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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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FAKE IT TILL YOU MAKE IT — BUT AT WHAT COST?

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In today’s world, looking successful can sometimes seem more important than actually becoming successful. From luxury cars and designer clothes to expensive holidays and flashy social media posts, the pressure to appear wealthy is influencing how many people present themselves to the world.

But behind the glamorous pictures, is everything really as it seems?

The Culture of Pretending to Be Successful

The popular expression “Fake it till you make it” is often used to encourage confidence, ambition and the courage to pursue success before you feel fully prepared.

However, there is a difference between believing in your potential and pretending to possess wealth or achievements you have not earned.

Some people borrow money to maintain expensive lifestyles. Others spend beyond their means to impress friends, family members or social media followers. Some even sacrifice their financial security simply to avoid being perceived as unsuccessful.

The result can be a dangerous cycle in which maintaining appearances becomes more important than building a stable future.

The Nigerian Perspective: When Success Becomes a Competition

In Nigeria, visible displays of wealth can attract admiration, respect and social recognition. A person who drives an expensive car, builds a magnificent house or frequently displays luxury purchases may be celebrated as someone who has made it in life.

Meanwhile, someone who works honestly, saves carefully and builds wealth gradually may receive less attention.

This raises an important question: Have we become so obsessed with the appearance of success that we have forgotten how to recognise the real thing?

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There is nothing wrong with celebrating genuine achievements or enjoying the rewards of hard work. The problem begins when people measure their worth by public approval rather than financial stability, personal growth and meaningful accomplishments.

Young people, in particular, may feel pressured to imitate lifestyles they see online without understanding the income, financial support, debt or circumstances behind those images.

Social media shows us what people want us to see. It rarely reveals the full story.

The Hidden Cost of Fake Success

The consequences of pretending to be wealthy can extend far beyond an empty bank account.

Financial pressure: Spending money you cannot afford to lose can lead to debt and financial insecurity.

Mental stress: Constantly maintaining a false image can create anxiety and fear of being exposed.

Damaged relationships: Borrowing money to impress others or lying about your circumstances can undermine trust.

Delayed progress: Money spent on appearances is money that could have gone towards education, business, savings, housing or other meaningful goals.

Real success does not always look glamorous. Sometimes, it looks like living within your means, paying your bills on time, supporting your family, learning a valuable skill and steadily improving your circumstances.

These achievements may not attract thousands of likes, but they can make a lasting difference in your life.

Confidence Is Good. Deception Is Different.

The expression “fake it till you make it” does not have to mean lying about your wealth. It can mean developing the confidence to apply for a better job, start a business, speak publicly or pursue an opportunity before you feel completely ready.

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That kind of confidence can be constructive.

But pretending to own what you do not own, borrowing recklessly to impress people or misrepresenting your financial position is a different matter.

You do not have to look rich to build wealth. You do not have to impress everybody to make progress. And you certainly do not have to prove your success to people who are not contributing to your future.

Build the life first. Let the appearance follow naturally.

The Big Question: Are We Living for Ourselves or for Other People’s Approval?

Ultimately, everyone has a choice. You can spend your life competing with other people’s carefully curated images, or you can concentrate on building a life that genuinely works for you.

The real measure of success is not simply what you wear, the car you drive or the destinations you post online. It is also the security you build, the responsibilities you fulfil, the opportunities you create and the peace of mind you enjoy.

At NewsBreak365, we want to hear your perspective.

Join the conversation:

Is “fake it till you make it” a useful strategy for developing confidence, or does it encourage people to deceive others?

In Nigerian society, do people respect genuine achievement more than visible displays of wealth?

Would you rather live modestly while building real wealth or maintain an expensive lifestyle to impress people?

Has social media made success look more like a competition than a personal journey?

Share your views in the comments. Respectful disagreement is welcome.

NewsBreak365 — News. People. Perspectives.

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Follow NewsBreak365 for more thought-provoking stories and discussions about society, money, culture and everyday life.

#NewsBreak365 #FakeItTillYouMakeIt #RealSuccess #NigerianSociety #FinancialLiteracy #SocialMediaPressure

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“I MADE THIS PERSON WHO THEY ARE TODAY!” — REALLY?

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In Nigeria, you sometimes hear people say, “If not for me, where would you be today?”

It could be a politician reminding constituents of the favours he claims to have done for them. It could be a wealthy businessman telling a former employee that they would still be struggling without him. It could be a family member reminding a younger relative of the school fees they paid, the business they financed, or the connections they provided.

Sometimes, even after the person has become successful, the reminder never stops.

But does helping someone succeed give you permanent ownership of their achievements?

Let’s look at the Nigerian reality.

A young Nigerian gets a job through someone’s connection. Years later, that young person builds a successful career through hard work, experience, sacrifice, and personal determination. Yet the person who introduced them to the employer continues to claim all the credit.

A young entrepreneur receives financial support from a relative and turns a small business into a thriving company. Instead of celebrating the entrepreneur’s growth, the relative repeatedly reminds everyone, “I was the one who made him rich.”

