When I saw a stream of blood down my leg, I knew right there and then; it’s happening! My worst nightmare was coming true and I couldn’t believe it because it was already days after delivery. I have NEVER been that terrified ALL MY LIFE.
This is my story: SURVIVING PPH #Thread 🧵
I tried to be calm, but I could hear my heart pounding in my ears. It felt like someone ripped out my heart and put it in speaker right next to my ears. I felt dizzy, so I sat down. I can’t tell if I was dizzy because of blood loss or the fear of becoming a statistic.
As we prepared to go back to the hospital, I tried so hard to appear calm; a big smile on my face but in my heart I was terrified. I knew it very well, PostPartum Hemorrhage is no joke. In a matter of seconds EVERYTHING COULD GO WRONG.
I asked for ONE thing: my rozary ring.
As a healthcare worker, I have attended a number of women who came with Postpartum Hemorrhage(PPH) and as scared as they were; none of them were as terrified as I was when it was me on the other side of the condition. PPH scares me as a doctor, but TERRIFIES me as a patient.
And for once in my lifetime, the saying “ignorance is bliss” really made sense because my knowledge on PPH really just made me more horrified.
On my way to the hospital, I was holding on my rozary ring and as crazy as this sounds; I couldn’t pray any other prayer than Mazinde Juu
school prayer.
I whispered, “Almighty and Eternal Lord, Father of the world to come, your goodness is beyond what our spirit can touch and your strength is more than what the mind can bear. Lead us to seek beyond our reach and give us the courage to stand before the truth..AMEN”
I repeated that prayer so many times. As we arrived at the ER, my head was running with thoughts.
If anyone could hear my thoughts it was, “take vital signs, FBP, blood grouping and crossmatching, ultrasound, oxytocin, misoprostol, tranexamic acid, fluids, evacuation, massage” 😂
It’s funny now, it wasn’t funny then. For those who don’t understand the medical language, I was thinking of every possible thing that could be done and given to me to treat PPH. There’s really nothing funny with being a patient of something which first thing in management is to
CALL FOR HELP.
After all the initial management later I was laying on bed waiting to go to the theatre for evacuation under anaesthesia. The nurse brought my baby several times for breastfeeding and took care of her afterwards; changed diapers, bathed her as I laid on bed waiting
When it was time to go to the theatre; I was so afraid. I had taken that short journey to the theatre so many times, but as a medical student and then a doctor; NEVER AS A PATIENT.
I have held hands of my patients several times, listened to their prayers and duah as I responded
AMIIIN.
That day, it was me saying the prayers and the nurse responding AMEN.
I got on the operating table, the lights were bright; maybe brighter than how I thought they would be. I laid there in Adam’s suit. It was cold. I felt vulnerable. I felt exposed. I felt exactly how so
many patients feel when they lay on that table. As the anesthesiologist prepared his drugs, they tried to clean me and it was painful, so painful that I was shaking. He advised to wait until I was under anesthesia to proceed.
As he pushed Propofol in my vein, I counted after him
“One, Two, Three, Four, Five, Six, Seven, Eight, Nine, Ten. One, Two, Three, Four, Five, Six, Sev…..”
I was out. When I came to, I was shifted to another bed back to the ward. Evacuation under anesthesia was done. And I thought about so many women who have done evacuation for
many reasons; how painful it was, and I wished they got it while sedated.
Later the nurse bathed me, with hot water and it felt so good, so relaxing. I just stood there feeling the hot water thinking that this is what every woman deserves after delivery. I thought if public
hospitals adopt having biogas and/or solar systems, and build a hot water system like Mazinde Juu (except this is run by biogas/solar); then every mother can get that relaxing hot water shower in addition to the hot tea provided after delivery. It’s the bare minimum I think. 🙂
I got the bed and laid there beside my baby, thanking the healthcare workers and God for surviving postpartum haemorrhage.
See, this was a very big deal for me because Postpartum haemorrhage(PPH) is the leading cause of maternal mortality contributing 25% of all maternal deaths.
In summary, postpartum hemorrhage(PPH) can be caused by several things including retained products of conception, trauma(cervical/perineal tears), uterine atony, infection etc.
It may occur immediately after delivery, within 24hrs or even several days after delivery.
To survive that is a testimony. Deep down I know so many women would survive PPH only if they had access to the care I received, if they understood what PPH was so that they would go to the hospital the moment they begin bleeding and if they could afford. Accessibility, Awareness
and Affordability. I believe these 3 can save so many women’s lives.
Mothers who experience PPH are also major consumers of blood and blood products; so here is a reminder to anyone reading this to donate blood to the nearest hospital as @ChangiaDamuTz encourages to save lives.
It is also a reminder about #HealthInsuranceForAll #BimaYaAfyaKwaWote as we are eagerly waiting to hear more about what the ministry is cooking for us. Health insurance really does help.

