PLATTE-LAND 012: MATERNITY WARD

Image result for maternity wardThe first EDD had slipped away with nothing much to write home about. There were no unusual feelings or mild pains to trigger any heedful reaction. They called Dr. Angela and she reassured them nothing was amiss. She however, emphasized that they should report to the hospital if the second EDD came by, with no labor symptoms being witnessed. The gap between the two EDDs was one week.

On the eve of the second EDD, Anastasia started experiencing irregular contractions, after midday. Being her first time pregnancy she had vague clues about labor. When the orange-ball was setting on the other side of the city, sinking beyond the horizon and consequently inviting the night as it compelled the bogged city dwellers to retire to their rented apartments, the contractions became a bit regular. Mongoose suggested they time their interval span. They ranged between 30-40 minutes and as the day wore the pains cycle narrowed to 20 minutes. Soon after, it became unbearable.

It was dreadful pain. Pain that came with its extended family and girlfriends. Pain that was a dozen times worse than a toothache. Pain that could make you pee on yourself. Simply put – An agony that makes you wonder, why you became pregnant in the first place. A poor Anastasia wrenched in a biting misery, helplessly. Mongoose couldn’t wait for 8-10 minutes as advised by Dr. Angela, not even 12 minutes would do. He had never watched Anastasia in such kind of twinge. It was inordinate. She had not left her seat for an hour or so. When the wave of contractions would commence, she’d put her arms in between her legs, droop her head and sigh off out of bruising anguish. The pains would crumble her down, and squeeze out any energy left behind.

Mongoose called his main man – Euty, cut from another mother. In no minute, he would pull off at Mongoose’s place. They put the basin and the packed bag right into the car, assisted Anastasia hop inside and sped off to Zion City Nursing Home. Meanwhile, he called Aunty Bobo, who naturally had a heads up of her niece’s fate. She promised to board the first matatu from Kaibaga to the city the next morning. Waithiegeni was on her way to the hospital, never mind it was past 11 pm.

***

She is put in a waiting room next to the maternity block awaiting to be booked for admission. At such an hour, the hospital is busy receiving droves of other expectant women overwhelmed by labor pains. Some are accompanied by their husbands but majority are chaperoned by women – be it their mums, mother in laws, or female friends. Euty whispers to Mongoose that out of strange reasons many deliveries occur at night since that’s when labor contractions worsen. Is it a coincidence or pure fallacy? Euty spoke authoritatively, having been in Mongoose’s situation twice. He is a dad to two high spirited boys – 3 and 1 year respectively.

In my community, they say an ailment worsens in the night.

Two nurses pop up, one be like: “Ehe msaidiwe aje?”

Mongoose jumps in.

“She is in labor.”

“How did you tell?”

“The contractions.”

“What about them?”

“They are a bit regular and quite strong and we’ve timed them for the last 4 hours.”

“And?”

“The span is about 15 minutes.”

“So?”

“Dr.Angela told me to bring her if it nears 10 minutes, but the pain was too much.”

“Any blood spots?”

“No.”

“Is she a first time?”

“Yes.”

“Okay. Excuse us.”

Mongoose is ordered out.

Seated at the ice-cold bench along the busy corridor, they stare at helpless would-be husbands moving up and down clinging on their phones if not keeping up with the buzzing phone calls, while some peep at maternity doors to lift their hopes regarding their wives’ fate. They grapple with ridiculous anxiety. The weather is horrible. It’s approaching midnight and the temperatures are below 10 degrees. Aunty Bobo calls as Waithiegeni arrives.

The nurses examine Anastasia. They establish the contractions are genuine labor pains but sadly the cervix dilation is not adequate. They need 10 cm and she is at 3. She is however admitted at the prenatal ward, only to meet other women in different stages of labor. Some lie on the floor while others bite the metallic beds just to trick the grueling pains. Meanwhile, Waithiegeni and the boys remain outside watching over any news from the nurses walking up and down. Most of the them are below 28 years. A sizable number seem passionate on their job. Some pull warm faces and appear receptive while others feel like their work is demeaned and consequently appear very intimidating.

