Dr Chioma Nwakanma-Akanno Profile picture
Medicine is my Art• Health Comms & Policy• TEDx Speaker• SRHR• Digital Health• Awardee Dr🏅•Writer• #SDG3• Founder @SmilewithmeNGO• 📩DrChiomaNwakanma@gmail.com
Titilayomi Profile picture 1 added to My Authors
23 Jun
When you put a spoon or any object in a child’s mouth, it can cause the tongue to fall back and block the airway- Suffocation.

It can dislodge a tooth, child inhales it - choking.

Oil in their mouth? can enter the lungs- Aspiration.

The truth is, convulsion alone cannot kill the child.
It’s mostly complications from it that can, most of these complications arise from well intended harmful first aid practices that our parents of old have been practicing.

No. They have just been lucky
For everyone who you mention, it worked for, I can mention 2 who luck ran out on.

The thing about seizures is that, they eventually stop on their own. So whether you intervene or not, it’d still stop.

The fear is brain injury from prolonged and frequent seizures.
Read 13 tweets
21 Jun
Did you know?

If a mother is Rh negative and the father is Rh positive, the baby has at least a 50% chance of being Rh positive.

And this can lead to miscarriage or Still birth!

It is preventable with a special immunization and many people don’t know!
Rhesus (Rh) is the + or - sign attached to your blood group (e.g: I am O+)

A baby's Rh status is determined from the mother and father, however, babies have a 50% chance of inheriting the Rhesus factor of their biological fathers.

This is why we advice women with Rhesus -ve
... blood groups to talk to their doctors before/during pregnancy, , especially if they have ever been pregnant before (regardless of the out come: miscarriage, still birth or neonatal death).

Once a Rhesus -ve woman is pregnant with a Rhesus +ve child, her antibodies become...
Read 8 tweets
4 Jun
Team HYMEN, I have gist for you.

1) Not every woman is born with a hymen
2) Not every woman will bleed during her first sexual intercourse
3) Some women have imperforate hymen. Completely sealed, even menses can’t pass.
4) A woman’s rape plea isn’t less cos she’s not a ‘virgin’.
This table is for those looking for ‘Hymen to Marry’...
Virginity until marriage is Great! I endorse it! It is a choice.
But don't get it twisted, Just as Virginity is not directly proportional to Morality, so it is not, to the presence of Hymen.
Every girl child differs from the next. There are different types of hymen in girls (See picture below).

And the amount of blood that will ‘stain ya bedsheets' is directly proportional to thickness of the hymen, IF PRESENT at all.
No hymen, No blood!
Unless the sex was rough🙏🏽
Read 12 tweets
28 May

1. It can start in childhood/Adulthood
2. A child can outgrow it. Some don’t
3. There are warning signs before each flare
4. Has triggers
5. Asthma shouldn’t be a limitation
6. Some parents have NO CLUE their children have asthma


1. Wheezing or whistling in the chest while exhaling
2. Coughing for weeks with a cold
3. Shortness of breathe or coughing when running sound
4. Tightness in the chest: They describe it as “chest hurting” or even tummy ache
Tips on how to manage Asthma well in children.

1) Know their Asthma triggers and avoid them. Teach them too
2) Use your reliever medication as prescribed by a Dr
3) Follow your Drs treatment plan
4) Teach children to speak out when aura or symptoms occur👇🏽
Read 5 tweets
3 May
About the Clarence Peter’s case,
Really sad.
Permit me to point out something as a doctor.

Do not put any substance or liquid (Milk or not)in the mouth of an unconscious, gasping or convulsing person.

They can aspirate that fluid into their lungs and that alone can kill faster.
If they already have fluid in their mouth, you can roll them on their side to let the fluid flow out the corners of their mouth.

If there was none, then please, put none in their mouth.
I know you want to help, but sometimes the best help is doing nothing but rushing to an ER.
Check if the person is breathing. If they’re not breathing, have someone call your local emergency services immediately and prepare to begin CPR. If they’re breathing, position the person on their back.

If there’s food or fluid in their mouth, roll them gently on their side..
Read 7 tweets
29 Apr
Your wife gives birth to yet another girl.

Has yet another miscarriage.

Your child has yet another seizure or yet another sickle cell crisis.

