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Why pregnant women with previous CS shouldn’t use PHCs for antenatal care

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Maternal health experts have urged pregnant women with a history of two caesarean sections to register and receive antenatal care in secondary and tertiary health facilities rather than in Primary Healthcare Centres.

They noted that pregnant women with such a history have a high-risk pregnancy and need expert care and facilities that the PHCs do not have.

The gynaecologists, in separate interviews with PUNCH Healthwise, emphasised that early antenatal registration at the appropriate centre would help to prevent delays and complications, which could be life-threatening for both mother and baby.

The reproductive health experts also urge expectant mothers with hypertension, diabetes before or during pregnancy or a history of miscarriages to register and attend antenatal care in higher-level facilities such as general and tertiary hospitals.

They urged every pregnant woman to register and attend antenatal care in registered hospitals to ensure they receive the best care and prevent avoidable complications and deaths.

PUNCH Healthwise reports that pregnant women should register and begin antenatal care as soon as pregnancy is confirmed with a positive test, ideally within the first eight to 12 weeks.

PUNCH Healthwise also reports that expectant mothers who have undergone two caesarean sections should not attempt vaginal birth to prevent the rupture of the uterus and bleeding.

Severe bleeding after childbirth is the leading cause of maternal mortality worldwide, according to the World Health Organisation.

High blood pressure disorders during pregnancy, infections and complications from unsafe abortions are contributors to maternal deaths.

The 2018 National Demographic and Health Survey puts Nigeria’s maternal mortality rate at 512 deaths per 100,000 live births.

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Speaking with PUNCH Healthwise on the matter, a professor of Obstetrics and Gynaecology at the University College Hospital, Ibadan, Oyo State, Chris Aimakhu, explained that while low-risk pregnancies could be safely managed at primary healthcare facilities, women with high risk pregnancies, including those who have previously undergone caesarean deliveries, need specialist care, which is available in general and tertiary healthcare centres.

Aimakhu said, “Every pregnant woman should access antenatal care. But those with high-risk conditions such as previous CS, hypertension or diabetes must be managed in facilities that can handle emergencies. A primary health centre does not have the capacity to perform a caesarean section. If such women are booked there, it puts both mother and child at serious risk.”

He noted that many primary healthcare centres, especially in rural communities, are poorly staffed and often run without doctors, midwives or round-the-clock services, leaving them unequipped to handle obstetric emergencies.

“In situations where a woman with a previous CS registers in a PHC, and complications arise, delays in referral may lead to avoidable maternal or neonatal deaths,” the don added.

The gynaecologist further asserted that antenatal care was not optional, lamenting that Nigeria still records high maternal mortality due to preventable causes such as postpartum bleeding and pregnancy-induced hypertension.

The maternal expert, however, clarified that not all pregnant women need to register at teaching hospitals, stating that women who register in PHCs and are in need of specialist care should be immediately referred to the appropriate centres.

“Low-risk patients can safely receive care in PHCs or secondary hospitals if those centres know what they can handle. But once a patient has a history of caesarean deliveries, she belongs to the high-risk category.

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“The key is not only access but timely access. If a facility knows it cannot handle a case, it must not keep the woman until it is too late,” Aimakhu asserted.

Also, the president of the Association for Fertility and Reproductive Health, Professor Preye Fiebai, dispelled the notion that all pregnant women must seek antenatal care in tertiary hospitals, stressing that well-equipped primary health centres can effectively manage uncomplicated pregnancies.

“Antenatal care doesn’t have to be in a tertiary hospital. If we have good primary health care, you can start from there. Ideally, the essence of primary care is to identify those who require higher care and then refer them, but most people go straight to the teaching hospital. However, you can still receive good antenatal care if the setup of your primary healthcare system is good and you have qualified people to run it, and you can start from there.

“Mind you, some people go to private hospitals also and if you can afford it, why not?” the reproductive health expert said.

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Nollywood actress Sarah Martins apologises for roadside cooking

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Nollywood actress Sarah Martins has formally responded to the Lagos State Government’s warning regarding her recent public cooking activity, clarifying that the event was an emotional reconnection with vulnerable children rather than a deliberate breach of environmental laws.

The response comes after the Lagos State Commissioner for the Environment and Water Resources, Tokunbo Wahab, on Saturday, cautioned the actress against cooking on public roads, warning that she risks arrest and prosecution if she continues the practice.

In an open letter posted on her Instagram handle on Sunday, Martins, the founder of the Sarah Martins Golden Heart Foundation, sought to set the record straight, stating that the meal was prepared in a controlled environment.

“I would like to respectfully clarify that I did not cook on the walkway or on the main street.

“The meal was prepared in front of the King’s Palace under the supervision of security personnel, and the activity took place very far from the main road, ensuring that it did not obstruct movement or create any public nuisance,” she wrote.

Explaining the motivation behind the act, the actress described it as a response to the pleas of street children she frequently encounters.

“The visit was simply born out of an emotional moment. I had deeply missed the bond I share with the vulnerable street children in that area,” she explained.

“As I occasionally drive past that axis, the children often plead with me to come back and cook with them like I used to. On this particular day, I decided to spend some time with them and prepare a meal, purely to reconnect and create memories with the kids who have always shown me genuine love,” she added.

The actress offered an apology to the state government for any perceived impropriety, saying, “My brief return to that location was never intended to create any form of public nuisance, but simply to share a heartfelt moment with children who have continued to ask for my presence.

