You’re pregnant! Congratulations! (Or not?)

A warm welcome to today’s post! I trust you have had a great time since the last blog and that you are already inspired to take positive measures towards better sexual well being.

positive steps

Why not let other black sisters know what new steps you’ve taken. Drop a comment in the box below and you can also let me know if there are any burning sexual health issues you would like to discuss.

One of the commonest things ladies ask me about is contraception. Once I have been introduced to a woman and she learns that I am a doctor, the very next chance she has, she pulls me aside and say ‘Oh doctor, I have been meaning to see someone about this, please what contraception should I be using?’

People want answers to medical issues that they face daily and that is a good thing. The more informed we are, the more equipped we are to make positive choices.

This blog looks at sexual health issues. Make sure you click the ‘follow’ button so you don’t miss out on any posts.

So – do you remember Amina?-(If you haven’t met Amina, please read my earlier blog at https://adaezeifezulike.wordpress.com/2013/09/25/contraception-to-ignore-it-or-tackle-it-that-is-the-question-2/).

She found herself with an unplanned pregnancy and had come to the family planning clinic to request an abortion. This happens only too frequently.

We had established that Amina used condoms sometimes and nothing at other times. We will be focusing on condom use in a later post… so watch out!

“So how would you want to proceed from here?” I asked, gently.

“What else can I do, doctor? Abortion is my only option! We couldn’t possibly afford a fourth child,” her eyes brimmed over with tears again.

“How would you feel if I mentioned some option?”

“Like what, doctor?”                                                                                                                  “What are your thoughts about adoption?”

“What! Have the child and then give it away? God forbid!” She exclaimed. “Our culture does not support adoption…You should know that, doctor,” she ended reproachfully.

“Well, more and more black families are choosing to adopt children, especially those who can’t have their own kids,” I replied with a smile.

“I really don’t know about that. I don’t think I could go down that route, doctor. Any more options?” She asked hopefully.

“What about keeping the pregnancy?”

She shook her head slowly and gave a loud sigh. “We can’t afford another child, really. But I will discuss adoption with my husband and see what he thinks.”

“Ultimately the decision is yours and we are here to help. It’s only fair I highlight other options to you and you can let me know what you decide to do. Shall I see you back in two days or a week’s time?”

She booked an appointment for a week’s time.

When faced with an unplanned pregnancy, what do you do? Many black communities see adoption as something foreign and that means that option is not even considered in many cases. Should we encourage more adoption? What are your views?

What other options are there to abortion?
abortionWhat would you put in the fourth small circle on the left? Remember: the whole point of this blog is to prevent you from getting to the point where you face an unplanned pregnancy in the first place. Effective use of contraception will help this.

Amina came back to see me a week later. I am sure you would want to know what she decided to do so please stay tuned.

Until next time, have a great week!

Dr Adaeze.

Contraception- to ignore it or tackle it…that is the question!

Its one of those issues that confront women at one time of their lives or another. It just wont go away! Atleast not while sex continues 😉

Many ignore it at their peril. Others barely tolerate it as a necessary evil.

Where do you stand?

Consider my discussion with Amina below (name changed to protect patient’s confidentiality).

Amina looked at me, her eyes filled with tears.

“I need your help, doctor, I’m pregnant again.” She paused as though the fact still amazed her, as if she was hearing the news for the first time.

I waited patiently as she fought with her emotions. When she started to speak again, the words tumbled out of her in a rush.

“It’s my fifth pregnancy, doctor… we had planned to stop… we really can’t afford another baby… I don’t have a job and my husband’s company is making people redundant so we are not sure of his job either…”

She grabbed the tissue I held out to her and dashed it to her eyes.

“I feel terrible. I had an abortion just four months ago.

“It’s… We… I just can’t have another baby.” The tears overflowed again.

When the storm had calmed, I gently enquired what contraception she was using.

“We use condoms… Sometimes.”

“At other times?”

Silence.

And then: “Nothing,” she confessed.

“I just didn’t think it would happen again so soon, doctor.”

The statistics speak for themselves!

Consider the fact that in 2011, in England and Wales, 49% of black women having an abortion had a previous abortion. This is well above the national recurrent abortion average of 36%.

Black women are ignoring contraception with resulting serious consequences. Unplanned pregnancies, soaring abortion rates, HIV/AIDS, Hepatitis and other sexually transmitted infections continue to rule the day.

We must stop and take stock of where we are, Black sisters. Together let’s explore our issues and begin to make changes that will bear fruit.

My blog is committed to informing and equipping black women with the skill and knowledge they need to make positive decisions concerning their sexual health. I encourage black ladies to: implant

 Make the right decision for themselves concerning Contraception and Reproductive Health care.

 Reduce Sexually Transmitted Infections (STIs) rates.

 Knock down Unintended Pregnancy and Abortion rates

 Avoid early teenage Sexual activity and Teenage Pregnancy prevention

 Encourage testing for Human Immunodeficiency Virus (HIV), Hepatitis B and C HIVhepatitis

 Ensuring that early diagnosis of the above infections result in effective treatment and therefore better health for the affected.

Join me as we take this journey. Stay tuned to the blog as I am sure you would love to know what Amina decided to do. Don’t forget to leave a comment as I would love to hear from you (Yes! Your opinion matters!). Like the page on facebook (Why not spread the news?).  Follow the blog so you don’t miss any juicy bits.

Till next time, keep shining!

Dr Adaeze Ifezulike