Two hours pass by with no word from the hospital and Mongoose walks to the Admission room demanding to know the fate of his woman. No one is in the mood of listening to his pleas. He calls Dr. Angela but the calls go unanswered. He stops anybody he spots at the corridor be it the cleaners, interns, students on attachment and patients in their oversize gowns. The information he gets is too economical and doesn’t add up. He however learns that Dr. Angela is on off duty. As he ponders for the next move, they get rudely interrupted by women yelling in the labor ward. Could Anastasia be one of them? They wonder, helplessly.

Mongoose is called in after ages of waiting. He meets Dr. Muchemi and he is like;

“Hi, we’ve established the cervix dilation is quite sluggish. She has only managed 3cm more after injecting her with Synthetic Oxycontin to fasten the dilation bringing the total to 6cm. We need 10cm for her to undergo normal child delivery process.”

Moongose sighs off.

“How is the baby?” He asks.

“The baby appears to be in good spirits but he/she might tire soon since the labor is over 10 hours which is not recommended. We were buying time since the infant’s head was at the tip of the pelvic bones, but the progress of the dilation is not very good.”

“What are the dangers?”

“If we prolong the labor pains, Anastasia could be vulnerable to fistula complications in future. But more pertinently, chances of amniotic fluid bursting are high which could end up harming the infant’s skin and the digestive organs. The baby and the mother may also tire out and run out of oxygen.”

So, what are you suggesting Doc?

“You need to make a decision Mr. Ezekiel. The thing is, in as much as Anastasia was set to deliver the baby via the natural method, I’m afraid we’ll have to book her for an Emergency C-section operation. This is the most prudent action at stake if we are to guarantee the safety of both the baby and the mother.”

“Can I see her before I make the decision?”

“Unfortunately, we can’t grant your request at this point in time. But I can assure you she is alright. You are her next of kin. You’ve got to authorize us by filling and signing this form or else you could consider getting a second opinion from a different hospital.”

“Just give me minute.”

Mongoose walks out to brief Waithiegeni and Euty. He also calls Aunt Bobo.

The C-section operation is given a nod by Mongoose. The theater room is prepared and in a short while, Anastasia is wheeled inside. She may or may not come back alive – that was the spirit of the form Mongoose signed.

It’s past 1am with no word from the hospital regarding Anastasia. It’s extremely cold and the winds are blowing rudely. Mongoose and his company are impatiently resting at the waiting room. They’ve been served lukewarm black tea which does little to bail out their freezing bodies. Meanwhile, more patients battling labor continue to arrive at such ungodly hour while in the labor ward, distressful yells and wails seem to curse the heavens. Clearly, nature has a sense of humor.

Mongoose recalls a story told by Anastasia regarding how her biological mum passed on while delivering her. The same complications seem to haunt her. Could it be genetic? A cold sweat runs down his underarms.

2am…

The C-section is successful. Anastasia gains conscious half an hour after. It’s a baby girl. The tag reads Female – Kendy Karimi. She is cleaned by the nurses as she makes her first reaction to the world by crying faintly. She weighs 3.2 kilograms.

Photo credit: Sheknows.com

Previously on Platte-Land Series

Next on Platte-Land series: Lechery

By the way, do you have a kid of up to 15 years, these folks have something for you Nanyuki Toy World

Advertisements

MATERNAL MOMENTS: PART 2

Happy Mashujaa Day Andreaders! Can we dig in into part 2 of Maternal Moments?