In politics, some Nigerian leaders speak as though providing roads, scholarships, appointments, or other public benefits means citizens must remain personally loyal to them. But public service is not a personal favour when it is funded by public resources.

Here is the uncomfortable question: When does gratitude become control?

Let us be fair. Many Nigerians have succeeded because someone believed in them when nobody else did. Parents sacrificed their comfort, relatives paid school fees, mentors opened doors, and friends provided support during difficult times. Those contributions should never be dismissed.

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But opening a door is not the same as walking the entire journey.

The person who helped you deserves appreciation. The person who worked hard to build a future also deserves recognition.

Nigerians must learn to distinguish between being grateful to someone and becoming permanently indebted to their ego.

If you helped someone become successful, celebrate your contribution without trying to control their decisions forever. And if someone helped you, never allow success to erase your memory or turn you into an ungrateful person.

NEWSBREAK365 ASKS:

In Nigerian society, have you noticed how some people use past favours to demand lifelong loyalty?

1️⃣ Is it right to keep reminding someone of what you did for them?

2️⃣ If you helped someone get a job or start a business, do you deserve credit for their entire success?

3️⃣ Should Nigerians remain loyal to politicians simply because those politicians once helped them?

4️⃣ Have you ever seen a relationship damaged because someone kept saying, “I made you who you are today”?

💬 Drop your opinion in the comments. Let’s have an honest discussion.

Share this post with someone who believes in gratitude—but also understands the importance of personal independence.

Follow Newsbreak365 for bold conversations about Nigerian society, politics, relationships, culture, and everyday life.

#Newsbreak365 #Nigeria #NigerianSociety #NigerianPolitics #SuccessAndGratitude #LifeLessons #SocialCommentary

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SOME PEOPLE WILL DO ANYTHING — EVEN EVIL — JUST TO MAKE MONEY!

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In Nigeria today, one question deserves serious attention: Have we reached a point where the amount of money you have matters more than how you made it?

Look around. Someone builds a mansion, buys an expensive SUV, wears designer clothes, or sprays bundles of ₦1,000 notes at parties, and suddenly, everybody wants to associate with them. They are celebrated, respected, and treated like champions—even when nobody knows the true story behind their wealth.

But why are we so quick to celebrate money without asking questions?

Millions of Nigerians wake up every morning to work honestly. Traders struggle to keep their businesses alive. Teachers work hard for their salaries. Young graduates search endlessly for jobs. Parents make sacrifices to feed their children and pay school fees. Yet, some people feel that honest work is too slow and that becoming rich by any means necessary is the only way to survive.

That is where the real danger begins.

When society celebrates wealth without integrity, some people may become tempted by internet fraud, scams, corruption, exploitation, and other harmful practices. Others may even turn to alleged ritual practices because they believe wealth must come at any cost.

The problem is not that Nigerians want to become rich. The problem is when the desperation to become rich destroys people’s conscience.

Think about the message we are sending to the younger generation. When a young person sees someone flaunting millions online and receives more admiration than a hardworking professional, what lesson are we teaching?

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Are we teaching our children to value education, creativity, patience, and honest business? Or are we teaching them that the only thing that matters is having money, regardless of its source?

At parties, we celebrate the person spraying cash. On social media, we admire the person showing off a fleet of cars. In some communities, people who suddenly become wealthy receive praise before anyone considers how that wealth was acquired.

Meanwhile, honest people who are struggling financially can be mocked, ignored, or treated as failures.

WHEN DID POVERTY BECOME A SHAME, AND WHEN DID QUESTIONABLE WEALTH BECOME A BADGE OF HONOUR?

Nigeria needs a change in values. We need to celebrate honest entrepreneurs, hardworking workers, innovative young people, and those who build successful businesses without destroying other people’s lives.

We must also stop confusing expensive possessions with genuine success. A luxury car does not prove good character. A mansion does not guarantee peace of mind. And a fat bank account does not automatically make someone a role model.

There is nothing wrong with dreaming of wealth. Nigerians deserve good jobs, profitable businesses, financial freedom, and a better quality of life. But no amount of money should be worth sacrificing your humanity, integrity, or another person’s future.

LET’S HAVE AN HONEST NIGERIAN CONVERSATION!

👇 QUESTION 1: Do you think Nigerian society celebrates wealthy people too much without asking how they made their money?

👇 QUESTION 2: Has the pressure to become rich made some young Nigerians lose sight of the value of honest work?

👇 QUESTION 3: If someone is rich but acquired their wealth through dishonest or harmful means, do they deserve to be celebrated?

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Drop your opinion in the comments. Don’t just read and scroll past—let’s discuss this important issue.

📢 Share this post. The conversation about money, morality, and success needs to happen.

Newsbreak365 — News • People • Perspectives

#Nigeria #NigerianSociety #DirtyMoney #YahooBoys #Corruption #MoneyAndMorality #NigerianYouth #HonestWealth #SocialCommentary #Newsbreak365

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