SEMINAR ON 4th JULY, 2015

You are cordially invited to the next ‘ Meet the Practitioners’ seminar.

This is an interactive seminar which brings together health practitioners to discuss critical issues in maternal and child health.

Topic: Bleeding in pregnancy; newborn care

Date: 4th July 2015

Venue: Christ the King Hall, Accra, near Flagstaff House

Time: 11:30am

Come with all your questions on the topic and our practitioners will provide you with answers.

Entry is absolutely FREE.

 

2015 INTERNATIONAL DAY OF THE MIDWIFE

5th May of every year is a day earmarked for the celebration of ‘international day of the Midwife’ worldwide. The day was instituted and launched in 1992 by the International Confederation of Midwives (ICM) to recognize the role and importance of midwifery in maternal, neonatal and child health.
In Ghana, this year’s celebration was held in the Western Regional capital, Takoradi under the theme;“The world needs midwives now more than ever” with a sub-theme “Midwives for a better tomorrow”. High profile dignitaries including the Registrar of the Nursing and Midwifery Council (N&MC) Mr. Felix attended the ceremony.
In his solidarity message to the gallant midwives, MrFelix Nyante commended midwives globally for their commitment to reducing maternal and child mortality. Mr. Nyante stated that Ghana needed

proactive leadership skills and professional training to churn out professional midwives and nurses for the country.
‘’when midwives are properly trained they can contribute to the reduction of two thirds of all maternal and child deaths” he stressed.

He mentioned that in enhancing the midwifery profession in the country, the Council is in the process of reviewing the curricula for the training of nurses and midwives with the introduction of entrepreneurial skills and nursing informatics.
‘’with a course in entrepreneurial skills, the Council would not expect a midwife or a nurse who has been issued with a license to go round looking for a non-existent job” he said.
Mr. Nyante also advised the midwives to maintain their professionalism by upgrading their professional knowledge and renewing their Professional Identification Number (PINs) yearly.
The Registrar also called on Ghanaians to commend midwives in their communities for their selfless commitment in ensuring that Ghana attains the Millennium development Goals 4 and 5.

The economic and social impacts of maternal death

By Tezeta Tulloch, Communications Manager at the FXB Center for Health and Human Rights at Harvard University

What happens when a mother dies? In the West, the most ready and obvious answer is grief – the harrowing emotional and psychological toll of losing a loved one. A mother’s death is largely viewed as a private tragedy that will grow more manageable in time.

But in many developing countries, a mother’s death is much more than an emotional crisis, often leading to long-term social and economic breakdown, both for her immediate family and the wider community. This topic is explored in new depth, in a special issue launched today in Reproductive Health (an open-access journal).

“The True Cost of Maternal Death: Individual Tragedy Impacts Family, Community and Nations” focuses exclusively on the immediate and longer-term effects of maternal death on surviving children, households, and communities. It features seven studies, with data drawn from four African countries – Ethiopia, Kenya, Malawi, and South Africa.

The research was conducted by two research groups, one led by Harvard’s FXB Center for Health and Human Rights, and the other a consortium made up of Family Care International, the International Center for Research on Women, and the Kenya Medical Research Institute (KEMRI)-CDC Research and Public Health Collaboration. The results provide hard evidence that a mother’s loss can devastate the livelihoods, quality of life, and survival chances of those she leaves behind.

Long-term consequences

When a mother dies or is disabled from causes related to pregnancy and childbirth, the consequences are interlinked, intergenerational, and extensive.

Financial instability was one of the key issues identified. Mothers are not only caregivers at home, but contribute substantially to household income. The loss of that income can severely undermine a family’s ability to access basic necessities, such as food, shelter and health care. Funeral costs alone can ruin a household’s economy.

In addition, loss of education was also a problem, with older surviving children more likely to leave school. For many girls, the only viable options that remained were early marriage and early motherhood. Both school dropout and early marriage tend to renew the cycle of poverty for the next generation.

There was also increased mortality among children whose mothers had died. The research found that newborns whose mothers die in childbirth are far less likely to reach their first birthday than those whose mothers do not die, or who die from other causes. Early marriage was linked to higher maternal mortality and therefore to increased infant and newborn mortality.

Finally, difficulty managing the household was also identified as a key ripple effect of maternal death. Fathers and surviving children are often hard-pressed to take on the myriad tasks performed by one woman. To ease the burden of care, children may be sent away to live with other families and this separation can further damage family integrity.