From the onset, once a pregnancy test turns positive, the next phase of life is to schedule the maiden antenatal clinic which for a matter of urgency, should be to bring along the other partner. Most tests will be done on the woman, but the most critical one if you ask me is the HIV test which is carried out to both partners. It’s important because it’s meant to safeguard the fetus while forming in the mother’s womb and for posterity purposes. Further, this session is meant to orient the couple on the pregnancy journey and of course establishing the first probable Expected Delivery Date (EDD) be it from the compass-like tool the clinician uses to the scan. Most scans are close to perfectly accurate at weeks 9 to week 22 since, beyond that, the fetus keeps growing pretty fast making it complex for the scan to capture all the organs in tandem and perfectly. My point is, don’t be surprised when at week 38 the scan suggests you are two weeks behind schedule hence throwing a spanner to all your plans. Recall, it’s perfectly normal to have more than one EDD since it’s a game of probability.

Something else, halfway through the pregnancy, the hospital where one is to deliver should be earnestly identified. And that said, there are parameters to observe when choosing a maternal hospital namely; cost, service oriented and distance. With the hard economic torrents remaining bullish to our present times, many of us find ourselves between a rock and a hard place. While you may wish to give your unborn baby a decent delivery-hospital in matters professional service, in most cases it’s pegged at a huge cost. Now, Kenyan hospitals are broadly classified into three classes; Private, mission and public hospitals. In most cases, Private hospitals score big on matters service delivery. What I mean is, that one’s patient has a very high likelihood of getting personalized and well-catered attention. However, the same Private hospitals are notorious for being sneaky and mischievous in their billing. You’ll find that there are so many charges which will cost you an arm and a leg since their darkest underbelly is manipulating bills anyway.  Hence it’s appropriate for one to be well prepared be it through a reliable insurance cover or moneywise.

Mission hospitals have shown lots of tremendous improvement on matters service delivery and besides, are not as expensive as most private hospitals. However, without a reliable cover too, be it, NHIF or employer cover or one that an individual has subscribed to, the billing can still be quite expensive. The good news with Public hospitals is that maternity is officially free at least with the Jubilee government regime. However, service delivery is highly compromised and too wanting, of course made worse by the prolonged Nurses’ strike which is over 4 months now. But do many of us have the luxury of an option? Of importance though, is to appreciate that NHIF cover is at its best currently. As long as one has a clean statement meaning they have zero defaults or penalties in their monthly premiums, one is expected to reap big especially if one’s patient is in a mission hospital. As a matter of fact, mission hospitals offering NHIF payment terms literally pay close to 98% of the maternity bills whether the patient had complications or not!

Thank God if the pregnancy is all smooth sailing, a few hiccups here and there notwithstanding. If complications come, that shouldn’t ever write off the joy of carrying a pregnancy. Count your blessings as you may know, a good number strive to conceive for years in vain. For some, they develop diabetic pregnancy caused by an increase in glucose in the body. To others, they succumb to blood pressure which if not managed well can put the life of the unborn in high risk (Preeclampsia). Some may have a history of miscarriages, bleeding from the onset, Ectopic pregnancy, Placenta Previa, Premature labor and birth and rhesus-factor incompatibilities. It’s highly advisable to seek services of a gynaecologist if experiencing some of these or more complications as early as possible in the gestation period. On a lighter note, positive energy is key as pregnancy moods are unpredictable. One day you wake up okay, the other you wake up with zero energies or moods that make you believe you should be bedridden.

As a first-time parent, there are things one tends to appreciate in the entire process of delivering a baby. That Labor is extremely tough but very much surmountable! The thing is, there are a lot of grey areas for our generation in matters labor experiences due to the disconnect in information sharing amongst ourselves and especially from our older peers brought about by cultural degradation, for lack of a better term. You’ll realize, many of us are clueless on the very basic signs of labor or if we have an idea, it’s very much fluid and unclear. From what I gathered, women go through labor very dynamically. There is never a clean script or uniformity; every woman has her own experience, in fact, different from one pregnancy to the other. Interestingly, in as much as labor is associated with crude pain, some don’t feel any pain at all, but a majority do experience havoc, confusion and anything in between.

