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#HLWDK Daily Health Tips: How Do I Have Twins And A Boy?
Q: Hi Doc what do I do in order for to conceive a baby boy? And twins?
A: Thanks for writing in. I’ll start with the twin question.
There are factors that could increase your chances of having twins and they include: being a twin, having had twins or having a family history of twins, taking fertility drugs and undergoing in-vitro fertilization.
This was also a dream of mine…have twins in my first pregnancy and never have to visit the labour room/ward ever again! 😀 Well, this was just a dream…it never came to reality. I hope it’s different for you, my friend! 😀
The question on conceiving a boy sounds like the first part of a question I received a while back. This issue is a recurrent challenge in Africa. I will repeat that post below. Here goes…
Dear all, brace yourselves…this is a long post
This question was sent in by a lady who had written a while back with this question: I have two girls. My question: is it possible for me to determine the sex of my next baby because I want them to be boys. Medically, is it possible Dr. K? Thanks.
My answer: Hello madam. How are you doing? There’s no medical way of determining your babies sex ahead of time. Be thankful for your girls and always remember that there are people who would give anything to have a baby (any sex) at all. For more on this, please click on this link
She then wrote this…the question for the day. Please read and also provide some advice especially if you have been through this kind of situation. I would really love to get the views of men on this too.
Q: Good evening, Dr. Ketch. I appreciate your words of encouragement and advice. I love my daughters…they are my life. My problem is my hubby…he wants a male child by all means and that if I don’t give him a male child in my next pregnancy, he is taking in a second wife. I am so confused because at any little discussion of a new born male child from friends & family, he uses it against me that all I know is to have female children. Believe me, I am deeply hurt. I don’t want to lose my home because of child gender.
A: Dear writer, first, I’d like to thank you for writing in and sharing this. This is deep and it is personal…but you chose to share it. I hope that by discussing this, you’ll find some peace and indeed help other women in your position as well as educate the men on this forum too.
The sex of a child is determined by a man. A boy has XY chromosomes while a girl has XX. The woman always contributes the X chromosome. She has no Y chromosome and so no matter how much she desires to have a male child, she cannot provide the Y chromosome. The husband on the other hand, has both X and Y chromosomes and so he, essentially determines the sex of the child. If he provides the X chromosome, that combines with your own X and forms a girl. If he provides Y, that combines with your X and forms a boy.
Having said all of this, I am not unaware that in Africa the ‘burden’ of birthing a male or female child or any child at all is placed on the woman. Family, society and the community at large ensures this issue is compounded by constantly focusing on the woman and in many instances, encouraging the man to marry another wife if his ‘primary’ wife cannot have a child or if she has children, if she cannot have a male child. This is disheartening and has led to the break-up of many homes. In fact, I’ll share my own story. I have three children. Two girls and a boy. I had my two girls first though. I recall that one of my cousins-in-law called after I had the second child and asked me what sex my baby was. Upon hearing she’s a girl, he paused for a moment and said, ‘well, we’ll manage that and wait for the next time.’ To be fair to him, he was smiling (I could hear his smile) when he said it and I’m not convinced that he actually understood the significance of what he was saying…which was essentially, ‘you’ve birthed a second-hand citizen. We like you and so we shall tolerate this one more time. However, you’d better be sure that you get it right the next time!’ It was an out-of-body experience for me. I wasn’t quite sure what to say because every option that came to mind was definitely going to destroy my phone But that’s how bad it gets, people are very vocal about their thoughts on this issue in our environment.
Under this pressure, women who wish to ensure they ‘do not lose their home’ make multiple trips to the labour room, having pregnancy after pregnancy, until some of them unfortunately lose their lives. The sad part is that the very thing they started out wanting to protect, the sanctity of their homes, is lost as the husbands left behind soon marry wives to take care of the children left behind.
