AR is a 34-year-old farmer, who complained to her doctor of having repeated episodes of runny nose. “My nose is never dry,” she said with tears running down her eyes. She also sneezes repeatedly and has itchy eyes. Her complaints worsen during the dry season or just before the rainy season. The doctor explained to […]
A few times, ill persons visit the doctor to complain about certain things that bother them – Poor sleep, headache, weakness, fast heart beat, fast breathing, feeling unwell, low mood, poor appetite, lack of interest in pleasurable activities, et cetera; one or a combination of the above may be present in an individual. These complaints […]
Dr AB had been working for unbroken 30 hours. He was rostered to be on duty for two consecutive days without a break to go home to refresh. The time was 2:00 pm; he was about to hand over to the next group of doctors when a bus brought in eight patients with multiple degrees […]
GB was 48 years old when he suddenly slumped and died. He was giving a pep talk to his marketing team before they started the routine work for the day. He only complained of severe headache prior to his sudden death. He was too young to die was the popular concern of his colleagues. His […]
Mr SO walked into the doctor’s consulting room on account of a minor complaint. His blood pressure was checked during the evaluation of the systems in his body. The following conversation ensued. Doctor: “Sir, your blood pressure is 190/120mmHg. Have you been told you were hypertensive?” SO: “God forbid oo. I am not hypertensive. But […]
GG, a 60-year old man, was noticed to have yellowness of his eyes. He had otherwise been fine. He consulted his physician for comprehensive evaluation. Only years of heavy alcohol intake was found significant in his history. Among other recommendations, he was counselled to stop taking alcohol. Alcoholic liver disease (ALD) is a spectrum of […]
SD is a 14-year old student. She experiences troubling headache affecting the front part of the head mostly. This has been on for over six months. She and her mum are worried. Enquiry by the doctor revealed that she has difficulty with reading objects on the board in class. An eye test reveals that she […]
Mr JP weighs 102 kg. He stands at a height of 1.7m. His body mass index (BMI) is 35.3. He is obese. He admits that he has excess abdominal fat. He, however, notices every year that he partakes of his church fasting period that he loses weight, about 3-4 kg in six weeks. He gains […]
HM, is a long-distance driver. He experiences aches on most days of the week. He normally rests to relieve himself of the ache. On a fateful day, on recommendation by his driver friend, he bought a sachet of Piroxicam to relieve himself of his ache. He took 40mg capsule thrice a day (more than he […]
Matogun community is majorly being served by alternative health practitioners. Concerned by the demand for quality health service in Matogun-Olambe communities of Ogun State, a family hospital, Nathaniel Health Consulting, has just been established in the neighborhood to help curb the long distance travel by the residents for Orthodox care. The hospital is being headed […]
DG was a 27-year old woman in her 39th week of pregnancy; her first pregnancy ever. Her 36-week pregnancy scan showed that her baby weighed 4.1kg. The following discussion ensued between her and the doctor.
Doctor: ‘‘Mrs DG, considering the big size of the baby in your first pregnancy, it is risky if the baby is delivered through your vagina.’’ The doctor explained to her that her pelvis may not be able to accommodate such big baby to pass through. He also stated that the womb may not have enough power to ‘push’ the baby through the vagina. ‘‘A Caesarean section is safer,’’ he counselled.
DG: ‘‘God forbid I do surgery. I would have my baby myself. Doctor, do all you can to make me have my baby without surgery.’’
Doctor: ‘‘(explaining further danger of her decision), okay, we will allow you initiate labour naturally and observe your progress. If progress is unfavourable for either you or your unborn baby, we would have to resort to Caesarean section.’’
DG never returned when her labour pains started. She rather went to a maternity home where her details were not known. She had painful, difficult, and prolonged labour which lasted over 20 hours. The baby died at delivery. DG also sustained numerous injuries to her genital area.
KM, a 36- year old woman, was in her 37th week of pregnancy, her first ever. The baby had been in a persistent transverse lie for a period of two weeks. She was attending her antenatal clinic when her doctor informed her of the need to have a planned Caesarean section done due to the abnormal position of the baby in her womb. ‘‘You will not be able to have your baby through your vagina,’’ the doctor told her.
‘Okay,’ KM said. ‘‘So long my baby and I are safe.’’
The surgery was done in her 38th week of pregnancy. Surgery lasted less than an hour. She and her baby have been fine.
The surgical practice of Caesarean section is as old as mankind. Therefore, several perceptions abound concerning this mode of delivery. From the clinical point of view, the doctor’s goal in the planning of the delivery of any baby is to have healthy mother and healthy baby. This can be achieved either by means of vaginal delivery or Caesarean section. Below are certain false perceptions and the corresponding facts.
Caesarean section is an abnormal mode of delivery. This perception is mostly shared among people who reside in developing countries. It is thought that surgical mode of delivery is improper. Some believe that the woman would not be fit enough to resume routine activities as a result of surgery when compared with vaginal delivery. Read more about CAESAREAN SECTION: The Fallacies and Facts …