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“However, if my actions were perceived as inappropriate in any way, I sincerely apologide. I hold the laws and environmental standards of Lagos State in the highest regard.

“Going forward, I will ensure that all cooking activities are carried out strictly within the charity kitchen provided for the foundation.”

In her response, Martins also expressed gratitude to Seyi Tinubu, the President’s son, noting that his donation of a charity kitchen was specifically intended to ensure her feeding programs are conducted in a proper and organised environment, which she said her foundation remains committed to using.

PUNCH Online reports that Martins was arrested in October 2025 by KAI officials while she was cooking on a road median in Lekki, seizing her equipment.

The Lagos State Government defended the operation, with Wahab stating that the actress had engaged in unauthorised activities on public infrastructure in contravention of environmental and sanitation regulations.

While she previously claimed to have received ₦20 million from his office, Seyi Tinubu reportedly denied making the donation personally, saying some friends, moved by compassion, had raised funds to help her secure a proper space for her charity work, but stressed that he did not support any act that violated Lagos State laws.

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My father fought well to stay alive – Onigbinde’s son

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Mr Oyekunle Onigbinde, the last child of the late national coach Festus Onigbinde, has said that although his father was sick, he fought well to stay alive.

Oyekunle made the remarks in an interview with the News Agency of Nigeria in Ibadan on Tuesday.

Describing his father as a generous man who cared for everyone, Oyekunle said his death on Monday came as a huge shock.

“He fought well to stay alive.

“He was sick, but due to old age, his body couldn’t fight the recovery.

“My father was very accommodating; he pulled everyone together.

“He didn’t care who you were; he just wanted everyone happy and united.

“He was the string that knitted many together,” he said.

Meanwhile, renowned sports analyst Tayo Balogun told NAN that his 40-minute phone conversation with Onigbinde in 2025 would forever linger in his memory.

“We went down memory lane, and I thanked him for being who he was: painstaking, foresighted, forthright, forthcoming, and incredibly hardworking.

“I told him I appreciated him and that I was calling to let him know that his contributions to Nigerian football will always be footnoted in history.

“During the call, I noticed his voice had lost some of its vibration. He attributed this to old age, claiming he was as fit as a fiddle.

“He asked after my TV Gang of Feyi Ogunduyile and Modele Sarafa-Yusuf (then known as Oshiinaike),” he said.

Balogun said he praised Onigbinde for his contributions to Shooting Stars Sports Club (3SC).

“He actually changed the name from IICC Shooting Stars.

“I asked him if he remembered that I asked him why he was practising penalty kicks after 3SC had comprehensively beaten Tonnere Kalara Club of Yaounde at the Liberty Stadium, just before the second-leg match.

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“He told me Remi Asuni, the then Oyo State FA Chairman, asked him the same question and that he answered, ‘If we can beat them 4-0 in Ibadan, they may pay us back in Yaounde,’” he said.

The 73-year-old analyst said he also praised Onigbinde for his bravery in selecting players for the 2002 World Cup.

“I told him I understood why he included Mutiu Adepoju, but did not understand why he didn’t play him in any of the matches.

“He said that was the only mistake he made, but that if I noticed, we were quite close in all the matches we played, and if he brought in Mutiu and we lost, it would be blamed on Adepoju,” he said.

Balogun described Onigbinde as the most thorough Nigerian coach he knew.

“Each year, he would draw up a list of requirements for his team.

“With Shooting Stars, he would get 20 per cent, and with the Eagles, he didn’t even get 10 per cent.

“All the same, he got spectacular results with both teams.

“He was the first coach to take a group of rookies like Chibuzor Ehilegbu, Paul Okoku, Femi Olukanmi, and others to Ghana and beat the then-dreaded Black Stars in their country.

“Onigbinde’s memory will remain indelible.

“He was a gentleman, humble, and highly intelligent.

“I am glad I got to know you, sir,” he said.

(NAN)

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The Name Given To Me By My Parents Was A Curse – Phyna

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Reality TV star, Josephina Otabor, popularly known as Phyna, has opened up about the struggles she faced while growing up and why she does not like the name given to her at birth.

During a recent interview with Ezinne Akudo on the show Beyond With Ezinne, the former Big Brother Naija winner said her parents named her Blessing, but she came to dislike the name because her life did not reflect its meaning.

It was reports that Phyna explained that as she was growing up, many parts of her life were very difficult.

According to her, she often felt like she was always begging for love from people around her, including family members, friends and even in relationships.

She said the situation made her feel as if the name Blessing did not match the experiences she was going through.

The reality star also spoke about the pain she felt after the death of her sister. She said the loss deeply affected her, and at one point, she even wished she could die because of the emotional burden she was carrying at the time.

She said, “The name given to me by my parents is Blessing. My reasons for hating that name was you don’t see sense of blessing in my life. Because you know, it felt like I was always begging for love, family love, friendship, even in relationships. In fact, Dem don use am curse me. All aspects of life for me, growing up was very crazy. Even when you’re a teenager, there are things you could get from parents, from friends, family I didn’t have that, but I knew for one that I was going to be big.

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“Then I always tell my aunts, everybody, even when they beat me or maltreat me, today, the next minute I will see when I go watch me for television, you know, I go get money. People always say negative things about me. Even when I’m trying my best, it affects me. It affects my workload. They are quick to broke shame me. In fact, when my sister died, I wanted to die. A lot was going on with me. It actually makes me feel God is with me because so many things have happened that I suppose don really run mad.”

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