the "woman" hormones
#DrJohnAfam
With puberty and its corresponding physical change, there also are many emotional and psychological changes that a woman experiences.
It is also during this time that the gray matter develops in a woman's brain.
Social awareness sets in during this whole process.
#DrJohnAfam
Read 16 tweets
Jul 17, 2018
Sam: you don go hospital?
Bright: Dem gimme drugs but i dey go buy Typhoid drugs,that doctor young,e never sabi work
Sam: But the doctor nor talk say you get typhoid na
Bright: How you take know say i nor get? You be Doctor?
Why does everyone in Nigeria have Typhoid?
#IssaThread
Doctor: So we would give you these antimalarials.
Take them for 3 days anf you would feel better.

Iya Ibeji : Doctor, no Typhoid medicine?

Doctor : No you dont have Typhoid

Iya Ibeji : Doctor? You sure? Na me know my Body o. This one pass ordinary Malaria o
These are just a couple of Everyday scenarios that are commonplace in our Clime.

If you are ill and haven't been treated for Malaria and Typhoid...have you even started.

But should it really be so?

What is Typhoid Fever?
Why is it so common?
Read 11 tweets
Jun 19, 2018
As a Sickle Cell Warrior there are Five things you must do to have a long and happy life!

Easily remembered by the Acronym.

WISE - K

Spread the Word!

Be WISE K!?

#Tweet4SickleCell
#BeWISE
W - Water!

You need water! Lots of Water.
Dehydration is one of the most easily recognisable Crisis triggers.

As a Warrior you should aim for at least 3-4 litres daily and even more when you have diarrhea.

Drink some water,and drink some more!
#Tweet4SickleCell
I - Infection Prevention/Immunization
Warriors are prone to Infections,so its important they get immunised against the Vaccine preventable ones and Take extra steps to prevent infection.

Hand washing,Good food hygiene, Good Sexual Hygiene,
#Tweet4SickleCell
1/2
Read 12 tweets

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