Women’s Health

Women’s Health (190)

Dear doctor,

I have heard about pre-pregnancy care and am not sure why I need to be assessed before conceiving. Should I not just get pregnant and then start my antenatal care after the event? 

The concept of pre-conception care has been around for some time, though not very well popularized in our part of the world. In basic terms, it’s a reproductive health assessment just prior to embarking on a planned pregnancy. Majority of couples miss out on this important assessment, partly because most pregnancies are unplanned.

Dear doctor,

I have had several scans in my now advanced pregnancy, and each gives me a different estimated due date. Am now frustrated and confused, and unsure which date to use for my planning. Please help? 

The average length of a human pregnancy is about 40 weeks. It is important to have an estimated date of delivery from the outset. This helps define certain key milestones as the pregnancy advances. You are also able to plan your working schedule, maternity leave and other aspects of your life once you have an idea about when you might expect to deliver. 

Dear Doctor, October seems to be the month where screening for some Women cancers gets highlighted. Why is this the case, and which cancers should I routinely get screened for?

You are right, October has traditionally been the breast cancer awareness month. This is an annual campaign not only to raise awareness about breast cancer, but also to remind women to take steps for prevention, screening and early detection of the disease. Other gynecological cancers should also not be forgotten. This annual event should serve as a prompt for screening for other cancers as well.

 

Dear doctor,

When I had my last baby in 2010, I had both of my tubes tied. Am now in a new relationship and would wish to have a baby. Is the procedure reversible? 

The tying of fallopian tubes is commonly referred to as Bilateral Tubal Ligation (BTL). It is a permanent method of contraception, and should always be taken as such. Once the procedure has been done correctly, the chance of spontaneous conception is almost nil. A problem arises when a change of mind occurs and future childbearing becomes desirable. 

Dear doctor,

 

I am in the 24th week of my 2nd pregnancy. I have just had a scan that suggests my fetus has major developmental abnormalities. Why has this happened and what should I do? Please advice. 

 

The diagnosis of any abnormalities in an unborn baby is very distressing. Luckily this occurs in only a small proportion of all pregnancies. Some abnormalities will just be minor, and tend to be compatible with life. Major abnormalities may be incompatible with life. Still, other abnormalities may be amenable to surgical correction, either prior to birth or after the baby has been born. 

 

Contact Dr. Murage

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Contact Dr. Kizito

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Ofiice Aga Khan University Hospital, Nairobi
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