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PREPARING YOUR BODY FOR PREGNANCY

Start taking folic acid at least 3 months before trying for a baby.

If you are on any medication, see your doctor to be sure it is safe in pregnancy or change it to a safer option.

Stop consuming herbs and concoction.

Image from google
If you drink alcohol or smoke, stop to avoid the possible negative effect on your baby. This applies for both the man and the woman.

If you haven't carried out some basic tests, do them before pregnancy especially those that can affect your baby.
@aproko_doctor
@DrZobo
Reduce stress while you stay active.

Be on the same page with your partner, you need all the support you can get.

Eat balanced diet

Pray for success

#NaijaOBGYNdoctor
#pregnancy
#obgyntwitter
Read 4 tweets
Ectopic Pregnancy is a life threatening EMERGENCY

The expected home of a fertilized egg that becomes a baby is the womb

For different reasons,some of these fertilized eggs(babies) never make it to the womb

Any pregnancy outside the womb is an ECTOPIC
#NaijaOBGYNdoctor
In ectopics, pregnancy can stay in the woman's tube, ovaries, lining of/within any part of the tummy etc

As the pregnancy grows, it becomes bigger than the space it is occupying & can rupture/burst leading the severe blood loss or death of the women in some cases.
#Covid_19
This is why EARLY Ultrasound scan is a MUST for every pregnant woman so the location of pregnancy can be confirmed.

If picked early, life saving managment can start

When did you do your first scan in your pregnancy?

Have you ever had/seen an ectopic pregnancy?

#gynaeclinic
Read 3 tweets
Q & A WEDNESDAY
Q1
Good day doc
I have not seen my period in 5 months and I am not pregnant what could be the cause?
I am 43 years old

A1
Thanks for reaching out
 Many things can cause your period to become irregular. Did you start any hormonal medications or contraceptive? Image
Also before a woman becomes menopausal, her period may become more irregular and far apart until it finally stops showing up. 

You will benefit from seeing a specialist to evaluate you and address your concerns

Yours in good health 
Naija Obgyn Doctor
Q2
Hi Doctor
My private part smells offensive what can I do?

A2
Thanks for reaching out,
vaginal health is important. 

Is it associated with a lot of discharge? Any itching? Any pain when urinating? 

if none of these is applicable, do you keep the place dry?
Read 4 tweets
MAY 28 MENSTRUAL HYGEINE DAY
PERIOD IN PANDEMIC

Millions of girls are ashamed of their period

They do not have social support, access to supplies/materials/ facilities.

Many girls miss 1 to 2 months of school to menstruate

#NaijaOBGYNdoctor
#girls
#menstruationmatters Image
Many women loose working hours & income due to menses

Girls/women still see their PERIOD in PANDEMIC & the challenges are still there

You can be a voice on these themes
1. Reduce VAT/cost of sanitary material
2. Provide facilities for dignified menstruation in schools
3. Provide women with the support they need to menstruate safely at work

4. De stigmatise periods by letting both girls & boys know more about it

5. Teach girls even before they start on Menstrual Hygeine

Add yours
#WorldMenstrualHygieneDay
Read 3 tweets
Q1
How should the HPV vaccine to prevent cervical cancer be taken?
Does it cover for life?

A1
HPV vaccine schedule
At 9 -15 years, two doses at 0 months & 6months

At above 15 years, three doses, at 0 month, 1 months & 6 months

It is a once in a life vaccination
Q2
Good evening Doc

I had a miscarriage last month, can I try again this month ?

A2
Good evening
Thanks for reaching out
I'm sorry for your loss

I'd advise allow your body to recover & try again 3 months after

Please join the Rainbow Blooms with link in bio Image
Q3
Good evening,
I have itches in my vagina and smelly discharge, what can I use?

A3
Hello,
Thanks for reaching out

Please consult with a doctor for evaluation and tests immediately so you can start the appropriate treatment

#NaijaOBGYNdoctor
#wednesdaymorning Image
Read 4 tweets
COVID19 TIPS FOR THE WKD
Nigeria has reached a land; 5,000 cases of COVID19 infection

Community spread is now a sure thing.

Lets run through some processes

ISOLATION
for infected individuals
separates those with COVID19  from those without 
@aproko_doctor
#COVID19
#aThread Image
At this point, if
you have mild symptoms
suspect you have COVID19
have delay testing
still awaiting your result
waiting for space to be admitted.

Please self isolate while you are being sorted out by the appropriate authorities and advice all around you to Quarantine.
QUARANTINE is for potential cases 
No symptoms yet

Quarantine if
You travelled 
Some1 around you has symptoms suggestive/ diagnosed 
It's for 14 days, covers incubation period

Isolation centres are limited filling up

Stay safe
#COVID19
#lagos
#COVID
#NaijaOBGYNdoctor
Read 3 tweets
GAMETES
Differences btw male & female gamete
Gamete is what becomes babies at intercourse.

