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The Face of Modern Fatherhood: Jonathan Muema and Kennedy Muchiri

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Every first Thursday of the month, 26-year-old Jonathan Muema accompanies his wife and seven month-old son to a well-baby clinic. During these visits, his son is given the required immunization, his weight, height, and feeding habits checked, as well as his general progress. When they return home later that day, Jonathan helps to feed his son, changes his diaper, and then rocks him to sleep. This new father says he does all these things because he wants to be involved in all aspects of his child’s life. He does not believe that such roles should be exclusively left to his wife.

“This is our son, and it is not fair that my wife Agnes should shoulder the responsibility of early childcare all by herself,” he says.

This involvement in his son’s life did not just start. It has a history.

“I accompanied my wife for all her antenatal clinics. I wanted to let her know that we were in this together,” says the Bsc graduate, who is an information technology expert.

As his wife’s pregnancy advanced, and when it became difficult for her to do some chores, such as mop the floor, Jonathan would gladly help out.

“When I came home from work, I would prepare super and thereafter wash the dishes. I’d also mop the floor daily, and ensure that the house was clean and tidy.”

Jonathan also made a point of reading and researching about every stage of his wife’s pregnancy. Towards the end of the pregnancy, he is the one who packed his wife’s hospital bag, which included all the items she and their baby would need while in hospital. When his wife went into labour, Jonathan spent hours rubbing her back and massaging her, helping her through the breathing motions and basically offering her the much needed support. For the two days she laboured, he never once left her side.

“I only allowed myself occasional naps by her bedside. Family and friends brought me food at the hospital,” he says.

After hours of prolonged labour, Agnes had to go in for an emergency caesarean delivery. The only regret he has is that doctors refused to allow him into the delivery room. When his son Ray Jasyon was born, Jonathan spent the first four hours of his life with him at the nursery.

“The nurses allowed me to hold him, talk to him and play with him. They even taught me how to change his diaper,” he says.

Once home, baby Ray Jayson would cry for hours – Jonathan suspected it was colic, since he had read about it. He had also heard about the services of infant massage specialists, and immediately looked up one in Nairobi. He got in touch with Susan Muriithi of Toto Touch, who taught the couple how to massage their son into total relaxation.

“She taught us how to massage the legs, feet, abdomen, chest, arms, face, buttocks and back, something that would soothe and relax him. After about 30 to 60 minutes of this, he would sleep for several hours, and with time, the colic stopped being a bother.”

Saturdays and Sundays are father and son days at this household. Jonathan says that giving Ray Jason a bath, a full body massage, and later dressing him and then lulling him to sleep is the highlight of his week.

“Massaging my baby has made me know him very well. I am in tune with his body and I know what makes him tick. Whenever something is amiss with him, I can tell immediately. For example, if he has a fever, a diaper rash, is moody, if he has not slept enough during the day, I will know instantly,” he says.

The intimate massage session, he says, allows him and the seven-month-old to communicate through their eyes. It is also a chance for them to play with each other and bond.

Many people might find Jonathan’s fatherhood style unusual. More so because traditionally, men have always distanced themselves from matters of childbirth, and frown on a hands-on approach to caring for infants. Pregnancy, delivery, breastfeeding, feeding, changing diapers and bathing children have always been left to the mother and the women around her. In fact, many men have been known to only start bonding with their children once they start to walk.

But there is a new generation of men who are breaking these norms through the kind of interaction they have with their children. Jonathan is one of them, and so is his friend, 31 year-old banker, Kennedy Muchiri.

Kennedy is a new father too: his son Jeremy is five months old.

“I knew from the start that I would be actively involved in my child’s life. From the moment I discovered that my wife Rose was pregnant, I promised her that I would accompany her for all her antenatal clinics. I only requested that she inform me of the clinic appointment a few days in advance, to enable me make the necessary arrangements at work,” says the economics and accounting graduate.

Midway through the pregnancy, his wife developed a craving for soup from a specific butchery in their Kinoo neighbourhood. Like the dedicated husband he is, he passed by the butchery every evening after work to buy her fresh soup.

But this is not all, he planned his annual leave to coincide with his wife’s due date, and when the time came, Kennedy was there, and unlike his friend who was barred from the delivery room, he was present at the operating room.

“Rose was given a partial epidural which numbed her lower body only. During the surgery, we passed the time chatting and joking,” he says.

After the delivery, Kennedy tirelessly shuttled between the nursery and the recovery room, where he spent hours monitoring both wife and son.

Once home, he bathed his son every single day during his month-long leave, especially since his wife as still recuperating from the surgery. He also diligently cleaned the umbilical cord, just like the nurses had taught him to, until it fell off. He would also change his diaper and rock him to sleep as his recovering wife rested.

