Refilwe M.’s Post

📺 In Global News, Dr. Modupe Tunde-Byass, associate professor of obstetrics and gynaecology and an ob-gyn at North York General Hospital, discusses the issue of suboptimal care for those who suffer miscarriages. "This is a huge problem,” she says. “A perceived lack of compassion can lead to negative experiences and anxiety, depression, post-traumatic stress disorder…which can go on for months and even years after a miscarriage.” Tunde-Byass is among the co-authors of a paper (along with Vrati M. Mehra, Salwa Farooqi and Pallavi Sriram) published in the Canadian Medical Association Journal that is referenced in the article. It is estimated that one in five pregnancies end in miscarriage. The authors determined that many people are forced to seek help in emergency departments, where long wait times and the absence of timely diagnosis and compassionate care can lead to significant psychological effects. The paper advocates for the increased use of outpatient early pregnancy assessment clinics (EPACs), as well as offers guides to physicians on better diagnosing and managing the condition. #uoft #uoftmedicine #uoftobgyn 🔗 Read the story: bit.ly/48suQJH 🔗 Read the published paper: bit.ly/3UBzQGb

ABRUPTIO PLACANTAE😯😯 Mrs Frederick (a first time preggy of 32 weeks) was hit by a moving car while trying to cross the express way. She was rushed to the hospital by some good "Samaritan'. On getting to the hospital, the medics discovered she was bleeding severely and was in excruciating pain. She was quickly attended to, as an emergency... vital signs checked, blood work done, scan ordered, IV line secured, theatre set up for an emergency CS.... . . . Fortunately, the fetal heart rate was still present... Surgery successfully done...Mother and baby saved alive. . . . Fiction . . . Mrs Frederick in this story, just experienced what is called placental abruption(premature detachment of the placenta from the uterine wall before delivery). This condition can be life threatening to both mother and baby, hence it should be treated as an emergency. . . . Here are some warning signs of placental abruption 📌 Dark red vaginal bleeding 📌 Severe abdominal pain 📌 Frequent premature contractions 📌 Abdominal tenderness 📌 Fetal distress(baby deprived of oxygen will struggle to survive) . . . If you notice any of this as a preggy, call for assistance immediately and rush to the hospital. Kindly see the comment box for risk factors of placental abruption I am the fertility nurse. I strongly desire that mother and child survive the pregnancy journey. That's why I spread useful knowledge in this field. Follow me for more content on fertility and reproductive health. I write because I care ❤️ 📸 Tom Comfort❣️❣️❣️ #thefertilitynurse #maternalemergencies #fertility #maternalhealth #linkedinnurses

Maternal Mortality Rates Among African American Women in the United States, Current Review. Summary: Maternal mortality, which refers to maternal deaths occurring during pregnancy, childbirth, or shortly after birth, remains a pressing issue, particularly among African American mothers in the United States. Despite advancement in healthcare, racial disparities persist, with black maternal mortality rates consistently higher than those of white mothers. Leading causes of maternal mortality among black women include preeclampsia, eclampsia, postpartum cardiomyopathy, obstetrics embolism, intrapartum and postpartum hemorrhage. These disparities highlight the urgent need for systemic change within the health system to address issues of access, quality care, and inclusion.

🏆Midwives contribute to better clinical outcomes and birth experiences for in hospital care and out of hospital care. 💢 We don't think as often of the practice patterns of Family Physicians who work in obstetrics. Family practice physicians were 53% less likely to perform a cesarean than Ob/Gyn physicians in this sample of over 13,000 low-risk women who presented in spontaneous labor across eight hospitals. 💢 Individual physicians had cesarean rates from 0% to 53.3% from the 5 years of data for this study sample. 💥Maternity care deserts with no access to childbirth services are an increasing reality across the United States.💥 🦉Article at: https://lnkd.in/gkxCeaGJ

Severe neonatal jaundice (SNJ) remains a significant health issue globally, particularly in low- and middle-income countries. In some regions, up to 31.49% of hospitalized neonates with jaundice develop severe complications like acute bilirubin encephalopathy (ABE), which can lead to brain damage. Fortunately, with timely interventions like phototherapy and NICU care, many of these outcomes are preventable. - Approximately 60% of full-term infants and 80% of preterm infants develop neonatal jaundice in India, with about 10% of these cases requiring close monitoring and treatment - Globally, SNJ affects a significant percentage of newborns, with the highest rates observed in the African and South-East Asian regions. In these areas, the prevalence of severe jaundice among all neonatal admissions ranges from 0.73% to 3.34%, with jaundice-related deaths reported in up to 13% of cases in the most affected regions. - Jaundice-related mortality and severe complications are more common in resource-constrained areas due to limited access to effective treatment. #NeonatalJaundice #InfantHealth #NewbornCare #PediatricHealth #SNJ #JaundiceAwareness #NeonatalCare #InfantMortality #NewbornHealth #Phototherapy #BilirubinLevels #DrSantoshMadrewar #Pediatrician