Actually, I’m reliably told some carry their bibles and read from cover to cover all in an attempt to interrogate God what they could have done to warrant such pain. Others give their life to Jesus in the process, through confessing and taking an oath of being Christ’s followers while some take it a notch higher – They never at any juncture wish to spot their husbands walking around the labor ward or attempting to comfort them. They tend to blame them for all the ‘anguish’. The good thing is, once labor pains are concluded, everything settles down normally including the wild spirits of dissenting one’s husband’s in the open or hurling insults at them. In my community they say, a child travels from far to be delivered. By the way, men should keep off labor ward if they harbor any desires of having more babies. I tell you why; chances are, she can easily disown you upon meeting your sight in this room. Plus, it’s not fair watching your woman helplessly bite a metallic bed and kick everything in her vicinity including uprooting her weave, throwing off her phone and handbag and soliciting the baby to kindly pop out!

The following are the tell-tale signs to check out for or what can be referred to us the red signs in matters true labor stage; 1.) Be very careful when strong and regular contractions start building up. This shouldn’t be confused with false labor otherwise called Braxton Hicks contractions which normally have irregular contractions and are typically weak in strength if a woman changes position or takes a walk or rests. 2.) If her water breaks and consequently start leaking, one should rush to hospital immediately. 3.) Bloody vaginal discharge is another red sign that should alarm the person involved. 4.)  Lower back pains and nausea too should be taken seriously. More fundamentally, one should present herself to hospital if the EDD passes on with no signs as highlighted above have been experienced.

The next battleground after labor ordeal is the art of breastfeeding. Many first time mothers will attest, it’s never simple as it appears. From how to hold the baby to how to position the breast, can be challenging at first. In fact, to some, the challenge either lies in lack of milk at all, lack of sufficient milk, plenty of milk but the baby won’t breastfeed which could easily cause mastitis and nipple alignment challenges. Some of the tips in best practice when it comes to breastfeeding include; mother-infant tummies to be close together, the infant mouth to cover most of the areola (dark layout after the nipple), baby’s chin must touch the breast, the infant to have his/her mouth wide open before inserting the nipple, mother supporting the infant’s entire body, infant’s nose should be opposite the nipple and many others. Effective suckling can be determined through establishing if; Slow deep sucks and sometimes pausing while suckling (Infant’s suckling is irregular), infant’s chicks are round shape when suckling, baby releases breast when milk is fully finished, mother’s breasts feel relaxed. By the way, engorged breastfeeding can be undone through homemade ways that include massaging the breast with a warm hand towel or manually or electronically expressing the milk through a pump-milk equipment.

As an excited first time dad, you’ll be amazed by some small achievements like changing diapers, babysitting a 5 days infant which will include fathoming where to put your left and right arm (Most men will be fearful of handling an infant), composing lullaby songs and lulling the baby to sleep, helping in cleaning the infant and many other small wins like helping in massaging your woman’s breasts not boobs (mothers have breasts not boobs, and it comes with a price) when it clogs with excess milk, or taking charge in supporting her with or without a house girl. Some social media busybodies will cheapen these wins. They will joke on how superficial, contemporary husbands appear to be and how they can’t keep up with a successful career woman. Some cheap internet personas will write and lecture us in their newspaper columns on how marriage is not an achievement, but who cares; Life is all about the everyday small wins.

While at it, it will hit you that you wake up around 10am and only retire to bed not earlier than 1am after showering at 12am due to juggling from one task to the other be it cleaning the dishes, rushing to the market to get some green fodder, taking a bike to one Mr. Abdul who is a camel butcher to fetch the oxtail bone which you’ll use to make soup for your woman, to sifting the black beans (Njahe) and lentils grains(Kamande) to fermenting porridge from Mama Ngotho who is a self-made specialist in matters porridge flour for her clientele who’ll include breastfeeding mothers, pregnant women, clients battling overweight issues, underweight people, slay queens trying to tame their tummy sizes, babies with appetite issues, terminal illness patients and many others.