Male gamete is Sperm
Female gamete is Egg

Sperm, <15million, low count 
Egg, 1 is enough

Sperm can live for up to 5-7days
Egg lives for 12-48 hrs
@aproko_doctor
#covid1948
A THREAD Image
Sperm carries the XY so it determines the sex of a baby
Egg carries XX and doesn’t determine sex of a baby

Sperm is produced everyday & matures at about 64 days.
Egg; no new one is formed after birth

Sperm, more available
Egg, limited availability window
#NaijaOBGYNdoctor Image
Sperm is the smallest cell in the male body 
Egg is the biggest cell in the female body

Sperm is from Testes 
Egg is from Ovary

Sperm  moves 
Egg stays in one place

ADD MORE DIFFERENCES
#COVID19
#NaijaOBGYNdoctor
#fertilityfriday
#HeadstartSummit2020 Image
Read 3 tweets
Herpes Simplex Virus(HSV)

Has 2 types HSV 1 & HSV 2

HSV 1 is oral herpes but can affect genital area

HSV 2 is genital herpes- STI

It is a life long infection

No vaccine or cure for herpes.

Transmissible through kisses & tooth brush sharing.

A THREAD
@aproko_doctor Image
HSV 1 aka 'Cold sore' 'fever blister'

Transmitted from mouth, lips & saliva

May have no symptoms or have blisters, sore throat,open ulcer & cold sore on lips

Can be transmitted through kissing (please stop allowing strangers peck your babies)
Can be from mother to child Image
HSV 2 is an STI

Occurs in genital area.

Transmitted during sex, contact with genital surfaces, skin, sores or fluids of someone with the virus

Symptoms; sores, ulcers on genitals,fever, body aches,painful urination, itching

Complications can affect brain, eyes, liver Image
Read 4 tweets
PRECONCEPTION

Every woman that wants to get pregnant should  have preconception care

This is a visit to a specialist b4 pregnancy to do a check up & treat medical/social conditions that can affect safe motherhood & healthy baby.

Great for TTC

A THREAD
#NaijaOBGYNdoctor Image
It is critical in
Hypertension

Diabetes

Sickle cell anaemia

Heart & Thyroid problems

Seizures

STIs
Chemotherapy etc.
This is to ensure you are fit and not on medications that can damage your baby.

Not every time I MUST MISS MY PERIOD FIRST BEFORE I see my doctor
This time before you get pregnant also allows you to modify your life style, loose weight, cut back on alcohol and smoking.

You also get to financially prepare for the pregnancy and baby

Wishing all TTC success

@aproko_doctor
@healthertainer
#NaijaOBGYNdoctor
#COVID19
Read 3 tweets
Exercise has many benefits especially weight loss
Can be for therapy/preventn
THERAPY
Irregular menses

PCOS

Menopause 

Menstrual pain 

Pelvic organ prolapse 

Pelvic floor disorders 

Chronic pelvic pain

PMS  

Footdrop

Vulvodyna& Vaginismus
A THREAD
@aproko_doctor
FOR PREVENTION

Reduces the risk of breast, ovarian & endometrial cancers 
 
Reduces the risk of medical conditions in pregnancy(High BP & diabetes)

Reduces risk of gall stones 

Plus other known benefits for women & men 
@healthertainer
@ronikpe
@DrJohnAfam
@AkindeCassandra
Please note, some of these exercises are specialised and used in combination with other forms of intervention.

But exercising can be hard🏋️‍♀️

Add other ways exercise can improve lives
@etta_MD @FEMMY466 @ariellafitness @IdioUduak
@akenny_o
#mothersday2020
#NaijaOBGYNdoctor
Read 3 tweets
1Fertility Friday  
Couple testing for infertility.

Husband "Sperm Test" result is out

You both saw result & you are just seeing million million sperm count.

Please look well, there are other important parts of that sperm test.

@aproko_doctor
#NaijaOBGYNdoctor
A THREAD Image
2Seminal Fluid Analysis aka sperm test should be done early for infertility

From time to time the normal reference range changes

If you are having delay in getting pregnant, sperm test is one of the first test to be done.

Even if the man has impregnated a woman in the past
3What we look for in sperm test
Liquefaction

Viscosity

Sperm count&concentration

Volume

Morphology-Shape

Motility- Movement

Vitality -Energy

PH- Acidity

Leucocyte

Color

What is the current value for normal sperm count and concentration?
#NaijaOBGYNdoctor
Read 3 tweets
Q & A Wednesday

Q1 Hello good morning ma'am,
Please I had an emergency CS in June 2018, I'll like to know when is safe to conceive again and how do i naturally conceive a baby boy as we planned for just 2 kids.
Thank you.
A THREAD Image
Q2
Hello Doc, hope you’re staying safe. When will you be discussing the effect of thyroid defect on pregnancy.

@aproko_doctor @healthertainer
#COVID19 #health
#NaijaOBGYNdoctor
Q3
Good evening. I've a patient who said she hasn't seen her period for over a month or two.
She claims it happened when her dad died and then recently now
What could be the cause?
#NaijaOBGYNdoctor
Read 7 tweets
Premenstrual Syndrome

Ladies!🚶‍♀️👸👷‍♀️👭
Do you feel like a spirit / a wicked person just before your period?