In an effort to find other ways to bond with his son, he took an interest in infant massage, which had been mentioned to him by his friend Jonathan.

“The massage specialist taught my wife and I how to apply touches that would soothe and relax him. After doing so a few times, I began to read my son’s cues, and as a result discovered what makes him happy and what doesn’t.”

For the last five months, Kennedy has been massaging his son, each session lasting 30 to 60 minutes. While he used to do this on a daily basis while on leave, his work schedule allows him three days a week – once on a weekday, and every Saturday and Sunday.

He speaks proudly of his achievements.

“No one can tell me anything new about my son. I have been there for each and every one of his milestones. I can easily tell when he is unwell, when he is not happy or when he has had a rough day. I also know his temperament –he is a calm boy just like his mother.”

Proud fathers

Both Jonathan and Kennedy agree that their approach to fatherhood is quite different from that of their fathers.

“Many fathers begin to bond with their children when they are a little older – when they can talk and walk – but why, yet a child belongs to both the man and woman? I don’t see why my wife should shoulder the burden of parenting alone,” Jonathan says.

Kennedy has no memory of his father bathing or feeding him.

“My father and I mainly bonded during road trips. I have no memory of him bathing or feeding me. I do not believe in the separation of feminine and masculine roles, save for the ones that are physically limiting, such as breastfeeding. Apart from this, I do everything else for my son,” says Kennedy.

Both men talk about the roles they play openly. They do not shy away from informing their friends that they have to leave to go and give their children a bath. Actually, most of their friends are as dedicated as they are in raising their children.

As originally published in the Nation.

Warning Signs in Pregnancy: When to Call Your Doctor

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During pregnancy, many women have lots of questions and queries. Some of them we ask our moms, our aunts, our friends, our colleagues, while some of us go to Facebook to seek answers. But, when should you stop ‘consulting’ non-medics and immediately make a visit to the hospital?

Dr. Stephen Mutiso, a consultant obstetrician/gynaecologist at KNH is our guest writer today and he lets us in on the warning signs –when a pregnant woman should seek a medic’s opinion as soon as possible.

*Antenatal care entails monthly visits to the clinic till 28 weeks gestation, then visits every two weeks till 36 weeks, and thereafter weekly visits till delivery –for those progressing well. However, sometimes there is variation from this schedule, and this depends on the needs of the expectant mother.

Sometimes, certain situations make it necessary for a pregnant woman to get in touch with her medic on an urgent basis before the next visit. This is especially when certain complications develop or danger signs are noted.

The danger signs in pregnancy include:

Bleeding

Bleeding is a very serious complication. It causes most of the maternal and foetal deaths in Kenya. Any bleeding in pregnancy –irrespective of the amount is abnormal. When bleeding is present during pregnancy it may indicate that the placenta position is on the lower aspect of the womb (placenta praevia). Bleeding may also occur when there is premature separation of the placenta. This premature separation cuts off delivery of oxygen and other nutrients to the baby, and this could lead to the baby’s death. Other causes of bleeding in pregnancy include: rupture of the uterus and bleeding from the baby (though this is rare). Heavy bleeding after delivery may arise from different causes such as relaxation of the uterus (atony), injuries in the birth canal, incomplete expulsion of placenta and sometimes bleeding disorders.

Headache, Swelling, Blurred Vision, Difficult Breathing

Severeheadache, swelling of hands and face, blurred vision, fits and difficulty in breathing indicate high blood pressure and need urgent attention. This complication is referred to as severe preeclampsia, and when fits are present it is called eclampsia. This disease is also deadly and delivery is the way out regardless of whether the baby is mature or not. Seekng immediate care from your gynaecologist is important.

Increased Body Temperature

Hotness of the body with or without vomiting may indicate presence of serious infection or malaria. Prompt treatment does save life.

Breaking of Waters

When waters break it is important to call your doctor immediately, because there is a possibility that the baby’s cord can come out and get compressed by the baby’s head, thereby stopping blood supply to the baby. This can cause death of the baby. It is also very easy for infection in the uterus to set in once the waters break. This infection is life threatening. Urgent care is therefore crucial.

Decreased Foetal Movements

Pregnant mothers should be keen on foetal movements (kicks) throughout their pregnancy. Any decrease in baby’s movement may indicate that all may not be well with the baby, and so it is important for the woman to report this observation to her gynaecologist as soon as possible.

Abdominal Pains

Intense abdominal pains require urgent evaluation by your doctor. Causes of severe abdominal pain include ectopic pregnancy; rupture of uterus, premature separation, infection of the kidney. At times, abdominal pain may be due to surgical diseases such as appendicitis, intestinal obstruction etc.