Finally, watching your baby fall to sleep will be the most beautiful adventure your eyes will have fallen onto in recent times. You’ll desire to stick in there and stare her breathe life occasionally making smiles in her small dreams to much of your amusement. You’ll watch this soul with a clean life sheet and zero sins apart from what Jesus died for, follow your voice with her feeble neck and almost touch the palpable delight on your face.

Enough of maternal stuff

 

MATERNAL MOMENTS: PART 1

It’s all fun and games until labor contractions begin. By hook or crook of it, it gets evident that the chickens have come home to roost. That the day of havoc is alive and well. At this situation the baby is usually stretching off, armed with eagerness to breathe life outside the placenta. Speaking of which, the placenta is that place where everything is controlled from the atmosphere to the lack of harshness from realities like demos, teargas, cash crunch, frenemies, global warming, traffic, inflation, idle politicking, sanctions and blackmail. Besides, if hues and cries and piercing pains are anything to go by, a lot is left to be desired in the labor ward.

So, a day to the EDD your wife will confess to having craved for chips and since she cooks them so effortlessly, you’ll encourage her to let the unborn baby have what she is desiring, be it chips. And in a few, the table room will be filled with sweet aroma emanating from the kitchen where your wife and her bulging belly will be cooking for the baby and yourself, her last meal before she crosses the bridge to parenthood. Halfway the cooking, she will drop the long cooking spoon and run to you, holding her back with one arm complaining of a sharp pain. The impact of the pain will be enough to smoke out a bit of tear drops in her eyes and have her form a paranoid face. All this will happen at the backdrop of dawning labor pains that will have no clear recognition to first-timers. So anything close to pain will be enough to call a press conference and make a quick call to Eston, your cab guy. It will also be prudent to let the chips burn out in the kitchen as compared to handling the pain from your wife. Later, you’ll walk to the kitchen to serve what will have been saved from the savage of burning out. However, you’ll only manage to have some few bites courtesy of the tension building on.

Two hours later, the pains will have become more frequent at intervals of 30 – 40 minutes. By then, you’ll have consulted Doctor Google who will have it that the pains are called contractions. And that they’ll be signs of true labor if they come at a time when the EDD is expected. Upon reading that, your heart will skip with fear and excitement. The two feelings will interlock and do a Jaguar – Babu Owino fist out at your dismay. Further, Doctor Google will have it that, it will be highly important if one times the intervals of the contractions and probably, record them somewhere. The following will be the reason; For first-time mothers, true labor is placed when the spacing of the contractions is at the intervals of eight minutes while for the rest of the mothers, true labor kicks in when the contractions space in between ten minutes interval.

While you’ll gladly communicate this to your wife, she will have none of it and so will you. You’ll rather seek an interpretation from the nearest hospital in your list of options. What will follow will be you picking the small suitcase that will have ‘mother & baby items’ and place it at the doorstep as you make a call to Eston. He will not disappoint. At 11:44pm, he will have showed up at your gate. Both of you will make a brief prayer committing everything to the Lord and requesting for His protection and guidance in this uncharted path. You’ll walk out quietly, careful not to trigger any curiosity to your neighbors. In less than 10 minutes, you’ll have arrived at the hospital waiting to be attended. While at it, you’ll hear screams from the labor ward, of mothers pushing hard and cursing in equal measure. You’ll turn to your wife and pretend not to have heard the noise, just not to scare her further.

After an examination, your wife will be reordered to revert home as her cervix will have had zero opening and that the so-called pains she will be experiencing will be premature. In fact, the doc there will be like; “we need 10cm opening.” You’ll drive back home dejected, scared by what type of pains and magnitude to expect; wondering how your wife will handle them; bothered if that cervix spacing will ever be possible to attain and further agonizing if Eston will pick your call at 3:30am if the pains become intense and unbearable. No sooner you arrive home than the pains will drift closer together in intervals of 20 minutes. You’ll practically not sleep that night apart from massaging her back and persistently timing the pains and hoping hours ahead will speed up. You’ll miss daylight and all its safety.