Again also a reminder to equip healthcare centers with the right manpower, equipments and
drugs to manage such conditions. Building new centers alone is not enough. Provision of services matters more.

And a reminder to MoH and other stakeholders including the media to raise awareness about Postpartum Hemorrhage, in order to create awareness to mothers and their
caretakers to understand what PPH is and what to do when experiencing the condition.

After being discharged, I gifted myself a camera of my dreams for surviving PPH. I wondered, if not now then when? For not being a statistic, I surely deserved a lil’ congrats.
Looking back today, so many lessons were learnt.
As a patient and as a doctor.
May the souls of those we lost because of PPH rest in peace.
Today, our focus is to reduce maternal mortality and to do that we have to fight Postpartum Hemorrhage.

Until next time🩸#DaktariMwandishi
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More from @Kudu_ze_Kudu

Jul 28, 2021
SEHEMU YA PILI #IjueChanjoNaDaktariMwandishi
Leo, saa 3 asubuhi, Rais SSH atazindua chanjo pale ikulu kwa kupata chanjo hiyo.
Wakati huo, tuendelee kujifunza kuhusu chanjo za COVID19 haswa aina ya Johnson&Johnson ambayo ndio imepokelewa. #UZI FUATILIA
#DaktariMwandishi
3. JE, NIKIPATA CHANJO YA COVID19 KUTANIFANYA NIWE NA SUMAKU (MAGENTIC)?

Hapana. Chanjo za COVID19 hazina uwezo wa kutengeneza "electromagnetic field" (uwezo wa wewe kuwa sumaku) na chanjo zote hazina metals.
Unaweza kuangalia nini kimo kwenye chanjo katika ukurasa wa CDC.
4. KWANINI BAADHI YA TAARIFA ZINASEMA TUMEPOKEA CHANJO YA JOHNSON&JOHNSON NA NYINGINE ZINASEMA "JANSSEN"?
Jina kamili la chanjo iliyopokelewa Tanzania kupitia mpango wa COVAX ni "Johnson&Johnson's Janssen(J&J/Janssen) COVID19 Vaccine" kwahiyo ni kitu kimoja wala si chanjo tofauti
Read 18 tweets
Jul 28, 2021
#IjueChanjoNaDaktariMwandishi
Bado naikumbuka siku ile ilipotangazwa chanjo ya kwanza ya COVID19, nilikuwa twitter, sikuwahi kufurahia matunda ya sayansi kama siku hiyo.
Wakati huo, tayari janga la COVID19 na upotoshwaji ulikuwa juu ...#UZI (SEHEMU YA KWANZA)
#DaktariMwandishi
kitu ambacho sikutegemea, ni upotoshwaji mkubwa zaidi uliokuja na chanjo.
Lakini, siwalaumu wenye maswali dhidi ya chanjo. Yapo maswali muhimu mno ambayo, hatuwezi kuyasukumia uvunguni kwa kigezo cha upotoshaji.
Ni lazima yajibiwe hata kidogo.
Nitajitahidi kutoa majibu machache.
Kabla sijajibu, naomba niseme kuwa ni sawa kuwa na maswali juu ya kile unachokipokea, lakini si sawa kusambaza taarifa za uongo na zisizo na ushahidi wowote.
Kufanya hivyo ni ugaidi. Ni uhalifu dhidi ya binadamu.
Kwanza niseme, mimi NAAMINI KATIKA CHANJO.
NAAMINI KATIKA SAYANSI.
Read 24 tweets
Apr 1, 2021
Just laying on bed, my body aching and my head is literally on fire.
Scrolling through same 3 apps, seeing excitements of a "long weekend" ahead.
Ooh! It dawns on me. It's Easter weekend.
My bad. I haven't been oriented to days of the week, only dates for some time because, you
know..work!
My work wants me to know date and time, I can barely differentiate a weekday and a weekend/holiday until I get on the road and wonder why the jam ain't like usual.
But, I love it here. I love this work. Maybe a lil' too much. Idk.
It's the one thing I've dreamt of all
my life, and worked for it all my life and it turned out not-so-perfect but absolutely how I wanted it to be. Idk if that makes sense lol.
But I love it here.