Uterine Contractions Before 37 Weeks

Contractions which occur before 37 weeks indicate premature labour. Babies born at this time could develop breathing difficulties which sometimes could prove fatal. Its advisable for expectant women to seek assistance when they start getting regular uterine contractions especially if there are more frequently than 10 minutes apart.

Important Points to Note:

– Complications during pregnancy and childbirth are common. Approximately two out of every five pregnant women experience some complication during pregnancy, childbirth and postpartum period.

– 15 percent of pregnant women develop life-threatening complications. Most complications cannot be predicted and can happen at any point during the antenatal period, during delivery or post-delivery.

– All pregnant women should be prepared to respond appropriately when complications arise by contacting their care givers immediately.

– Knowledge of danger signs of pregnancy is important to avert fatal outcomes.

– Many times, getting medical help early  makes the difference between survival and death.

Dr. Mutiso also shares some helpful information in the video below. It talks about weight and why some women may not be getting pregnant. Watch and share with a friend.

Dr. Stephen Mutiso is based at the KNH Doctor’s Plaza, Suite 26/27. He provides a  wide range of  gynaecological services including: antenatal care, delivery (normal and caesarean),  infertility  treatment, fibroids, fistula surgery, screening for reproductive tract cancers and various  gynaecological operations.

Tel: 0722 678 002 or 0788 306 674

Website: drmutiso.com Email: mutisoh@yahoo.com

My Participation in a Focus Group Discussion Talking About Child Nutrition

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Last week on Tuesday, I attended a focus group discussion about child nutrition, which had been organized by the organization African Population and Health Research Center (APHRC) and the Ministry of Health. It was at Hongs Restaurant -opposite Yaya Center. The samosa’s and masala tea at that place are good by the way.

Anyway, moms who have children aged below two years had been invited to the discussion, and since Ello is 13 months old, I represented. The discussions were about sharing our personal experiences about our feeding practices for our kids, right from the time they were born to where they are now.

We talked about breastfeeding, what foods we’ve heard are good for boosting breastmilk supply, what foods we give when weaning (complementary feeding), how we introduce these foods, the myths or superstitions we’ve heard about when it comes to child nutrition, the roles of our moms and moms-in-law when it comes to feeding our children, etc.

The discussions were quite insightful. Among us were two Nigerian moms, and it was interesting to listen to their experiences about being new moms in Nigeria, and especially how involved their moms-in-law are in this. Both ladies said that their MILs have always played a key role when their babies have been born. Almost similar to how many of our Kenyan MILs are involved as well.

One thing these moms however said that struck me was that their little babies enjoy eating chili once they get weaned. Atia tia? Chili! Apparently, one of the favourite spices found in most Nigerian meals is chili, and kids from as young as 7 months munch on food that has chili, and they love it!  I can’t even imagine trying that out on Ello. Or Kitty. Or even myself. Me and chili we don’t get along. Never have. I tear-up when I eat chili.

Another thing I learnt came from a fellow Kenyan mom. She is from the Kamba community, and she told us of this interesting practice Kamba moms –especially those in rural villages –do to relieve colic in their babies.

She explained it like this:

–          Take some little raw honey (not the supermarket honey but the real raw honey, the real deal).

–          Put a little of it on your finger.

–          Paste it on baby’s tongue.

–          Baby swallows it.

–          Give once a day.

–          Colic stops.

–          The end.

Just like that. She said that this was a tried, tested and true practice, which she personally used on her two year old son when he was an infant and it worked! She totally advocates for it, adding that it has worked for hundreds of other women back in ukambani.

Have you heard of this practice yourself? Have you tried it out? Did it work?

Back to the discussion, it was good and lasted around two and a half hours. For me, any forum where we are discussing matters maternal and child health I am so game.

By the way the aim of this group discussion was to help the Ministry of Health and its partners improve on the different baby friendly initiatives they have among communities across the country. In this case, it was focused on how they can improve the existing nutrition practices. I hope my contribution with regard to how I feed my two boys helped them. Aside from Nairobi county, they have undertaken similar focus group discussions with moms in Kwale, Vihiga, Machakos, Kiambu and Kajiado counties.

Have a lovely day.

photos courtesy: APHRC

My Son’s Death Could Have Been Prevented -Lourdes Walusala

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This is an article I have written in today’s Nation newspaper, in the Living magazine here. The month of May is dedicated to raising awareness on the issue of Preeclampsia, a serious condition that some pregnant women develop. Preeclampsia is a leading cause of pregnancy-related deaths. Most of these deaths are preventable, and need NOT happen.