The studies in the new issue point to crucial gaps in existing health policies and systems, but also suggest a need to overturn traditional beliefs about the value and efficacy of women.

Looking to the future

Along with providing suggestions to inform the work of donors, policymakers and policy implementers, each study underscores the fact that the continued marginalization of women – in particular, poor women, religious and ethnic minorities, and disabled women – is neither consistent with human rights principles nor conducive to overall intersectoral collaboration.

As the Millennium Development Goals draw to a close and the formulation of the Sustainable Development Goals gets underway, it is increasingly clear that vigorous attention to maternal, newborn and child health must be central to the development planning agenda.

Health and policy stakeholders, along with communities themselves, must understand that maternal mortality is a health issue, a human rights issue, and a social justice issue.

TALKING ABOUT JAUNDICE

My child is 2 years. He cannot sit on his own. His head still lags behind him when I lift him up and he is not talking yet. My husband has deserted me because of this. He has taken the eldest son away to stay with his sister and left me alone to fend for this 2 year old. He takes care of the eldest child but does not spend a penny on the upkeep or medical bills of this 2year old……
This is the story of a mother.
When I enquire about the birth and early neonatal period, I learn that when the child was just a day old, mother noticed that baby’s eyes were yellow. Three days on, the child became weak and refused to suck at the breast. She took child to the hospital but at the hospital she encountered another woman whom she had met during her antenatal classes. She happened to strike conversation with this other woman and told her about her baby whose eyes were yellow.
“But this is not hospital disease”… the woman exclaimed!
So this mother left the hospital without waiting to see a doctor or even verify what this woman had said with any health worker!
At home child got worse, was refusing feeds so they took to a herbalist, who put the child in sunlight in the mornings and later bath the baby with some herbs. The yellow eyes resolved and they sent child home. But as the baby grew mother realized that his development was very slow and so sought medical help.
But alas the damage had been done. Currently child is having supportive therapy; physiotherapy, occupational therapy to help child live as much a meaningful life in the confines of his developmental delay.
This is a sad story of jaundice.
Jaundice is simply the yellow colouration of the eyes, or skin.
It is a common occurrence in babies. It is easily managed but if left untreated and managed adequately it can lead to very detrimental effects. The most feared complication of jaundice in babies is called kernicterus. This results from severe brain damage which tends to affect the later development of the child.
What causes jaundice in babies?
The causes are myriad and you need to get the baby to the hospital to be evaluated to determine the cause as well as manage the jaundice.
Some of the causes of jaundice include
• Incompatibility between mother and baby’s blood group. Example mother ‘s blood group is O and baby’s blood group is B.
• Rhesus Isoimmunisation. Big word ha! There are two ways medical people classify blood group; the ABO and the rhesus grouping. The ABO is when you are either an A blood group or B blood group, O blood Group or AB. The rhesus D group is either positive or negative. Usually your blood group would be reported as both the ABO and Rhesus D grouping. So usually you would be told you are A positive or B negative etc.
In rhesus issoimmunisation, the mother’s blood group is rhesus negative and the baby’s blood group is rhesus positive. God has designed it that the baby in the womb has his or her blood separate from the mother’s. However if somehow some of the baby’s Rhesus Positive blood should enter the mothers blood stream( during detachment of placenta) the mother’s blood which is rhesus negative will identify baby’s blood as foreign and ‘strange’and start producing antibodies to fight baby’s blood. This can cross the placenta into the baby and destroy the baby’s blood in the womb and can continue after the baby is born to cause jaundice and even anaemia( low blood level)! For such rhesus negative mothers their first babies are spared the risk of jaundice. Subsequent babies are at a higher risk of developing jaundice and it can be very severe. It is recommended for rhesus negative mothers to have anti D immunoglobulin injection after each pregnancy to reduce the risk of this rhesus isoimmunisation.

• Infections. Infections acquired before, during and after delivery can result in the breakdown of the RED blood cells in the blood which can lead to jaundice.

• Inherited defects of the red blood cells of blood like G6PD, abnormal shapes of the red blood cells such as spherical (called spherocytosis) or elliptiform shapes (called elliptocytosis). These can result in rapid breakdown of the red blood cells leading to jaundice.

• High level of Red blood cells in the blood. This can happen in big babies or small babies (preterms or babies that had restricted growth whiles in the womb), or occur when blood is transferred from one twin to the other twin leading to one twin having too much blood while the other has low blood level in the womb.