And in the hospital, you’re screaming,
“This is the last time I’m spending my money on this rubbish”
You’re the rubbish Sir.
Let me elucidate:
1) They are your family and your responsibility

2) Your wife and children are not the problem. You are a broke and insensitive man, who is undeserving of them.

3) God gives children and You give the sperm sir. It includes the genes and the sex chromosomes.
Dear women,
Once more, hustle o.

According to Zoro,
“Money stop what?”
“Money stop nonsense”

Find something legit doing if you can. I know it’s not easy, but try. Don’t knowingly stop working Cos you’re married.

Also, please know your genotype and report any form of abuse here
Read 3 tweets
8 Apr
A year today. I was battling for my life in the theatre.

What I thought was ovulation pain was a ruptured appendix!

It was 2 weeks to my Trad introduction.

The person who helped me make the diagnosis wasn’t a Dr, she is a non medic friend of mine who follows my health posts.👇🏽
You see, it’s funny how sometimes we are not saved by our knowledge, but by the knowledge we pass on to others. Sharing is seed sowing, someday in dry season you might need the fruit from that tree.

I was rushed to the hospital and she was right! I was in shock. I was scared.
I had assisted in many surgeries. Done some minor ones myself under supervision. I knew all the complications and all the side effects of everything. I Dr Chioma Nwakanma, aka #DrZobo for the first time walked in the shoes of my patients! I WAS TERRIFIED!
Read 11 tweets
25 Feb
Dear women🙏🏽,
Note that after 2 consecutive (back to back) Caesarean sections, you should not attempt to push for the next delivery. CS is advised or you risk a womb rupture!

Your life comes first, don’t be pressured to be a ‘Hebrew woman’! CS isn’t a sin

God sent👇🏽
Studies have shown that attempting to push (Vaginal delivery) either within a year of having a previous CS or after 2 consecutive CS... puts the woman at risk for Uterine rupture-The womb tears from last incision, Cos the uterine suture site is yet to heal/ can’t stand the stress
Uterine rupture is one of the common causes of heavy bleeding during and after child birth.

Womb rupture depending on how bad can lead to:
- Womb loss
- Loss of mother or child or both
- All of the above

Also, we advice that a max of 3 CS is ok and don’t try to induce Labour!
Read 8 tweets
13 Feb
Dear Newly weds,
Know this:
1) You have the right to wait until you both are settled and ready to have children.
2) Using a contraceptive won’t make you infertile (if you have no prior fertility issues)

With an IUD, you can remove today and get pregnant tomorrow.
What is an IUD?
An IUD is an Intrauterine Device. Can be hormonal or non hormonal.
@lydiaiud is a small copper device that is placed in the womb to prevent pregnancy for up to 10 yrs and it does not contain hormones. 
 It’s a contraceptive that can be used both short&long term
How Does it work?
Once inside the womb, the IUD works by preventing sperm from reaching the woman’s egg. It does this by reducing the speed and movement of sperm so that none can reach the egg.#LydiaCoil
Read 8 tweets
30 Jan
Facts about #CervicalCancer
- Every sexually active woman is at risk.
- “Sexually active” has nothing to do with frequency. Once is enough!
- Condoms don’t offer 100% protection! Still use it!
- It is Vaccine preventable
- Screening every 3-5 years detects it early.👇🏽
- it is sexually transmitted via HPV (Human Papilloma Virus)
- Multiple sexual partners puts you at risk. Having a boo who has other boos gives equal risk.
- Virgins don’t need to be screened. Just get vaccinated
- Vaccines are most effective from age 9-26
Women can still get vaccinated up to age 45, esp with Gardasil 9, but effectiveness isn’t same as earlier.
- Screenings: Pap smear, VIA, VILI, HPV screening.
#CervicalCancer shows no symptoms until it’s too late!
-It is 100% preventable, yet the 2nd cancer killing women in Africa
Read 5 tweets
3 Dec 19
During my NYSC, I met a girl who came with packs of antibiotics, and anytime you made to go to the toilet, she’d bring it out and say,
“Babe, collect. I don’t know how you people use public toilet without antibiotics o. Prevention is better than cure”

Me: 🙆🏽‍♀️
A lot of patients out there believe that when they have a common cold/flu or any minor infection, there must be an antibiotic within their prescription.