Here is the article:

**When Lourdes Walusala found out that she was pregnant two years ago, she and her husband could hardly wait to hold their first child.

Lourdes was especially happy.

“I was excited about becoming a mother; it was the start of a new chapter in my life. I began eating right, exercising mildly, relaxing, and was determined not to let anything stress me. I was focused on having a healthy, smooth pregnancy,” she says.

She nicknamed her child, a boy, “Sunshine” and would often talk or sing to him as she went about her day-to-day activities. At the time, she was a Third Year communication student at Moi University’s Nairobi campus. Rather than make her feel overwhelmed, the pregnancy seemed to give her renewed energy to do better in her studies.

“When an answer was elusive during an exam, I would rub my belly and ask: ‘Baby, what did we study yesterday?’ and the answers would come to me,” she jokes.

Around her 24th week of pregnancy, she noticed that her legs were swelling. She informed her doctor about this during her next antenatal appointment. After routine tests, her blood pressure was found to be high and she was immediately put on medication to help lower it. During a follow-up visit, her blood pressure was still higher than normal and to be on the safe side, her doctor put her on a week-long bed rest.

Five weeks later, Lourdes one day woke up feeling troubled. Even though her baby was active, she had an unsettling feeling she could not put a finger on. She decided to consult her doctor, who then sent her for an ultrasound, her first.

“I was happy to see my son for the first time. There he was, relaxed, with his fingers inside his mouth,” she remembers.

She was relieved when the doctor informed her that her baby was in perfect condition. However, because her blood pressure was still high, he recommended bed rest for another two weeks.

The following morning, period-like pains woke Lourdes up. Unsure what that meant, she went to see her doctor, an established consultant gynaecologist with his own private practice. He assured her that all was well, that the period pains were “normal contractions”.

“Even though I was very worried, the doctor dismissed my concerns, explaining that I was only worried because it was my first pregnancy. He did not examine me or run any tests,” she says.

Instead, he gave her a prescription and after buying the medicine, Lourdes went back home. The painful contractions still persisted, and feeling fatigued, all she wanted was to sleep. However, before getting into bed, she visited the bathroom, and gasped in shock.

“My underwear was soaked in blood. I immediately called my doctor, who instructed me to go to the nearest hospital as fast as I could.”

With her husband out of the country, she sought her neighbour’s help. He drove her to the nearest hospital, a public one. She had been making plans to deliver at a private hospital. However, she was sure she would be in safe hands at this hospital, but she was wrong.

At the casualty, she was met with nonchalance.

“The receiving nurses rudely asked me why I was bleeding. ‘Did your husband beat you or did you fall?’” they asked.

They also questioned Lourdes about her decision to attend her antenatal clinic at a private facility.

“We tell you women to go to government hospitals but you don’t listen to us. Look at you now, this is the time you need us, huh?”

In excruciating pain, bleeding and desperate, Lourdes apologised profusely for the “mistake” of seeking antenatal care at a private clinic.

The unforgiving nurses then ordered her to walk to the labour ward. Nobody assisted her. After struggling to do so, she was asked to climb on to one of the beds.

“I was unable to because the bed was high and I was in great pain. My neighbour had long been sent away. When I asked for the nurses’ help, they refused, telling me if I didn’t want to help myself, then I might as well return home. Even worse, different staff (male and female) would pass by at intervals, each time asking me to part my legs so that they could inspect me. I felt stripped of all dignity,” she recalls.

About four hours later, and with no signs of being suitably attended to, she resigned herself to the probability of dying. She was sure that day, 14 June, 2013, was going to be her last on earth. She was never going to be a mother.

About two weeks before this, the government had introduced free maternity services. As a result, the labour ward in this hospital was filled with many pregnant women, some writhing in pain on the floor and others, like Lourdes, soaking the floor with their blood.

Lourdes says that when she tried to seek the nurses’ help, they rebuked her, retorting that the government had decided to offer free maternity services, but had not allocated money to facilitate this and neither had it employed more nurses.

“I wondered why I was being punished for a policy I had nothing to do with,” Lourdes said.

Lonely, scared, and numbed by the pain in her belly, she was relieved when, from afar, she heard her doctor’s voice. He had arrived to attend to her. Moments later, she was transferred to the hospital’s private wing. Soon afterwards, she was rushed to the theatre for emergency surgery.

When she came to, she heard what must have been cries of new-borns and asked the nurse nearby to hand over her son. Instead, she was told her that her doctor was on his way. When he arrived, he did not bear good news. He simply informed her that her son had died. His words are forever etched in her memory:

“Lourdes, by the time you went to theatre, you had lost too much blood and your son was already dead. We were trying to save your life.”