Jaundice may be present at birth or may appear at any time during the first 28 days of life (neonatal period) depending on the cause. The jaundice usually progresses from the head to the toes. If it reaches the soles it indicates a higher level of jaundice than when it is just limited to the face.

Jaundice can kill or cause severe brain damage. These sad events can be prevented if you seek help early for the baby. Do not disregard jaundice in a baby, it can kill and maim for life!

MALARIA VACCINE TRIAL

Geneva, 24 April 2015 – Gavi, the Vaccine Alliance and the Global Fund to Fight AIDS, Tuberculosis and Malaria welcome the results of a large-scale trial of a malaria vaccine candidate in sub-Saharan Africa.The results suggest a malaria vaccine could eventually have a role alongside mosquito nets, indoor spraying, prompt diagnostic testing, effective anti-malarial medicines and other tools in reducing the disease’s impact among children in sub-Saharan Africa. The phase three trial of the RTS,S malaria vaccine candidate showed a 54 percent reduction in cases of clinical malaria over the first year of follow-up and a 36 percent reduction in clinical malaria over a 48 month period among children vaccinated between 5-17 months old who received four doses of the vaccine. On average across the trial sites, more than 1,700 cases of clinical malaria were averted per 1,000 children vaccinated. For infants who were vaccinated aged 6-12 weeks, the reduction in clinical malaria was 26 percent over a follow up period of 38 months. The five year trial concluded in January and involved 15,459 children and infants. The trial was conducted across eleven research centres in seven African countries in partnership with GSK and the PATH Malaria Vaccine Initiative.Responding to the new results, Dr. Seth Berkley, CEO of Gavi, the Vaccine Alliance, said: “Given the huge disease burden of malaria in developing countries, particularly in sub-Saharan Africa where it kills hundreds of thousands of children every year, today’s results will be of enormous interest to everyone aiming to improve the health of the world’s poorest people.”Dr. Mark Dybul, Executive Director of the Global Fund to Fight AIDS, Tuberculosis and Malaria, added: “These results are very encouraging and suggest that a vaccine may eventually be an excellent addition to our current tools of mosquito nets and indoor spraying.”The vaccine is currently being reviewed by the European Medicines Agency (EMA), with the Agency expected to provide a scientific opinion later in the year, which could expedite licensure in African countries. If the EMA’s opinion is positive, the World Health Organization’s Strategic Advisory Group of Experts and the Malaria Policy Advisory Committee will make recommendations regarding the vaccine’s use.Gavi and the Global Fund are committed to working together to plan for the possible use of a malaria vaccine, if recommended by WHO and if the Gavi and Global Fund boards decide to support the vaccine, as part of an integrated approach towards malaria control. Both organisations will continue to work in close coordination with the Global Malaria Programme at the World Health Organization, other technical partners and implementing countries. – See more at: http://www.gavi.org/Library/News/Statements/2015/Gavi-and-the-Global-Fund-welcome-malaria-vaccine-trial-results/#sthash.T0O62QKC.dpuf

SEMINAR! SEMINAR!! SEMINAR!!!

CePaCE invites you to its quarterly public interactive seminar with experienced medical practitioners.

Topic for discussion : STIILLBIRTH ( causes, danger signs, possible interventions and available help after experience)

Date: Saturday 21st February, 2015

Time: 11am- 2pm

Venue: Osu Ebenezer Presby Hall.

There will be a clinical psychologist to offer counselling to women who have been affected.

Come and ask all questions that have been bothering you about pregnancy and childbirth.

We will be expecting you.

ADMISSION IS FREE!!! FREE HEALTH SCREENING!!!

Register by sending ‘attend’  by text or whatsapp to 0270586924.

 

