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INFORMATION FOR MOTHERS AND MIDWIVES


  THE MENSTRUAL PERIOD
  (MONTHLY BLEEDING IN WOMEN)

     Most girls have their first "period" or monthly bleeding between the ages of 11 and 16. This means that they are now old enough to become pregnant.

   The normal period comes once every 28 days or so, and lasts 3 to 6 days. However, this varies a lot in different women.

   Irregular or painful period comes are common in adolescent (teenage) girls. This not usually mean there is anything wrong

If your menstrual period is painful:

  • There is no need for you to stay in bed. In fact, lying quietly can make pain worse.
  • It often helps to walk around and to do light work or exercises
  • Or to take hot drinks, or put your feet in hot water.
       Also, it may help to take aspirin or to put hot compresses on the belly.

      During the period- as at all times-a woman should take care to keep clean get enough sleep, and eat a well-balanced diet. She can what everything she normally eats and can continue to do her usual work.

signs of menstrual problems:
  • Some irregularity in the length of time between periods is normal for certain women, but for others, it may be a sign of chronic illness, anemia, malnutrition, or possibly an infection or tumor in the womb.



  • If a period does not come when it should, this may be a sign of pregnancy. But for many girls who have recently begun to menstruate, and for women over 40, it is often normal to miss or have irregular periods. Worry or emotional upset may also cause a woman to miss her period.
  • If the bleeding comes later than expected, is more severe, and lasts longer, it may be a miscarriage.
  • If the menstrual period lasts more than 6 days, results in unusually heavy bleeding, or comes more than once a month, seek medical advice.

      THE MENOPAUSE
      (WHEN WOMEN STOP HAVING PERIODS)
       
         Menopause or climacteric is the time in a woman`s life when the menstrual periods stop coming. After menopause, she can no, longer bear children. In general, this change in life happens between the ages of 40 and 50. The periods often become irregular for several months before they stop completely.

   A woman can still become pregnant during this time. If she does not want to have more children, she should continue to use birth control for 12months after her periods stop.

  If a woman has not had a child for several years hen misses some periods, she may think she is pregnant. When the menstruation does come again after 3 or 4 months, she may think she is having a miscarriage, and she feels sad, especially if she really wants a child. Whenever a woman of 40 to 50 comes with bleeding, after some months without, ask very carefully, How many years is it since you last had a child? if the time is more than 3 years, suspect that it may be the beginning of menopause. Check again her actual age, or estimate of it. Ask a midwife to examine her.

   If menopause is thought most likely, advise the women that she is not pregnant, and she is not ill. She is going through a perfectly normal change that all women come to in time.

     During menopause, it is normal for a woman to feel much discomforts-anxiety distress, hot flushes (suddenly feeling uncomfortably hot), pains that travel all over the body, sadness, etc. After menopause is over, most women feel better again. However, bones do tend to become weaker at this time and may break more easily. To prevent this it helps to eat foods with calcium.

     Women who have severe bleeding or a lot of pain in the belly during menopause, or who begin to bleed again after the bleeding has stopped for many months or years, should seek medical help. An examination is needed to make sure they do have cancer or another serious problem

      A woman after menopause, when she knows will not have any more children, will be free to spend time with her grandchildren, or to become more active in the community. Some become midwives or health workers at this time in their lives.  

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