NOTHING TO SHOW

She remembers laughing at the doctor’s words. There was no way her son would be dead. Were those not his cries she was hearing?

However, reality soon dawned on her when a short while later, she saw a little girl going around the ward, greeting new mothers and admiring their newborns.

“When the girl came to me, she asked: ‘Aunty, where is your baby’?” That is when it hit me that I had no baby. My Sunshine was dead. It hit me like a thunderbolt. It was the worst pain I have ever felt. I cried as I have never cried before. I wanted to die too.”

A few days later, Lourdes was discharged from hospital. She had no baby, yet had a caesarean wound and engorged breasts. Lourdes was inconsolable.

“I cried every day. I had done everything right. I had taken good care of myself and my pregnancy, attending my clinics religiously once each month. I was seeing an experienced gynaecologist and paying a couple of thousands for each consultation, yet I lost my baby.”

She sunk into depression.

“The more I mourned my son, the more I feared that I was going mad. Many times I found myself lying in the backyard, yearning to scream my lungs out just so that the pain in my heart would go away. I became suicidal, longing for death.”

It was the encouragement and support of her husband, family, colleagues, and friends that pulled Lourdes from that dark place. She also sought counselling, which helped her deal with the overwhelming grief.

It is almost a year now since she lost her Sunshine and, finally, Lourdes can now talk about her experience as part of her healing process and also in the hope that it will help another woman to save her unborn child’s life.

“Later, I found out that preeclampsia was responsible for the loss of my son. I advise all pregnant women to be wary of this condition and to be aware of all the danger signs. They should also seek a second opinion and not rely on one doctor’s diagnosis, especially if in doubt.”

Lourdes also wishes the government would address issues of the ill-treatment that pregnant women are subjected to at public hospitals across the country.

She says, “Pregnant women deserve the best care and it should not matter if they are in a public or private facility. Even though there is a shortage of health personnel, there should be a deliberate effort to select suitable staff for maternity departments because the birth process is very delicate and needs workers who have a genuine compassion for mothers and newborns.”

Lourdes has a blog where she talks about maternal health issues. Through it, she has met many women who too have lost their babies in circumstances that could have been avoided. It is through this interaction that she has now formed a support group for women who have gone through a similar experience. They often meet to uplift, counsel, and encourage each other.**

Lourdes Blog: lourdesdiary.wordpress.com

Lourdes email: lourdeswalusala@yahoo.com

Thank you Lourdes for sharing your story.

Are Those the Polio People Knocking on our Doors – AGAIN???

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Are those the Polio People Knocking on our Doors – AGAIN?? That is the question that I’m hearing many moms around me asking –specifically those in Nairobi. “All those many vaccines, aren’t they overdosing our babies? Are they safe? Are all of them necessary in the first place,” they ask.

By now, you’ve probably seen or met with Ministry of Health officials going from house to house in the estate inquiring about households that have children aged below 5 years. They are then giving them another round of the Polio vaccine. There have been several vaccines given before, and this is yet another round. The campaign began on Saturday 10 May and will end tomorrow Wednesday 14 May. This campaign is being done in 25 counties only.

But why are there so many of these Polio campaigns? Haven’t our babies had enough of them surely?

My two sons – one aged 3 years and the other 1 year are among the core target groups for these campaigns. They target children under 5 years because Polio is a crippling disease which can strike at any age, but it mainly affects children under 5 years. So for me, I have ensured that my boys have received all their vaccinations when they have been in good health. But for a while, me too I had been wondering why there are so many of these Polio campaigns every so often.

My questions were answered when about three weeks ago, I attended a media briefing by the Ministry of Health. There, I got to understand why there have been so many of these Polio vaccination campaigns. And I will share with you this information.

Allow me to start with some chronology first.

In 1984, the Polio virus was reported in Kenya. After that, the country remained Polio-free for about 22 years.

In 2006, there were 2 reported cases of Polio in Kenya –which were importations from Somalia.

Three years later, in 2009, there were 19 detected cases of Polio in Turkana, and which originated from South Sudan.

In 2011, there was a case of Polio in Rongo, Nyanza –which was linked to the 2010 outbreak in Uganda, which was in turn linked to the 2009 outbreak in Kenya.

As of August 2013, there had been 12 confirmed Polio cases, which were linked to an outbreak in Somalia.

And that is in summary how Polio came back into Kenya after being absent for 22 years.

Now, for as long as ONE child in Kenya has Polio, then children all across the country are at risk of contracting the disease. The Polio virus knows no borders, and considering that carriers may frequently travel, the virus can appear just about anywhere –even in an area that was previously considered ‘safe’.