You are not alone, you are simply experiencing Premenstrual syndrome(PMS)

@DrJohnAfam @DrUdomoh @aproko_doctor @ronikpe
@IdioUduak @wakawaka_doctor
A THREAD ImageImage
PMS is a group of physical, psychological & behavioural symptoms that starts days to weeks & ends few hours after a menstrual period begins

Most girls & women experience it at some point.

Can be mild or so severe, they interfere with work, relationships and social activities. Image
Likely causes of PMS

Hormonal Fluctuations

Obesity & smoking increases the risk

Genetics

Low serotonin

Deficiency in some micro nutrients.

@menstrupedia @menstrupedia @AkindeCassandra @UNICEF @healthertainer
#NaijaOBGYNdoctor
#menstruationmatters
Read 4 tweets
CESAREAN SECTION TIPS
C/S means many things to many people.

Over the years, I have lost count of different interpretations

I've listed a few in the questions below, tweet an answer
@aproko_doctor
@DrJohnAfam
@healthertainer @ronikpe
#cesarean #COVIDー19
#SDG3
A THREAD Image
C-section- a surgical procedure through the anterior abdomen and uterus to deliver the baby, placenta & its membrane.

Can be elective; planned by you and your doctor or emergency ; as an urgent intervention to avoid or treat complications.
@AkindeCassandra
#NaijaOBGYNdoctor
Situations where you shouldn't reject C/S
1. Placenta previa- the placenta won't let baby pass through for vaginal delivery

2. Twins; 1st twin is coming with buttock

3. You have had 2 or more C/S before.

4. If you have had fibroid/ any surgery on your uterus before.
Read 4 tweets
World Immunization Week 2020

The aims - promote use of vaccines to protect people of all ages against diseases & celebrate those who develop, deliver & receive them as HEROES
@aproko_doctor @DrZobo @ronikpe
#VaccinesWork
#NaijaOBGYNdoctor
Image Dept of Health SA
A THREAD Image
We focus on Human Papilloma Virus vaccines later today.

Do you know the cancers they prevents?

Which of these cancers is most relevant to women?

How many types of HPV vaccine do you know?

Have you vaccinated your children?
@Thenoisynaijap1
@DeboOdulana
#NaijaOBGYNdoctor
These and many more will be shared on Healthy Conversations tonight @ 8PM on @naijaobgyndoctor with @Thenoisynaijap1 on IG Live
Don't miss it
@NaijaFlyingDr @wfm917 @CancerTerms @knowhpv
@GSK
#COVID__19 #vaccine #HPVvaccine #women #cervicalcancerawareness #papsmear
Read 3 tweets
Welcome to Fertility Friday

What is your own explanation of Infertility?

Please tweet your thoughts

@DrJohnAfam @DrZobo @aproko_doctor @ronikpe @TheTalkDoctor_ @AkindeCassandra

#May1st #staysafe #COVID19 #womenshealth #infertility
#pregnancy
A THREAD Image
About 60% of couples will achieve pregnancy within one year of trying

About 80-85% of couples will achieve pregnancy within two years of trying

So what is Infertility?
@NaijaObgyn @aproko_doctor @healthertainer @DrZobo
#fertility #women #staysafe #COVID19 #babies #mothers
Infertility is the failure to achieve a clinical pregnancy after 12 months or more of REGULAR unprotected sexual intercourse”-WHO

Regular☝️☝️here is at least 3-4 times a week

15-20% of couples experience infertility

Infertility can be primary or secondary
#NaijaOBGYNdoctor
Read 3 tweets
Today's Questions & Answers session was amazing.

Q1.
Hello doc
Hope you are keeping safe

My question is how long does it take to conceive after a miscarriage?

Can I start monitoring and following up once I see my period?-

@NaijaObgyn @DrZobo @ronikpe
#COVID19
A THREAD
Q2
Good afternoon Doctor

Pls I have some questions to ask.

I have done a pregnancy test and its negative and I am yet to see my period. I missed my period since last month. Pls what can be the cause. Thanks
Q3
Hi good afternoon
Thank you so much for this platform.

I went with my husband to the hospital early this month and he was asked to do a urine swab test that came in with results of moderate staphylococcus aureus.

#NaijaOBGYNdoctor
Read 8 tweets
Heavy vaginal bleeding is messy & tiresome.

Heavy vaginal bleeding can lead to heart problems.

Heavy vaginal bleeding can be a warning.

You have to be sure bleeding is truly heavy?How?
@ayodelerenner @aproko_doctor @healthertainer @DrZobo
#NaijaOBGYNdoctor
#COVID19
THREAD
Heavy menstrual flow is called MENORRHAGIA

Normal flow is 20 to 80mls, lasting for 3 to 7days 

Flow more than 80 ml or period in excess of 7 days is considered abnormal & heavy. 

@aproko_doctor @DrZobo
@ayodelerenner @healthertainer .
#NaijaOBGYNdoctor 
#COVID19
#StayHome
Each regular pad or tampon soaks about 5ml of blood(1tspn) 

So if your period is 80mls, then you will be using an average of 16 pads or so during your period. 

If you are using more than 16, each pad fully soaked, your flow is heavy

@aproko_doctor
@DrZobo
#NaijaOBGYNdoctor
Read 4 tweets

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