Midwifery Made EasY-MNE

02/02/2026

28/01/2026

HOW PAINFUL IS EPISIOTOMY DURING DELIVERY?

🩺 During delivery:
• Usually done with local anesthesia
• Most moms feel pressure, not sharp pain
• Often performed at the peak of contraction

💉 After delivery:
• Mild to moderate soreness or discomfort
• Pain is usually manageable with medication
• Stitches heal in a few weeks

🧊 Recovery tips:
• Ice packs help reduce pain & swelling
• Keep the area clean and dry
• Rest and follow doctor’s advice

💖 Every mom’s experience is different, but proper care makes re

25/01/2026

Breech delivery 👇
Vaginal breech delivery requires a " *hands-off* " approach to allow natural descent until the umbilicus appears, followed by active maneuvers for the legs (Pinard),
arms
(Lovset), and
head (Mauriceau-Smellie-Veit)The midiwive should avoid premature pulling, instead assisting with maternal efforts.
Breech Delivery Maneuvers "Hands-Off" Position: The attendant waits for the fetus to descend naturally until the scapula is visible.
👉 *Pinard Maneuver (Leg Delivery):*
If legs do not deliver spontaneously, the clinician applies pressure to the popliteal fossa to flex the knee and sweeps the leg out to the side.
👉 *Lovset Maneuver (Arm Delivery):*
Once the scapula is visible, the baby is rotated 90^ to 180^ (degree) of the cycle while applying gentle traction to bring the arms down across the chest.
👉 *Mauriceau-Smellie-Veit Maneuver (Head Delivery):* The baby rests on the attendant's forearm, with fingers placed on the maxilla to flex the head, while the other hand applies downward traction on the shoulders.
👉Modified Prague Maneuver:* If the occiput is posterior, this involves elevating the fetal lower limbs towards the mother's symphysis p***s while applying traction.Forceps for Aftercoming Head: *midwifery Critical Tips* 👇
✅Maintain Flexion* :
The head must remain flexed throughout delivery.
✅Avoid Hyperextension: Do not allow the neck to overextend, as this complicates delivery.
✅Support Body Weight: The body should be supported, not pulled, to prevent nuchal arms.
For more information what's App on 0976545395

08/01/2026

EXAMPLE OF S-BAR COMMUNICATION👇
👇
Mrs. Banda was referred from Katete Urban Health Center for a hospital delivery. Her labor progressed well, and she delivered a live, male, mature infant with Apgar scores of 9/10 at one and five minutes.
Ten minutes after delivery, she started bleeding, and a diagnosis of postpartum hemorrhage (PPH) was made. Her uterus was massaged, oxytocin 10 IU IM was given, and 20 IU in 1000 mls was started. Misoprostol 800mcg and tranexamic acid (TXA) 1g were also administered, but the patient is still bleeding.
On observation, her blood pressure is 90/50, her pulse is 110 bpm, her respiratory rate is 22 bpm, and her uterus remains soft. Using
S-BAR Communication call the Doctor.

Here is how you would communicate this situation using the S-BAR (Situation, Background, Assessment, Recommendation)

*S - Situation

Hello Dr. P. I am calling about Mrs. Banda, who is experiencing ongoing postpartum hemorrhage despite initial interventions .

*B - Background*

She was referred from Katete Urban Health Center for hospital delivery and delivered a live male infant .10 minutes after delivery she started bleeding. She has received a uterine massage, Oxytocin 10 IU IM and 20 IU in 1000 mls IV, Misoprostol 800mcg, and TXA 1g IV. She is still bleeding heavily, and her uterus remains soft.

*A - Assessment*

"Her vital signs are a blood pressure of 90/50, pulse of 110 bpm, and respiratory rate of 22 bpm . The bleeding is persistent, and the current interventions are not effective. I am concerned about her clinical status and potential hypovolemic shock.

*R - Recommendation*

I recommend you to come immediate and do assessment. OR Please could you come and review the patient immediately?"

17/09/2025

MEMBRANE SWEEP

👉 A procedure done near the end of pregnancy to help start labor naturally

👉 The doctor or midwife sweeps a finger inside the cervix to separate the membranes from the uterus

👉This releases hormones (prostaglandins) that may trigger contractions

👉 Labor usually begins within 24–48 hours, but not always

😌 Some women feel cramping, spotting, or discomfort after the procedure

25/07/2025

Urinalysis

# # What is Urinalysis?
Urinalysis is a common test that analyzes urine to detect and manage various health conditions. It checks for abnormalities, signs of infection, or other indicators of disease.

# # Components of Urinalysis
1. Physical Examination: Looks at urine color, clarity, and concentration (specific gravity).
2. Chemical Examination: Uses dipsticks to test for substances like:
- pH: Urine acidity.
- Protein: High levels may indicate kidney damage.
- Glucose: Presence could suggest diabetes.
- Ketones: May indicate diabetes or fasting.
- Blood: Could signal infection, stones, or injury.
3. Microscopic Examination: Checks for cells, crystals, bacteria, or other elements like:
- Red blood cells: Possible kidney or urinary tract issues.
- White blood cells: May indicate infection.
- Bacteria: Suggests urinary tract infection.

Uses of Urinalysis
- Diagnose urinary tract infections (UTIs): Detects bacteria or white blood cells.
- Check kidney function: Looks for protein or blood.
- Monitor diabetes: Checks for glucose or ketones.
- Detect substance use: Some tests check for drugs.