CePaCE hands over Neonatal Ventilators to 37 Military Hospital

Centre for Pregnancy and Childbirth Education (CePaCE) hands over Neonatal Ventilators to 37 Military Hospital.
The Centre for Pregnancy and Childbirth Education (CePaCE) in collaboration with the Embassy of Japan, has handed over two neonatal ventilators and four patient monitors with complete ancillaries to the Paediatric Unit of the 37 Military Hospital on Monday 18th August, 2014.
These ventilators which are the first ever to arrive in the country are to help reduce neonatal mortalities that occur due to lack of advance life support equipment in the hospitals. These Servo I ventilators can be used on babies of all weight, therefore addressing challenges of certain premature and tiny babies who may require this support. 37 Military Hospital is the first medical facility to receive new neonatal ventilators in the country.
In her speech, the Project Director of CePaCE, Dr. Genevieve Insaidoo, indicated that “The first 28 days of life called the neonatal period is one of the most important periods in a child’s life and that every baby born deserves a chance to live and hence all levels of care must be available to help babies live.
The Ambassador of Japan, H.E. Mr. Naoto Nikai, in his speech mentioned that the support from the Government and People of Japan towards the provision of the equipment is to emphasize the continuous role played by Japan as one of Ghana’s development partners in meeting its developmental targets. Additionally, improving maternal and child health care is one of the top priorities of the Japanese Government’s Economic Cooperation Policy in Ghana. He entreated the hospital to maintain the equipment for longer usage.
The Commander of the 37 Military Hospital, Colonel Ralph Ametepi, thanked the Centre for Pregnancy and Childbirth Education (CePaCE) and the Japan Embassy for the support and promised that the hospital will ensure that the equipment are used for the intended purposes and also well-maintained.
Background
In October 2013, a media publication by a parent about the Paediatric Ward of the 37 Military Hospital attracted the NGO, CePaCE. Following the story with research and investigations, CePaCE applied for a grant from the Japan Embassy through the Grant Assistance for Grassroots Human Security Projects (GGHSP) scheme. Having successfully gone through the processes, the Government of Japan granted an amount of One Hundred and Twenty Thousand, Seven Hundred and Twenty US Dollars (US$120,720) towards the project. On Monday 18th August 2014, the installed equipment was handed over to the 37 Military Hospital.

supply

WORLD BREASTFEEDING WEEK

WAYS TO BOOST YOUR MILK SUPPLY ?Make sure that baby is nursing efficiently. This is the “remove more milk” part of increasing milk production. If milk is not effectively removed from the breast, then mom’s milk supply decreases. If positioning and latch are “off” then baby is probably not transferring milk efficiently. A sleepy baby, use of nipple shields or various health or anatomical problems in baby can also interfere with baby’s ability to transfer milk. For a baby who is not nursing efficiently, trying to adequately empty milk from the breast is like trying to empty a swimming pool through a drinking straw – it can take forever. Inefficient milk transfer can lead to baby not getting enough milk or needing to nurse almost constantly to get enough milk. If baby is not transferring milk well, then it is important for mom to express milk after and/or between nursings to maintain milk supply while the breastfeeding problems are being addressed. ?Nurse frequently, and for as long as your baby is actively nursing. Remember – you want to remove more milk from the breasts and do this frequently. If baby is having weight gain problems, aim to nurse at least every 1.5-2 hours during the day and at least every 3 hours at night. ?Take a nursing vacation. Take baby to bed with you for 2-3 days, and do nothing but nurse (frequently!) and rest (well, you can eat too!). ?Offer both sides at each feeding. Let baby finish the first side, then offer the second side. ?Switch nurse. Switch sides 3 or more times during each feeding, every time that baby falls asleep, switches to “comfort” sucking, or loses interest. Use each side at least twice per feeding. Use breast compression to keep baby feeding longer. For good instructions on how to do this, see Dr. Jack Newman’s Protocol to manage breastmilk intake. This can be particularly helpful for sleepy or distractible babies. ?Avoid pacifiers and bottles. All of baby’s sucking needs should be met at the breast (see above). If a temporary supplement is medically required, it can be given with a nursing supplementer or by spoon, cup or dropper (see Alternative Feeding Methods). ?Give baby only breastmilk. Avoid all solids, water, and formula if baby is younger than six months, and consider decreasing solids if baby is older. If you are using more than a few ounces of formula per day, wean from the supplements gradually to “challenge” your breasts to produce more milk. ?Take care of mom. Rest. Sleep when baby sleeps. Relax. Drink liquids to thirst (don’t force liquids – drinking extra water does not increase supply), and eat a reasonably well-balanced diet. ?Consider pumping. Adding pumping sessions after or between nursing sessions can be very helpful – pumping is very important when baby is not nursing efficiently or frequently enough, and can speed things up in all situations. Your aim in pumping is to remove more milk from the breasts and/or to increase frequency of breast emptying. When pumping to increase milk supply, to ensure that the pump removes an optimum amount of milk from the breast, keep pumping for 2-5 minutes after the last drops of milk. However, adding even a short pumping session (increasing frequency but perhaps not removing milk thoroughly) is helpful.