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What do you know about the excess bleeding of mothers during delivery?

The bleeding of mothers during pregnancy is something natural and all women can experience once or twice in their life. It is not only a problem for developing countries, but the world experiences too. So Many factors had helped them not to lose their pregnant women. Unfortunately, it is one of the most causative death of our mothers in Somaliland. Lack of primary health care, Antenatal (before delivering the baby) care, Uneducated Mothers, lack of health professionals and many other factors help to increase the number of death of pregnant mothers in Our Country.

As UNICEF mentioned 2012, ‘‘Every 12 pregnant women, we lose 1 mother for a complication from the pregnancy.’’ It is that much high in number.
Let us we define well what is this bleeding? When does it come? What intervention is needed to do? And many others…

It’s an excess heavy bleeding; it can come early pregnancy, late pregnancy, during delivery and after delivery. It can come out from the vagina of the mother or it can be internal bleeding which is more risk and rare in most of the cases.

Early pregnancy is called the heavy bleeding that comes before the first 20 weeks of pregnancy. It can be abortion (baby falls out), ectopic pregnancy (pregnancy outside the worm and in the fallopian tube)

Later pregnancy is somewhat excessive heavy bleeding that comes after 20 weeks of pregnancy. It can be placenta previa ( a low lying placenta), placental abruption ( separation of the placental from the uterine wall) , vasa previa ( blood loss from the baby’s vessel)

During Delivery, Uterine Rupture (the worm of the mother burst out) can happen. It is a rare condition. It can cause internal and external bleeding and it is an emergency condition.

After delivery, postpartum haemorrhage (a heavy bleeding after delivering the baby) is one of the most common one that our community experience. Normally it is 500 ml on average, but if it’s more than that in a normal delivery, or more than 1000ml after caesarean section, then it’s called postpartum haemorrhage.
After defining all these kind of bleeding that mothers experience during their pregnancy and we lose many of them, it is better we educate, train our mothers, establish more Mother and Child Hospitals and primary health centres.

My Message to all our mothers who live in Somaliland.

What to do if one of you encounters one of these problems.

It is an emergency condition, call for help, try to reach for the first health centre near you. Avoid any delay. Don’t think about money or the charge of the hospital; don’t say it will stop sooner. Reach Hospital As soon as possible.

How can this problem be handled, and reduced dramatically to a zero level?

For the Mothers

  1. Learn important stages of pregnancy.
  2. Learn to visit regularly every 3 months to the MCHs.
  3. Importance of eating nutritious foods
  4. Avoiding bad habits and drugs without doctor’s prescription.
  5. Family spacing decreases the chance of having these kinds of bleeding.
  6. Mothers get good care during delivery.
  7. Baby’s condition should be observed.
  8. Mothers should know first their blood type and their Hb so as to have back in their minds, if any emergency condition comes, it must be covered up quickly.

For the Somaliland Health National System

  1. Many Primary Health Centres, and Mother Child Hospitals should be established
  2. Health system of the country should be decentralized (every town has to find a health facilities as the cities and the capitals)
  3. More professionally trained health stuff should be attached to a specific areas.
  4. The number of Ambulances of the country should be increased, so the patients can reach the hospital at an appropriate time.
  5. More Public health awareness should be carried out just to reduce the incidence of these conditions.

I hope we will reduce together this problem and I hope one day, ‘‘there will be no women who gets afraid being pregnant’’

Thanks

Hassan Ali Daoud

is Medical Student in 5th Year at Amoud University Boorama Somaliland. He is community activist and currently campaigning for launching the Boorama main  hospital blood bank. He is committed of drooping down the  maternal and mortality and morbidity rate in Somaliland. Hassan is currently the Program officer of Islamic online university at Boorama.   

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