Some call you inexperienced if you say no.
Newsflash; Antibiotics don’t fix everything!

Antibiotics are only prescribed by Drs when laboratory tests have been done and particular organisms have been cultured from your samples.

You don’t go about treating what you don’t know.
1) Your illness can get worse if you’re treating amiss
2) Drugs have side effects
Read 9 tweets
14 Nov 19
Dear parents,
Not every illness is malaria and typhoid.

(Type 1)
Can occur at any age. But mostly; Ages 4-7 and 10-14. Usually genetic.

Pregnancy can induce Diabetes too; GESTATIONAL DIABETES👇🏽
Child should see a Paediatrician, if any of these symptoms appear;

Increased thirst
Frequent urination
Bed-wetting in children who previously didn't wet the bed during the night
Extreme hunger
Unintended weight loss
Irritability and other mood changes
Fatigue and weakness
- Blurred Vision.
With children, it is better to be over concerned, than under concerned.

Juvenile Diabetes, is usually genetic, auto immune (Here the body fights itself, in this case destroying pancreatic insulin cells) and can be caused by some viruses or environmental factors
Read 8 tweets
14 Nov 19
The greatest fallacy about living with Diabetes is that you have to be eating ONLY BEANS, PLANTAIN, Moi Moi🤦🏽‍♀️🙆🏽‍♀️! Reason why most are malnourished!

Real ‘Diabetic Diet’ is;

“Eat every healthy food. Add more vegetables. Just in fist size portions per meal.”
Patients coming to our diabetic clinic are always asked to come with their relative or care giver.

They need all the support they can get. While we don’t advice patients taking refined sugars, we however advice they have some of these drinks closeby in case of HYPOGLYCEMIC bouts
Hypoglycemia is simply a drop or more below the normal body sugar level. Severe hypoglycemia can kill faster that hyperglycemia ( seem in diabetes).

So in these attacks, patients might be sweaty, drowsy and even faint. So if there sugar level is tested and is low...👇🏽
Read 11 tweets
1 Nov 19
Had a girls’ round table with my little cousins last night. They tabled their nagging student life challenges, I listened and in the middle of our heart to heart talk... the one in JSS2 says,
“I wish my school could employ you as a guidance counselor.”
Curious, I asked why? 👇🏽
Her elder sister in SS1 replied:
In her words, “Let’s put it this way, if you go in to meet our counselor with Malaria... you’ll come out with HIV. She’ll criticize you. I can never confide in her, She can even tell the principal and other teachers.”
She went on to give instances
I felt sad. So we encourage our children, while in school to “report to the school authorities” esp in cases relating to their social/mental health. But how healthy are the minds of these teachers who should be care givers to our children.
It’s high time we stopped hiring...👇🏽
Read 6 tweets
24 Oct 19
She eats Rocks!

Do you know people eat sand, rocks, iceblocks, hair, glass, stones, plastics etc?

This is a mental health condition called PICA!
Pica is an eating disorder characterized by eating of non nutritional substances.

Common in pregnant women. Find out more👇🏽
Pica is labeled an eating disorder. It can be physiological, as seen in pregnant women, who start to crave weird, non nutritional substances in pregnancy. In pregnancy, it is considered ‘normal’, mostly because it is believed to be temporary, lasting only through this period.👇🏽
However, if after about 6 months post part I’m (after pregnancy), the woman is still stuck with these cravings, then it is categorized as an Eating Disorder, and she’ll need professional assistance from a Psychiatrist.👇🏽
Read 13 tweets
20 Sep 19
Not every Vaginal infection is Sexually transmitted.
Some are just due to;
- Wearing tight and or poorly dried underwear
- Pregnancy
- Antibiotic abuse
- Uncontrolled diabetes
- Oral contraceptives use
- Low immunity
E.g: Vaginal Candidiasis.
To your pant add a touch of Sunshine
Itching and irritation in the vagina and vulva
A burning sensation, esp during intercourse or while urinating

Redness and swelling of the vulva
Vaginal pain/soreness and rash

Thick, white, odor-free vaginal discharge with a cheese appearance

Watery vaginal discharge.
-Tight-fitting pantyhose
-Douching, which removes some of the normal bacteria in the vagina that protect you from infection
-Scented feminine products, including bubble bath, pads and tampons
-Hot tubs and very hot baths
Read 5 tweets
16 Sep 19
Sexual Intercourse is different from Sexual Contact!