And that is why the government is carrying out national vaccination campaigns –to ensure that all children are immunized from Polio. By the way, these campaigns are in addition to the routine vaccinations that all children are supposed to take. Routine Polio immunization in Kenya is done four times: at birth, at 6 weeks, at 10 weeks and at 14 weeks of age.  Additional doses, such as the ones given during national campaigns give valuable protection against Polio. And by the way it is important to take note that only 80% of the children get full immunization after 3 doses of routine immunization.

Now, if a significant number of children don’t get the vaccine during a campaign, then another round has to be done. ALL children must be immunized. That is why there is another campaign happening now, and which is being done in 25 counties only. These counties are:  Baringo, Bungoma, Busia, Elgeyo Marakwet, Garissa and refugee camps, Homabay, Isiolo, Kakamega, Kilifi, Kisii, Kisumu, Kwale, Lamu, Mandera, Marsabit, Migori, Mombasa, Nairobi, Siaya, Tana River, Trans Nzoia, Turkana and Kakuma Refugee camp, Vihiga, Wajir and West Pokot.

So if you happen to be in one of those counties and have a child aged under 5 years, please ensure they receive the dose. Incase the Ministry of Health workers come to your house and don’t find you, then you can take your kids to the nearest health center, as the vaccine is available in all health centers also (for free). They are also giving it to children in schools, basically ensuring that they try and capture all kids.

And by the way, the Polio vaccine at the hospital is the same one as that being given by the Ministry of Health workers. They are not different.

So there, I hope you’ve learnt something about why the many Polio vaccines. Also note that the vaccines are very safe, and there is no such thing like an ‘overdose of Polio vaccine’. :)

Ginger Helps to Reduce Morning Sickness in Pregnancy

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When I was pregnant with my second son Ello, I had lots of morning sickness. With my first son Kitty, I had nothing of the sort. I guess that’s why they say every pregnancy is different.

I remember on one of the days I was having bad nausea, my sister advised me to eat ginger -in it’s raw form. She said munching on raw ginger had worked perfectly for her during her two pregnancies. But the thought of eating raw ginger didn’t sound too appealing to me, so she suggested that I try eat ginger cookies instead. She also suggested that I add powdered ginger into my tea.

Also Read: Should a Pregnant Woman Eat Liver?

So I went and bought me some powder ginger and made some tea -which I ate with ginger cookies. And imagine it worked!!!! When I felt the nausea coming from far, I would hurriedly sip on the ginger tea and eat the ginger cookies and that got me through.

So if you’re experiencing bad nausea, try eating the raw ginger like my sister, or you can eat the ginger tea and cookies like me. Find whatever works for you :).

To all the pregnant moms, enjoy your pregnancy and best wishes.

Giving Birth in Kenya: Negligence During Delivery Cost my Son His Good Health

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This has got to be the saddest and most emotional article I’ve read in a long long time. It is titled: ‘Ultimate Sacrifice of a Mother’s Love.

The article is by Betty Muindi, as originally published here in The People Daily newspaper.

**I was lucky to have a smooth pregnancy and faithfully attended all prenatal clinics. I was healthy and energetic even as my day of delivery neared. I ate healthy and read a horde of magazines and books on antenatal care to ensure I did the right things.

I counted days to my expected day of delivery, but the events of August 30, 2011, a week to my delivery day changed my life forever. How can I ever forget this day? I walked to Jamaa Mission Hospital for my normal antenatal visit at around 7.30am en route to work. I was not in any pain or discomfort. This was a normal check-up in preparation for delivery date.

As I lay on the examination table, one ‘Dr Wangwe’ exclaimed, “Aah your birth canal has opened! I see no need of you carrying this pregnancy anymore. I will send you to the maternity ward, they will induce labour and you will have your baby today.”  “What? I don’t even have my baby clothes and I still have to report to work! “I retorted. “Tell your husband to bring the clothes, this baby must come today,” he replied conclusively.

This was my first pregnancy. I had no idea what had just happened. I walked to the wards still not in terms with the sudden change of events, but there seemed to be nothing I could do. I was shown a bed and as soon as I lay on it, a nurse induced my labour. “Please press the bell by your bedside if you need anything,” he said and left.  Two nurses checked in for night duty and that is where my nightmare began.

I laboured the entire night; I was helpless, desperate and at one point vomited on my bed. This earned me a thorough tongue-lashing and they warned me not to ring the bell again until I saw blood or water! I will never forget their faces.  The doctor came to see me at 8am the following day and when I told him my pain had disappeared, he burst my water and lined a drip on both of my hands.