So, my dear, I have no easy advice for you. We can’t determine what chromosomes (X or Y) are released at any time, so the sex of the child conceived is totally up to God. I feel particularly sad that your husband rubs it in your face. Even if it were your fault (which it’s not), some support from your husband would have been wonderful. The girl child is not inferior to the male. No, she’s not! In fact, more often than not, she’s the one that remembers to care for the parents when they are old and tired. In these days when women are doing great and awesome things, it’s amazing that in Africa, we are still at the stage of looking down on female children. Great men like Bill Clinton and Barrack Obama have female children only and are perfectly happy with them. If you worry that your female children will not carry on the family name, then let them answer double-barreled names (Okonkwo-Ajibade). If the issue is that she leaves her home to go to another man’s home…hey, remember that you also took another man’s daughter and made her yours. If she runs your business from anywhere, that business is still in the family…even if she later hands it over to her own children. We certainly need to re-think our views on these matters. If a man would continually blame his wife for having girls only, has he ever wondered how he would feel if the case were the same for his daughter and her husband gave her this grief?
Perhaps you can get someone who your husband respects to talk to him about how the things he says hurts you? Or perhaps your family doctor or his parents…if they are supportive of you. I, personally, do not believe that your ability to birth a male or any child at all, can cost you your home. Don’t be mistaken, I am aware that second wives have been brought in on account of this. But my point is that any home that will disintegrate because of this, already had the makings of disintegration and this was just an event that speeded up the process.
Digressing to my story again, my third child is a boy…but that was going to be my last missionary journey to the labour room anyhow 😀 When I was pregnant for him, I had no idea what sex the baby was as I always told the doctors that I didn’t want to know…I always loved the surprise of being given my baby and finding out the sex at that time 😀 So, it was a pleasant surprise to behold my son…who had quite a few pink stuff to wear as I had shopped for both sexes (male and female…just in case). The third was going to be the last (whatever the sex)…I had nothing to prove to anyone and certainly had my whole life ahead of me. I didn’t get grief from anyone (apart from that phone call I had mentioned above) but I doubt that my thoughts on this would have changed even if I had people on my case. I was not going to be defined by the sex of my baby or babies, making countless trips to the labour room. My daughters, by the way, have given me loads of happiness and I cannot imagine trading that joy for anything. I can only imagine what they will do in the years to come! Just in case my son comes across this post, I hasten to add that he’s pretty awesome too 😀
So, my final admonition is this: I need you to get busy and be sure that you have a life…a job, an occupation, a career…something that keeps you busy so that you don’t spend too much time thinking about this. Hopefully, this will pass. But you need to realize that you are worth a whole lot more than your ability to reproduce, male, female or any child at all. You are a unique, fearfully and wonderfully made individual who has a lot to offer this generation. Find your calling, find your purpose and birth it.
Loads of hugs coming your way….
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#HLWDK Daily Health Tips: World Polio Day 2017
Today is World Polio Day with the theme, ‘One Day, One Focus, Ending Polio.’
In honor of this day, I repeat a post I had made on polio a while back.
A couple of years ago, I was notified of a case that involved one of the hospitals on our private Health Insurance scheme and the child of one of our enrollees. This child had a fever that had been on for a couple of days and so the parents were not comfortable anymore and decided to go to the hospital. Predictably, the hospital decided to place this child on antibiotics irrespective of the fact that nothing pointed to the fact that this anything more than a viral infection.
This child could take orally and could very well have taken this unnecessary antibiotic by mouth, but for some reason (whether by request from the child’s parents who wanted something they perceived to be more potent or as a show of ‘we know what we are doing here’ by the hospital staff), a decision was made to administer this drug through intramuscular injection (in English, injection into the muscle…in this case, the butt specifically). To cut a long story short, a while later we got involved as we received a letter from the company of the child’s parent stating that the hospital was incompetent and administered an injection that made the child lose function of her lower limbs. We stepped in and eventually, the gist of the story was that this child was incubating the wild polio virus and the intramuscular injection this child had received converted this to paralytic polio! In English, this child now found it difficult to walk. Just like that!!!