One is penetrative, the other is not, let’s call it ‘Merry-go-rounding’🤦🏽‍♀️

Just a reminder that you can get HPV infection from Sexual contact as much as from Intercourse.

This means a Virgin can contact HPV!
HPV- Human Papilloma Virus is a viral STI with many strains. Low risk ( Causing Genital warts) and High risk (Causing Cancers: Cervical, Penile, Anal, Oral).

All it takes is for an uninfected person to come in close body contact with infected area. Do condoms offer protection?👇🏽
Use condoms. They are protective, from STIs. And also prevent unwanted pregnancy.
However, when it comes to HPV, condoms don’t offer complete protection. This is Cos, they can only cover a limited area of the genitalia. And contact with any infected area can lead to infection.
Read 6 tweets
7 Aug 19
Dear Mothers,
Your baby isn’t adding weight Cos most likely, you’re not #breastfeeding well. It is not spiritual!

Be patient. EMPTY one breast completely during a feed, before the next. When you switch breasts in between feeds, you end up giving WATER and WATER.
The breast milk has all the baby needs. A feed is divided into two:
-Fore milk
-Hind milk
As their names imply. The fore contains 90% water and vitamins, this is the reason why we tell you “No need to give baby water”.
The hind is richer, that’s the main food.
Clearer now?👇🏽
So when you switch in between feeds (give small here and give small here), baby is most likely receiving Fore milk from both sides, which is mostly water.
You: “I am #breastfeeding. I’m doing exclusive.”
Me: Exclusive what? Water?
Be aware.
How do I know I have emptied?👇🏽
Read 6 tweets
28 Jul 19
You’re scared of HIV?
Let me introduce you to 🥁🥁
VIRAL #HEPATITIS B and C, which kills 1.4 million people/yr, with 9x more infections than HIV and increasing death rates!
...yet the majority of global leaders and the public remain unaware!
@Fmohnigeria @nassnigeria
According to @who, Deaths from hepatitis have been increasing over the past 2 decades, which points to a lack of global awareness and action, including among top decision-makers.
Despite this situation, much can be done👇🏽.

Hepatitis can be prevented, diagnosed, treated and managed well. The hepatitis B vaccine is 98-100% effective in preventing new infections.
But how many of us have ever heard about it?
How many have taken action (Gotten Screened and vaccinated (ifnegative)
Treated when positive?
Read 6 tweets
5 Jul 19
How to check your HIV STATUS at HOME Using Egg!

Scientists and Drs have just discovered a means of checking your HIV status by yourself at the convenience of your home.

N/B: The results takes a very nervous long time, but the ease, privacy and simplicity is worth it 👇🏽
Remember, don't be afraid of the outcome of the result.
Having HIV is not the end of the world.

Being a virgin or that you trust yourself is not a guarantee that you are free

HIV is transmitted by other means apart from sex (Google for more)

So enough of talks, Let's do this👇🏽
Follow the steps below to do this successfully:

Step 1: Buy two eggs. Clean ones of course.
Step 2: Wash your saucepan and dry it with a napkin.
Step 3: Break the two egg and pour their contents into a clean dish.

(Patiently continue below) 👇🏽
Read 8 tweets
18 Jun 19
You use antibiotics for contraception
You use it for abortion
You use it to ‘prevent and treat ‘toilet infeshion’
You use it for Pain and purging
You use it for YOUR Malaria and ‘tyfod’
You even use it to dry up your menses!

Shey, Cos you’re a walking bacteria abi?🤷🏽‍♀️🤨
Antibiotics are medicines which kill or inhibit the growth of microorganisms esp bacteria.

They are to be prescribed by a doctor and dispensed by a pharmacist (Not Dr Chemist the drug mixer)

Antibiotics are not indicated in over half the cases we take it for!.
Sperm and the fetus in your womb are not bacteria. Stop abusing and wasting your time with ampiclox

Infeshion: Which one do you know you’re treating? You will treat virus with antibacterial abi?
Pain: Antibiotic is not an analgesic
Menses: 🙄
Antibiotic resistance is real!!!!
Read 5 tweets