Shortly after, contraction pains intensified. At 9am, there were signs of baby coming, the nurse injected more medicine into the drip to increase the contraction. “That pain is not enough to push the baby,” she said and left. She came back again at 1pm and injected more medicine into the drip. I felt like my skin was being peeled off.  At 5pm, my husband came and could not take it anymore, I was still in so much pain and my birth canal had not opened an inch.

We demanded for a Caesarian Section, but there was no doctor available to take me to theatre. They could not refer us to another hospital either because we needed a doctor’s referral note, yet there was no doctor on sight.   After an hour of pushing, finally the ‘doctor’ came at 6pm. I asked him to take me to theatre but he refused. “Ruth, you are going to push this baby whether in labour or not.”

He called one of the male nurses who pressed my womb with his elbow while he forced me to push the baby. Barely 15 minutes after, the baby came out.  “My baby has not cried… My baby has not cried,” I remember crying. The doctor pulled the baby up and said, “Have you seen what you have done to the baby?” This is when I looked and saw the sex of my baby. It was a boy, ‘Thank God’ I said to myself.

But wait a minute… my baby’s head was severely pressed on the sides. “Ruth look at what you have done to the baby,” the doctor kept repeating. “But you forced me to push the baby while my birth canal had not fully opened,” I cried. I saw the doctor injecting my poor baby with some medicine perhaps to trigger some pain so he could cry, but nothing happened. He was then put on oxygen to help him breath and placed him in an incubator.

I only smiled when my husband came to the ward and told me our baby was the biggest, light skinned and the most handsome in the nursery, but he was in the incubator shivering. He weighed 3.3 kilogrammes. When I was finally able to see my son, he had not stopped shivering, blood oozed from his mouth and he laid on soiled beddings in the incubator.  On the second day after delivery, his condition had not improved and we asked for a paediatrician to tell us why he was that way, but there was no in-house paediatrician.

Hours later, a man called Dr Kyalo from Metropolitan Hospital arrived — his name also appears in the birth notification slip — and assured us that the baby was stressed due to prolonged labour and he was just tired and in no time, he would come along. We believed him.  But then my hopes were dashed again when on the third day another nurse disclosed that our son was in a bad state and that his condition would not improve in the incubator.

She advised we take him to a hospital with an Intensive Care Unit (ICU). We called hospitals with an ICU in vain until midnight when one nurse told us that she had secured a place for him at Kenyatta National Hospital (KNH) and that we needed to hurry. But then, we could not leave the hospital. We had to clear the hospital bill first, but only when the cashier arrived the following morning!

We were boiling with anger, I was crying so hard in fear of losing my son. My husband and his brother almost turned physical before the nurse agreed to carry our son to the ambulance. We finally arrived at KNH but again they were not expecting us as no one had called to book us in. The ICU was full and we only got a bed at 3pm the following day. After two hours in the ICU, a jar of meconium and amniotic fluids was removed from my baby’s lungs and his condition was critical.

The doctor said that the damage could have been minimized if Jamaa Hospital had his nose and mouth suctioned to remove mucous and fluids from his lungs immediately after he was born and not three days later. He insisted he needed a medical report from Jamaa. At Jamaa, my husband would only be given the report in exchange for payment of the hospital bill, which had sky rocketed to Sh 60,000 and only revised to Sh 32,500 after he protested.

He paid the bill but to his shock, they refused to give him the medical report. The matron said that the person they had told us was a doctor was only a nurse dressed in a doctor’s coat and that she could not give us a report.    My baby stayed in the ICU for a month, and when he finally opened his eyes, he was transferred to nursery still under close supervision for another month.

When we asked the doctor why our child could not cry like the rest, he broke the bad news, “Due to prolonged labour and administration of too much Pitocin (the drug for inducing labour), your son inhaled meconium and amniotic fluids and suffered a birth asphyxia. Your son suffered severe brain damage, which means he will require support 24/7 for the rest of his life. Your son is a special child now.” I could not believe it, I went into denial.

My dreams had been crushed, my son’s future had been stolen, my desire of having a normal child shattered. I had lost my son to severe cerebral palsy, epilepsy and asthma. Going home with a special child after two months in hospital was not easy. The neighbours talked ill of us. I was ashamed to go out and I felt I didn’t belong to this world. I took my son for therapy thrice a week for 10 months at Sh500 per session.

It became too expensive for us because he also needed occupational therapy, which cost Sh500. That was Sh5,000 a week and since we could not afford it we couldn’t take him anymore. My son feeds from a tube stuck on his chin. He is blind, deaf and dumb and has never been able to sit at the age of two years eight moths. He is also not able to swallow foods. We were never prepared for this; the painful seizures, difficulty in breathing, sleepless nights, therapies, recurring ailments due his low immunity, which mean rushing him to hospital two to three times a week.