So, anyways. It's a bit rainy here. (well, it was). And that moment really brought a flash of memories in my head.
Read 18 tweets
Apr 1, 2021
I have to disagree with him.
These changes are NOT going to happen over a year, or decade maybe not even century.
Suffragettes fought for votes over 100yrs ago.
Yet even today, studies have shown that in some areas, women don't really have the freedom to vote for who they want.
I mean, there were cases the other year of divorces and DV because the wives voted for someone that their husbands didn't like. Actually, statistics show that DOMSTIC VIOLENCE cases go up during elections because of these incidents.
There are countries that allowed their women to
vote just few years ago.
But should we say the suffragettes of all countries work was just superficial because we still have issues in women voting? It is very ridiculous to do that.
The suffragettes and all other women movements are under the umbrella of feminism and have done
Read 21 tweets
Feb 15, 2021
BARUA KWA BINTI WA 🇹🇿 #UZI
#PARTONE
Binti,
Salaam zikufikie pale ulipo kama upepo uvumavyo kutoka baharini kwenda nchi kavu. Natumaini hujambo. Mimi sijambo.
Kila siku nakuwaza sana. Nafikiria nifanyeje kugusa maisha yako.
Kabla ya yote nijitambulishe, mimi ni #DaktariMwandishi Image
Dhumuni la barua hii, ni kusema na wewe Binti. Natamani barua hii ningeiremba kwa maua, lakini naamini maneno nitakayoandika ni mbegu tosha.
Jana ilikuwa siku ya wapendanao, haijalishi ulipokea salamu au la, naomba pokea zangu; NAKUPENDA.
Enzi hizo nikiwa sekondari, ilikuwa siku
nzuri sana. Wale ma-admire/dada wa shule/vindende tuliandikiana kadi na kupeana zawadi. Ilipoangukia wikiendi kama hii, mambo yalikuwa moto zaidi, tulipokea kadi na barua kutoka kwa marafiki mbalimbali. Tukisubiria jumatatu tuibie kuingia facebook kuchungulia salam tulizotumiwa.
Read 16 tweets
Sep 22, 2020
There is no need of that because girls are being taught that even before they attain menarche.
The question is, when are boys going to be taught how to actually be good husbands and their roles in marriage?
If you were a woman, you'd know that "ndoa" has been the backbone of
everything women are taught to do.
Literally, a girlchild is being groomed to be a wife from a young age, being shown their place and "responsibilities" as mothers and wives.
But I don't see that happening to a boychild. They are just let "to be boys" and suddenly they marry and
expected to transition to be men, fathers and husbands.
Nobody prepares them for that.
Nobody teaches them anything during puberty.
They are left to figure out everything themselves because "they are boys"
And then we wonder how comes the marriage institution is failing miserably
Read 16 tweets

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