Okay, why am I telling this story? Well, first it was world Polio day on the 24th of October…sometime last week. As the events to mark the day were rolled out, I thought about this case I’d just told you about and I wondered about that child and how much use of her limbs she has now. And then I wondered how many other parents coerce their health care providers to give ‘stronger’ medicine in the form of injections so that their children would be better, quicker? How many healthcare providers fall for this ‘persuasion’ or even sometimes, downright ‘instructions’ from their patients or patient’s parents? How many even have an idea of how Polio is transmitted and how they can effectively guard against this? If you don’t have the right knowledge, you’ll fall for anything. A good example of this is a story I heard about a quack practitioner somewhere in the country a couple of years ago who made money off hardworking traders by claiming that he could help them wash out the impurities in their blood. For the people who fell for this scam, he would admit them into his ‘hospital’ and then set up an infusion with diuretics in it. In simple terms, diuretics are drugs that make you urinate a lot. So the guy sets this up and then fixes a urinary catheter (a tube that collects urine from a person’s bladder into a urine bag) for them so they can see the quantity of urine their bodies were making. The impurities were meant to be in the vast amounts of urine being poured out! I am just shaking my mind at the amazing gullibility and ignorance that makes us fall for anything and makes unscrupulous people take advantage of us. By the way, this guy was picked up by the police some time back.
But, I digress…back to the Polio discourse. How is the polio virus spread? It is spread through faeco-oral contact. I will describe this. A child with the wild polio virus defecates and sheds the virus in his or her poo. This faeces can contaminate water sources or can get into food as a result of inappropriate or lack of hand washing and basic hygiene and this cycle continues. Once one case is diagnosed, it is thought to be an epidemic already as one can be a carrier of the virus for a long time before symptoms actually show. The initial symptoms include fever, tiredness, headache and limb/neck stiffness.
Not everyone infected with the virus actually develops paralytic disease. There are some pre-disposing factors to the development of paralytic disease and they include intramuscular injections (like the baby in the story above), injuries, strenuous exercise, pregnancy, immune deficiency and removal of tonsils. Does this mean we should trash our exercise routine (you wish :D) or not get pregnant (let’s watch you convince your spouse :D)? The point being made is that these groups of people are prone to this and should ensure that they practice proper hygiene and sanitation to prevent this, given its mode of transmission.
All children below the age of 5 years should be immunized and booster doses given whenever the Government sends out her officials to do so. It’s not cool to send them away as if they were some troublesome ‘pests’ disturbing your peace. Their jobs save lives. If enough children are immunized, the cycle of infection can be broken and our children will live healthier, longer and better lives. Remember, there’s no cure for polio…only treatment to deal with the symptoms.
Have a good night y’all 😀
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A doctor’s recipe for a healthy breakfast – Harvard Health
Hello y’all! What did you have for breakfast today? Was it healthy? or not? ;D Well, here’s Harvard Health’s recipe for healthy breakfast. Read!
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#HLWDK Daily Health Tips: World Heart Day 2017
September 29 each year is set aside as World Heart Day. This day was founded to spread the news that heart diseases and stroke remain the leading causes of death worldwide. This year the theme for the day was Share the Power! You know your heart powers your body! Do you know that the things you do affect how well your heart powers your body?
.
What can you do? You can start by focusing on four lifestyle habits:
• Food:
o Eat more heart healthy foods like fruits and vegetables.
o Use heart healthy oils to cook (eg olive oil) and be sure to use small amounts of even that.
o Limit your intake of salt, sugar and processed foods
• Exercise:
o Create opportunities to exercise and be more active.
o Try and get a minimum of 150 minutes of exercise weekly
o Focus on activities that you love eg dancing, walking, jogging etc
o Find innovative ways to get more exercise
Dance or perform jumping jacks during commercial breaks while watching your favourite TV shows
Pack your car a little farther from your office and walk the rest of the way
Or stop a bus stop away from your usual and walk the rest of the way
Have standing meetings at work
While at work, get up every 1 hour and stretch
Join a dancing class
Get up and walk around every time you’re receiving a call
Put your phone box a little farther away from you in the office so that you have to get up to pick it up when it rings
• Smoking: Quit smoking! There’s no easy way of saying this. There’s no recommended amount of smoking per day. It’s just plain bad for you! Remember that second-hand smoke is just as bad for the people around. For tips on how to go about this, please click on this link: https://chatwithdrketch.com/2015/04/08/daily-health-tips-i-want-hep-to-quit-smoking/
• Alcohol: Reduce your consumption of alcohol and if you don’t drink, please don’t start! For more help with this, please click on this link https://chatwithdrketch.com/2013/12/07/daily-health-tips-alcoholism/
Ensure that your work, sleep and play and environments encourage healthy eating, exercise and discourage smoking and limits alcohol.
Have a great weekend, everyone 😀
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Saturday Hygiene Tips proudly brought to you by Oral B!
We often times focus a lot on the techniques for brushing our teeth and teaching children to brush their teeth and we hardly pay attention to the equipment for brushing. We want to rectify this. Here are our top tips for brushing teeth right.
• Use the right tooth brush:
Consider the size of your mouth or your children’s mouths when picking a toothbrush. You shouldn’t have to strain to accommodate the toothbrush in your mouth. The handle should also be very comfortable. Remember, the more comfortable the equipment is, the more likely your children are to use it frequently.
• Pick the right bristles:
We’ve always thought that the harder the bristles are the better they get the job done…right? Wrong! The bristles should be firm enough to get the job done but not so hard as to damage or aggravate the gums.
• Duration and Frequency of brushing:
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Have you checked your blood sugar lately? – Harvard Health
Most people assume that when you go to the hospital for a check, something is always found that is wrong. Is that really true? I don’t think so. If you have never checked your blood sugar, you should read this!
https://www.health.harvard.edu/diseases-and-conditions/have-you-checked-your-blood-sugar-lately
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#HLWDK Daily Health Tips: Red Degeneration
Q: Good day Doc, please I went for a Scan and the Doctor said I have fibroid. He said that the Fibroid is degenerating. I do not understand the meaning and he said the Fibroid cannot stop me from conceiving. Please ma’am is there any medication that can terminate the fibroid completely, so that I can have my Children.
A: Fibroids can co-exist with pregnancy in which case pregnancy may be normal or associated with breech pregnancy, pre-term delivery (delivery of pre-mature babies) etc. However, once a woman registers in a good antenatal center under a good obstetrician, these issues will be anticipated and addressed promptly. Please be sure that you are seeing an obstetrician who will help you during this pregnancy. Many patients with fibroids in pregnancy have normal pregnancies and deliveries.
Some women find out for the first time that they have fibroids when they get pregnant. Most of them cause no problems during pregnancy. However, some of them may act up.
Fibroids during pregnancy are managed conservatively…that is they are not managed aggressively. It’s kind of a wait and see approach. A condition called red degeneration in which the fibroid outgrows its blood supply causing it to turn red and die can occur. This leads to intense abdominal pains and contractions.
Will this pain last forever? Usually it occurs around 12 to 22 weeks of pregnancy and bed rest for a couple of days coupled with pain killers should do the trick. Judicious fluid intake is also advised.
For more on fibroids, please click on this link:https://chatwithdrketch.com/2014/05/29/daily-health-tips-are-there-other-treatment-methods-for-fibroids-other-than-surgery/
Good night, y’all 😀
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#HLWDK Daily Health Tips: Sexual Dysfunction
Q: Good evening ma’am, I must commend. You’re really doing a good job by enlightening people. I pray God will richly bless ma’am. But please ma’am, I want to ask, what can I do to get rid of premature ejaculation? I’ve been battling with it now for like 4-5 years without taking any medication for it. I thought it is just temporal, but now seeing that the symptom still persists, I don’t know what to do. Please advice.
A: Premature ejaculation is the most common type of sexual dysfunction in men younger than 40years. Premature ejaculation is uncontrolled ejaculation either before or shortly after sexual penetration, with minimal sexual stimulation and before the person wishes. In most cases the cause may not be identified.
It may be due to anxiety, guilt, depression, or if it has been a long time since last ejaculation. It may occur with a new partner, or only in certain sexual situations. In these instances, the problem is the pressure to perform. So, first option is to abstain from sexual intercourse for a while to take off this pressure.
Then, when you do resume, if you feel you’re about to ejaculate, get your partner to apply pressure between the glans (tip) and shaft (body) of his manhood. This should stop the urge. Sexual activity can be resumed after a few minutes.
Counseling or behavioral therapy may help also reduce anxiety related to premature ejaculation
In some cases, medical conditions, hormonal problems, injury or certain medications can cause it.
In most cases, it resolves on its own over time without medical treatment. Cutting down on alcohol, tobacco and illegal drugs may improve this.
Antidepressant drugs have also been found to delay ejaculation. Another option is the use of local anaesthetic creams, which reduce the sensations felt, thus reducing the probability of a premature ejaculation. There are creams, gels and sprays, which can be applied before intercourse.
Talk over this with your doctor who will provide the best advice based on your history. He/she will evaluate you and give you further advice.
I hope this helps.
Have a good night, y’all 😀
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#HLWDK Daily Health Tips: Blood Group And Rhesus Incompatibility
Q: Good evening. Please I want to know much about blood group. If husband is AA and -0 and his wife is AA nd +0 and she didn’t take injection BTW that 72 hrs what is the solution
A: Everyone’s blood contains antigens and antibodies which form the blood’s defence against foreign bodies. The antigen and antibody present in your blood determines your blood group.
Your blood is made up of red blood cells (which carry oxygen round the body), white blood cells (which help fight infections) and platelets (which help clotting) suspended in plasma (a liquid).
Your blood group depends on genes inherited from your parents.
There are 4 main types:
A: People with this blood group have A antigen on their red blood cells and Anti-B antibodies in their plasma. Thus, giving this person blood from someone with blood group B will lead to the antibodies (anti-B) attacking that person’s B antigen.
B: People with this blood group have B antigen on their red blood cells and Anti-A antibodies in their plasma. Thus, giving this person blood from someone with blood group A will lead to the antibodies (anti-A) attacking that person’s A antigen.
AB: People with this blood group have A and B antigens on their red blood cells and but have no antibodies. People with this blood group can accept blood from any blood group as they have no antibodies against either the A or the B antigen.
O: People with this blood group have no antigens but have Anti-A and Anti-B antibodies in their plasma. People with this blood group can donate to anybody as they have no antigens.
Transfusion of the wrong blood group to anyone can lead to fatal reactions that can result in death.
Now to the Rhesus compatibility…those + and – signs at the back of our blood groups
Our red blood cells may also contain another protein called the RhD (Rhesus D) protein. If this is present on the surface of the red blood cells, the person is Rhesus D positive and if absent, the person is Rhesus D negative.
This Rhesus factors are particularly important in pregnant women. If a Rhesus D negative woman gives birth to a child who inherited Rhesus D positive gene from the father, then the woman must receive the anti-D immunoglobulin to prevent sensitization (a process in which her body sees her baby’s red blood cells as a foreign body causing her to produce antibodies to fight her baby. This is likely to occur during the separation of the placenta). In her first pregnancy, this is not a problem, because essentially her body just produces antibodies and your own immune system quickly gets rid of the circulating red blood cells in your body; but if she’s exposed to Rhesus D blood again, perhaps through another pregnancy, these antibodies are produced again and cross the placenta to attack the baby’s red blood cells and this can continue even after birth. If you and your baby have the same Rhesus factor, then there’s no cause for alarm J The other good news is, if your husband is the one who is Rhesus negative, none of your babies will be affected by Rhesus incompatibility.
So, I hope I got it all covered now 😀
Have a good night y’all 😀
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#HLWDK Daily Health Tips: What Should I Eat If I Want To Get Pregnant?
Q: Good evening, ma’am. Thank you for your educational post. I am sorry I want to ask, what and what can I be eating if I want to get pregnant easily?
A:Nutrition plays a huge role in pregnancy. Soon-to-be-mums need to eat healthy to ensure that they give their children a good start in life. So, if you’re planning on getting pregnant, it’s always a great idea to start taking pre-natal vitamins especially those that contain folate (folic acid). These will ensure that your baby…’s spine develops properly.
Generally though, eat healthy: more fruits and veggies, complex carbohydrates (they are rich in fibre and keep you feeling full for a longer period of time) like beans, oatmeal, sweet potatoes, brown rice etc. Load up on proteins too (fish, chicken etc), calcium rich foods like yoghurt, skimmed milk etc
Stay off alcohol and smoking, reduce stress and if you can, have your babies before the age of 30 years for both men and women.
I hope this helps
Have a great night, y’all ![]()
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