This was one of my favorite pictures of pregnant women. This was taken during one of my health teachings. I really like it when they listen intently and have some fun. I love to make jokes to them. It is so much when you see them laugh at the same time learn from the things they needed to know about pregnancy, fetal growth and development, nutrition, breastfeeding, family planning, labor and delivery and so on.

In my nine years of practice, I observed a lot of older women have prolong labor and ended up having caesarean section. I think it is not just a physical condition that causes them to have long labor but I think psychological aspect plays a vital part of it. It seems that older women who are pregnant for the first time think that they will have a long labor and some think they will have caesarean section. It is already imprinted in their minds. I always tell those women to think and condition there minds that they will have a normal labor and delivery.

Scientists at Cambridge University have found that advancing age is associated with impaired uterine function, specifically a lesser degree of spontaneous contraction and a change in the type of contraction. This is thought to result in poor progression of labour and therefore increase the rate of caesarean section.

This was taken during one of the busy shifts in our clinic. These are my co-workers. It is so fun to deliver many babies in a shift. It is amazing to know how babies born at the same time or almost at the same time. It is so crazy when they come at the same time. 6 Midwives versus 9 babies… and the winner …………….BABIES!!!

I really thank God for the wisdom he gave me helping our patient. We had a patient who was in labor for a long time. Normally, the normal labor pattern, the patient should progress one centimetres every hour. Our patient was 6cm dilated (10 cm cervical dilation they are allowed to push) only progressed 2 cm for almost 12 hours. So we are already planning to transport her. But before that I did AROM ( artificial rupture of membranes) sometimes it helps the baby’s head to descend and open the cervix more. Thankfully, after AROM, she was already almost 10 cm and had the urge to push, so I let her push. She had a hard time pushing her baby’s head. Finally, about more than an hour of pushing, her baby came out. Everyone was so happy. Both of the couple cried. To God be the glory.