At 5: 25am, you’ll have fully prepared and made way to the hospital again, this time not ready to revert back to the house without a kid in the arms. Luckily, she’ll be earnestly admitted and pronounced as to be experiencing true labor. She will be issued with those fluffy and oversize maternity gowns that will make her look like a Langa’ta Women’s prisoner. No pun intended. You’ll notice buds of fear placed at the corners of her eyes. You’ll try to ignore them as you whisper words of encouragement that in fact, will do little to suppress the fear in you too.  As that unfolds, her phone, as well as yours, will keep on buzzing from curious family members and friends eager to know if the baby will have popped out yet. While the calls will create more anxiety, you’ll advise your wife to switch her phone off and leave it to you, to convey the information as to when it’ll be appropriate. A friend of hers, actually twice her age will call you requesting to know if you picked a woman friend to help your wife as you embarked to the hospital. You’ll lie to her that you did so. As soon as you hang up, you’ll wonder how in the 21st-century husbands can’t drive their women to maternity wards in peace and in the company of nobody else apart from maybe their pet dog, one Poppy!

Not even your mother in law or your own mother will have the closest of information on what will be transpiring at this moment but instincts will be screaming something to their heads. While at it, you’ll stop the nurses along the way, humbly requesting to know the fate of your wife. Some will be receptive while others will be as cold as a club bouncer. The latter will have no feelings to let nor sympathize with your poor self. But there will be some who understand keeping up with a pregnant woman for nine months and overseeing all the hullabaloo and drama that comes with it, is no mean achievement. One such nurse will be Nurse – Angeline. She will have lots of things happening on her taste of hairstyle which will make her stand out anyway. Upon posing the question of the fate of your wife, you’ll notice her honest smile and reassurance even before she speaks. You’ll also notice the narrow gap between her front teeth that will make her smile more customized and memorable.

That evening, you’ll walk home to meet your house literally walking to you demanding to know how everything turned out. “Did the baby come?” the matrimonial bed will ask. “What is the gender?” the utensils will pose to you. “What is the weight of the baby?” The electronics will beg to know. The half-eaten chipos of yesternight will still be on the table mapping out what will seem to have been the most hectic 24 hours of your lifetime. Meanwhile, you’ll sit down and draft short messages conveying great news of the birth of your baby, a few hours ago, to people around you who seem to matter most. Before then, you’ll have called your mum as the first recipient of this privileged information and she will recite a gratitude prayer right on the other side of the phone conversation. She will be glad of her son, finally walking into parenthood while she is alive to witness it as it unfolds. To God be the glory.

By Day 2, your wife will have made lifetime friends from her hospital bed from the likes of Milly who despite losing a new baby born, will be a walking piece of inspiration. She will be extremely prayerful, overly kind and unbowed by the circumstances of losing a child. She will have coastal origins from her Swahili command to her plus-size demeanor. Then there will be sad stories of women who have braved marriage violence for their entire pregnancies. There will be more cold ones like of kids born with deformities and had their mothers take off leaving them at the mercy of the hospital. There will be some to extremely sympathize with; like of women who’ve endured bleeding from their fourth month of pregnancy compelling them to be hospitalized to the end of their gestation period; while others won’t deliver until their blood pressure stabilizes. Then there will be this slender, light-skinned Form two girl, admitted in the same ward with your wife. She will not have a child lying next to her. You’ll learn that she survived a rape ordeal, got impregnated in the melee and had the dignity of carrying the pregnancy to the ninth month. She delivered one and half years ago, an innocent baby boy. But why the girl will be back in the hospital is because she will have pains around her belly which in a few days ahead, will be booked in the theatre after it’s established if she has developed some tumor in her stomach, through an X-Ray process. Your wife will also have made friends with one woman who gave birth to 1.5kg underweight infant baby and got trapped in the hospital since the bill was too high for her and her family to settle. The last you had about it, it was way past sh.100,000.

Looking forward to Part 2 of Maternal Moments!!

 

Create a free website or blog at WordPress.com.

Up ↑

%d bloggers like this: