Dr.Ruby DAILY WITS

Today at Antenatal Care (ANC) Clinic, something funny and very real happened 😄

A pregnant patient came with her husband, and it was actually his first time ever sitting in front of me during ANC. You know that look some husbands have, half serious, half shy, fully determined? That was him. After listening quietly for a while, he cleared his throat and asked the question that had clearly been burning inside him.

“Doctor, is it okay to have s*x during pregnancy? And when is the right time?”

At that point, the wife turned and looked at him. The kind of look that says “So this is what brought you here today?” 😅

I smiled and told them the truth. Yes, s*x during pregnancy is generally safe, as long as there are no complications. Then I broke it down in a way they would never forget. I told them pregnancy s*x must follow three simple Cs: Comfort, Consent, and Consideration. Nobody should be in pain, nobody should be forced, and both partners must think about each other. Pregnancy is not a competition. It is teamwork. Sometimes you meet in the middle. Sometimes you slow down. Sometimes you pause completely.

I explained that for many women, the second trimester is the sweet spot. Morning sickness has relaxed, energy has returned, and the tummy has not fully taken over the bed yet. First trimester can come with nausea and tiredness, while third trimester needs more creativity and pillows than usual 😄

We talked about positions too. Nothing that puts pressure on the belly. Side lying, rear entry, or the woman being on top so she controls the movement. I told them if at any point it feels like wrestling a watermelon, it is time to change position or stop 😂 Timing, frequency, and intensity all matter.

I also explained the benefits. Better bonding, better mood, better sleep, and less stress. And no, in a healthy pregnancy, s*x does not cause miscarriage.

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⚠️ UNRIPE PAWPAW & PREGNANCY: A WORD FOR LAGOS WOMEN

Dear sisters, aunties, mamas-to-be in Lagos 🧡
Let’s talk about something very common but often misunderstood: unripe pawpaw (green papaya) during pregnancy.

Unripe pawpaw is not just “food.” It has uterotonic properties; meaning it can stimulate uterine contractions.

What does this mean in pregnancy?

When taken during pregnancy (especially in the first and second trimesters), unripe pawpaw may:

1. Trigger uterine contractions

2. Increase the risk of abdominal pain, bleeding, miscarriage, or preterm labour, and prelabour, preterm rupture of membranes (PPROM), and/or ineviatable abortion.

3. Aggravate an already sensitive or irritable uterus

This effect is linked to substances in unripe pawpaw like papain and latex, which can act on the uterus.

⚠️ The dangerous chain reaction (PLEASE READ)

When unripe pawpaw causes the womb to start contracting before time, it can lead to the water around the baby breaking too early or leaking for a long time (what we call PPROM - Prelabour Preterm Rupture of Membranes).

Once this water breaks early, the baby loses its natural protection. This makes it easy for germs from the va**na to travel up into the womb (Ascending Vaginal/Genital Tract Infection), causing a serious infection called chorioamnionitis.

🔥 Chorioamionitis is an emergency

For the mother, it can cause:
• Very high fever
• Painful or tender womb
• Bad-smelling water or discharge
• Severe infection of the blood (sepsis)
• Heavy bleeding after delivery (postpartum haemorrhage)
• Infection of the womb after birth (Endometritis)

For the baby, it can cause:
• Baby coming too early (preterm birth)
• Serious infection in the newborn (neonatal sepsis)
• Chest infection (pneumonia)
• Brain infection (meningitis)
• Baby dying before or shortly after birth (stillbirth or neonatal death)

MORE IN THE COMMENT SECTION 👇🏾
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😳 SHE THOUGHT AN ANTIBIOTIC WAS A QUICK FIX

A 48 year old woman came in quietly.
She already had four children; 2 males and 2 females.
However, she is yet to enter menopause.

Two pregnancy tests.
Urine and then blood.
Both positive.

Her routine?

After unprotected s£x, she would take oxyt£tracyclin£, believing it would stop pregnancy. For years, she and her partner relied on the pull out (withdrawal) method.

When the test turned positive, fear set in.
She took some pills on her own to r£mov£ the b@by.

There was bleeding.
Clots passed.
Then, spotting for days.
And suddenly everything stopped.

No pain.
No dizziness.
No heavy bleeding.

But here is the truth 👇🏽

❌ Oxytetracycline does not prevent pregnancy
❌ Pull out method (withdrawal) fails more often than people admit
❌ Taking pills without medical guidance can be risky

At 48, the body already needs extra care.
Add drug myths and self treatment and the risk rises and danger multiples.

Lesson of the day?
1. Do not guess with your body
2. Ask questions early
3. Get proper guidance
4. Stay rightly informed
5. Learn about your fertile window and follow your doctor's advice on favourable contrac£ptiv£ methods.
6. Use combinations of methods as recommended by your doctor because there's no ideal contrac£ptiv£.

Dr. Rubycon

OGWULA!!!!

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THIS DEATH WAS PREVENTABLE

She carried her baby boy for nine long months. Nine months of hope. Nine months of expectation. Nine months of plans whispered into the future.

When labor started, she did not go to a hospital. She went to a Traditional Birth Attendant (TBA).

Four days. Four endless days of pain, prayers, shouting, pushing, and waiting. Four days in the hands of people who call themselves “gifted,” claiming expertise passed down from a mother, from a grandmother, as if the ability to safely deliver a baby is hereditary.

No delivery. No progress. Just suffering.

She refused Caesarean section because she wanted something cheap. Because she believed stories. Because fear sounded more convincing than medical advice.

Her husband is not innocent. Men must stop outsourcing pregnancy care to fate and prayers. Men must plan. Men must save. Men must ask questions. Men must choose safety over pride.

Pregnancy is not only a woman’s burden. A man who cannot plan for antenatal care, skilled delivery, or emergencies has already failed his family before labor even begins.

What makes it more painful is that it is was not her first pregnancy. This was her third. And yet, the most important truth was forgotten: Every pregnancy is different. Past deliveries do not guarantee future safety.

When she finally arrived at the hospital, it was too late. We had no choice but to perform a Caesarean section.

The baby boy was delivered silent. Asphyxiated (suffocating or starved of oxygen). He had suffered long before he reached us.

We tried. We suctioned and resuscitated. But he was already gone.

He suffered to come into this world,
and suffered again to leave it.

The mother suffered for nine months. Laboured for four days. And went home with empty arms.

For what? Ignorance? Fear? Pride? Poor planning? Blind trust in unskilled hands?

This death was not destiny. It was preventable.

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