Numbers don't lie! First, Lorraine M. Garcia, MA, PhD, WHNP-BC, CNM, thank you for this great piece! As a #midwife myself, having more of a decade of experience in clinical care, I have long advocated for the vital role of midwifery care. Midwives play an essential part in ensuring consistent, accurate follow-up before, during, and after birth. The results speak for themselves: fewer interventions and better outcomes. Midwifery-led care is not only safer but also more cost-effective. When midwives lead the care, the need for costly interventions is reduced, leading to significant savings for #healthcare #systems, #insurers, and ultimately, parents. Strengthening the midwifery workforce isn’t just a matter of better care—it’s a smarter economic choice. It's time for change! Midwives should be the primary caregivers in normal, natural pregnancies and births. But for this to happen, we need alignment between governments, insurers, and professional bodies like midwifery councils worldwide to strengthen the midwifery workforce. Let's spark a global conversation! International Confederation of Midwives (ICM), let's lead the way forward. World Health Organization Africa CDC Lorraine Muluka Lucy Muthoni Mieke Embo Hanne De Meulenaere Marleen Temmerman Joanne Aubrey Dr Amit N. Thakker Dr. Mary Moussa Emily Maclean Emily Deed

She had uterine rupture after two after two previous Caesarean Sections. It was in an attempt to have vaginal delivery at home! During the post-surgery counselling, she said something that struck me-‘Doctor, I did not know that labour after two previous Caesarean sections is dangerous. When I looked at her, I saw innocence and vulnerability. She truly did not know because she did not have any form of antenatal care in that pregnancy. She was uneducated and unemployed.  She could have lost her life. This experience ignited my interest in Public Health.   Another experience 👇🏻 She was admitted twice for a caesarean section for raised blood pressure but defaulted on both occasions. When I tried to go deep into the root cause of the problem, she said- ‘My husband refused’ When I looked into her eyes, I saw fear. ------------------------------------------------------------------------ In this article published on the Datelinehealth Africa Inc. website, I  captured the social factors shaping African women’s health and also proffered solutions. This is an offshoot of my experience as an Obstetrician and Gynaecologist/Public Health scientist practising in sub-Saharan Africa. Datelinehealth Africa Inc. is committed to advancing the health and well-being of people and communities across Africa through health literacy. ---------------------------------------------------------------------- Are you interested in improving the health of women and the vulnerable in Africa?  Let us connect and collaborate. Find the article link in the comments. Have a good read.

New Original Research article in RRH: Fertility patterns in Pakistan: a comparative analysis of family planning trends across different geographic regions by Noor Khan, Nida Asif, Itrat Zehrh, Gopika MG, Sameen Arshad and Mah I Kan Changez. https://lnkd.in/gUpfyS5G Pakistan's government and development organizations aim to accomplish equitable access to family planning services by 2030, in line with Sustainable Development Goals, by enhancing the availability and quality of family planning services, increasing awareness and education, and addressing cultural and social barriers. These endeavors are anticipated to support reproductive health outcomes and lower maternal and infant mortality rates in Pakistan. A first crucial step in facilitating the development of effective policies and programs is to understand the diversity of fertility patterns, family planning preferences, and behaviors that exist. This Original Research article examines the factors influencing contraceptive use and family planning behaviors in rural and urban regions of Pakistan. #ruralhealth #pakistan #contraception #maternalhealth #inequalities #familyplanning Aga Khan University Quetta Institute of Medical Sciences (QIMS) SRM IST Chennai Health Services Academy Itrat Zehrh Mah I Kan Changez

Juniper Advisory suggests an innovative approach to address the growing crisis in access to obstetrics services. Jordan Shields, Partner, Casey Webb, Managing Director, and Duncan Cannon, Analyst, assess the challenges that have resulted in dwindling access and identify an overlooked solution. The emerging obstetrics crisis paints a bleak picture for access to maternity and childbirth services outside of America’s cities. This article looks specifically at rural communities and offers a glimmer of hope for the growing emergency. A Glimmer of Hope for Rural Obstetrics Read Here>>> https://lnkd.in/gf3JimBX  #obstetrics #laboranddelivery #healthcare #healthsystems #hospitals #healthcaresolutions #communityhealth #ruralhealth #healthcarenews

✨ Spotlight on Women's Health ✨ Did you know that social factors like education, health literacy, environment, and cultural norms play a huge role in shaping the health of African women? Azuka Chinweokwu Ezeike sheds light on this important vital topic. Discover more insight here: https://lnkd.in/d57GVneD #WomensHealth #SocialFactors #AfricanWomen #EmpowerWomen