I got my new part time job. I started last week. I was excited but it was so sad. My first birth handle the baby was already dead inside the womb of the mother. The patient came in with no prenatal check-ups even once. She had a very small tummy. I tried to check the baby’s heart beat but I heard nothing. She started pushing and baby was out after two pushes. It is so sad holding a lifeless baby. I used to catch babies who are crying out loud after being born.

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.