He is in pain every second of his life. He can’t live without anticonvulsants and antibiotics since his chest is still very wet. He has pneumonia that keeps on recurring due to his wet chest, he coughs and sneezes every minute. We have been emotionally and financially drained. I have gone to every school I know including Dagoretti Special School to secure him a space with no luck. He needs to be somewhere he can get therapy every day.

I have never slept since my son was born, because he needs to feed every two hours. If he is not feeding, he is either in convulsing or coughing. Morning comes when we are still seated and I still have to report to work. He gets comfortable when seated. The biggest challenge has been house girls who leave him alone and disappear while am at work. I look at Neville everyday and feel so sad to think how different his life could have been if we had been cared for properly.

Today we are here two years eight months down the line because of God’s grace and prayers of people have prayed for us every time we shared Neville’s story.**

A Helpful Tip for Pregnant Women that Can Help Baby Engage: By Lucy Muchiri of Evesmama

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Are you pregnant? Do you know of a lady who is? Lucy Muchiri of EvesMama gives some helpful advise to all pregnant women. Lucy is a well experienced midwife who I have featured here before. On how to help baby engage during pregnancy, here is the advice that Lucy offers:

“Majority of African women in the rural areas work while squatting, bending or seated on curved stools or on the ground with their legs apart. There is a theory that this helps open up their pelvis allowing the baby to engage on time, and eventually making the birth easier. To help achieve the same effect, the pregnant woman can sit on an exercise (birth) ball for some time during the day. Towards the end of pregnancy, she can also do some squats and sit in the tailors position everyday. This will help baby engage.”

How I Spent my Yesterday with the FreMo Birth Center Community in Kawangware

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I spent yesterday in the company of moms in Kawangware, sharing, talking and learning about maternal health and our children’s education.

This was during the opening of a primary school called FreMo School. The opening of this school has an interesting background story.

Three years ago, a young man named Moffat Osoro opened a tiny one-roomed clinic in Kawangware that hoped to serve pregnant women and new moms. Today, FreMo Medical Center has grown, and it takes up 9 rooms, which include two delivery rooms, a post natal room, an immunization and child welfare room, a laboratory and a pharmacy. Moffat has been assisted by his brother Fred in this endeavor.

FreMo delivers about 200 healthy babies each year.

Three years later, in February this year, Moffat thought of starting a school that would cater for children who had been birthed at FreMo, as well as their friends and relatives who live in the Kawangware area. And in just three months, his thought became a reality.

So how did I come to meet Moffat?

Sometime last year, I stumbled across the Clinic’s Facebook page, and I have since then been regularly following the updates, which are all about mothers and their babies in Kawangware. Moffat is the one who updates the page.

Eventually, two weeks ago, I called Moffat and told him I’d be interested in visiting this clinic which produces sch amazing stories. While there, we had a long chat and he took me through a tour of the facility. I was quite inspired and impressed. In his 32 years, Moffat has done quite alot with himself and for the mothers of Kenya, specifically those around the Kawangware and Riruta Satellite areas. His is commendable, considering he has zero medical background or training. I intend to write his full story soon.

So yesterday was an open day for the parents of Kawangware at FreMo’s new school. However, I noticed that most of the parents present were moms. I think the dads were out looking for unga. And school fees. I hope.

Moffat had invited me to the function to speak about my experiences as a mother and a journalist who writes on maternal health –and how the two tie in together. I was more than happy to oblige.

So yesterday was a day very well spent with fellow moms, and glad that the sun was out unlike today when it is cold, rainy and oh so muddy.

But is all good.

Here are some photos from the event.

Yaaay! Mummy Tales Won at the Kenyan Blog Awards! Thank You!

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The Bloggers Association of Kenya (BAKE) held their annual awards last Saturday 3 May 2014. The awards fete Kenyan bloggers who excel in specific categories. My blog had been nominated in the Best Topical Blog category, and I won! :) I want to thank you for your support, for reading my posts, for voting for me, for your feedback via comments and your emails, for sharing my posts with your friends, for our conversations on Facebook and Twitter, and for generally sharing this journey with me. A big thanks to everyone who is a supporter of this blog. May God bless you.

I dedicate this win to my three awesome boys – Baba Kitty, Kitty and Ello, without whom this blog would never have been. Literally.

And above all I thank God for the blessing of motherhood which I don’t take for granted, and I thank him too for the writing passion he gave me. I soooo LOVE writing waah!

Have a blessed week ahead, and keep reading.

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