Doctor’s Notes on Cord Prolapse

When a patient has this condition, the cord protrudes from the vaginal opening or can be felt by the clinician during vaginal examination. CORD prolapse is an obstetric emergency during pregnancy or labour that highly endangers the life of the baby because of the risk of inadequate supply of oxygen to the foetus. It occurs…

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RIGHTS of a pregnant working woman – Part 1

In a series of features aimed at educating employees and their employers on their pregnancy-related rights and obligations, pregnant staff writers and Nairobi advocate Angela Ndambuki explore this complex subject. Like any other employee, a pregnant woman is entitled to all the rights and obligations that accrue to an employee, in addition to the special…

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Pap Smear

Is it Essential? Dr David Kiragu explains why a Pap smear is necessary for all women of reproductive age. PAP smear is a test performed on women of reproductive age in order to assess their risk of developing cancer of the cervix (the neck of the uterus which opens into the vagina). Why do I…

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Low lying Placenta – why it happens

Help me doctor! That was Sarah’s distress call as soon as she entered the consultation room at our clinic. ‘I have been bleeding since last night: she explained. I urged her to relax so that she could tell me her story clearly. I had noticed that she was pregnant as soon as she entered. Sarah…

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SHY MOMENTS 6

ETERNAL LEAVE As the new debate about a review of employment laws relating to paternity rages on, heated behind-the-scenes chat groups have been having fun in our office, talking about my boss. One of the gags is that if a law granting men paternal leave is enacted, our CEO will be out of the office…

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What to do when a woman delivers unexpectedly

YOU are in a matatu and suddenly the pregnant woman sitting next to you goes into labour. What do you do? Dr David Kiragu gives the run-down of how to handle such or similar situations. The most important measure to prevent maternal death during delivery is the availability of trained medical personnel at the time…

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First Word 3

Hi. Has your baby ever fallen on a really hard floor? Like on a cement floor and with such a loud thud that everyone present was speechless for a moment and then everyone was running towards the baby the next moment? How many times does your baby fall while in the care of other people, in your…

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First Word 8

Hi. One of my greatest challenges as a woman has been choosing the right contraceptive. Like any other woman of child-bearing age, I am sometimes worried that intimacy might lead to unplanned pregnancy. However, there are so many uncertainties about which method of contraception to use; what works and what doesn’t; what is more comfortable,…

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UTERINE FIBROIDS – Every woman’s worry

To understand fibroids, one needs to know a few facts about tumours. A tumour is a swelling of a part of the body. It is caused by an abnormal growth of body tissue, the material out of which body organs are made. In general a tumour does not cause or lead to any inflammation (soreness,…

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Exercising tips for your gym workout

Exercise during pregnancy is important because it helps reduce fatigue and manage stress. Exercise works by increasing endurance, and strengthening muscles. It also helps prepare one for the strain of labour. Women who exercise while pregnant have shorter labour with fewer complications. They also tend to recover faster after delivery. Too much exercise—especially of the…

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