DHA-GLO

[Aproko Doctor Global @aproko_doctor]

A woman has just given birth.

Everybody is happy. Then suddenly, she starts bleeding.

This is postpartum haemorrhage, and when it happens, no one has time to ask where the drug, tranexamic acid or TXA is.

That drug, Tranexamic acid can help reduce deaths from bleeding when it is given early after PPH starts.

So if a facility is providing emergency obstetric care, TXA should not be something they start looking for when the emergency has started.

It should be there.

As a man, if your wife is preparing to give birth, ask if the facility has TXA available. Same thing if you’re pregnant and preparing for delivery.

Ask questions. Know what is available.

Prepare before the emergency comes.

RT so that expectant mothers and fathers can see this very important message.

Source: Data, provided by @womenadvocate and @LSHTM.

[Dr. Ose Etiobhio @osemagnum]

READ ME. THIS WILL AND CAN SAVE A LIFE.

ASK YOUR DOCTOR, WHAT DRUG ARE YOU USING TO INDUCE ME?

Dear Ileri,

this is a very important question

the approved medications to induce labour is not same as abortion pill, although both are prostaglandins...same class of drug

the drug you are talking about is Misoprostol.

Misoprostol is a cheaper option to the approved drug and many Nigerian Doctors and hospitals still use it!

that drug was being used previously, although internationally it has been discouraged because it brings too strong a contraction, it can't be controlled and when there is complication, it's difficult to reverse.

Misoprostol for induction should be discouraged... and Nigerian hospitals must do this...

There are approved medications for induction of labour, prostaglandins that are safer like dinoprostone... and then oxytocin... and other ways of induction of labour

Now, to your question... why doesn't it cause abortion... first thing first, it's abortion when it's less than age of viability(UK-24 weeks, US-22 weeks, Nigeria-28 weeks)... and secondly, they use a beer little dose because they know how deadly the drug is...

Misoprostol can however be used to stop bleeding during and after delivery(Post Partum Haemorrhage)

Hospitals need to follow internationally guidelines... Babies have been lost, wombs ruptures and lives cut short because of reckless use of this drug

[👑S.A.L.A.K.O🕊 @UnkleAyo]

H.E Peter Obi.

No public office blemish, no corrupt cases, no shady pasts - walks the talk & has proven that there's an upright way to do politics.

You're the man we say you are & thrice the man you think you are.

In my lifetime, you will be president and THAT IS NEXT YEAR.

[Dr. Ose Etiobhio @osemagnum]

Great teachers. Teachers of the Olympiads.

Wow. Let's celebrate them.

[SizZzle. 😎🇳🇬 @n6oflife6]

Ladies and Gentlemen of the World, Pls Meet Onyedikachi Ethan Egejurum. Age 11 yrs old. The best Mathematician on Planet Earth in the Primary School Category. A Maths Prodigy and Software Engineering Enthusiast. REMEMBER THE NAME. PlsRT.

#IgboExcellence #ProudNigerian 🥰🇳🇬

[Alex Onyia @winexviv]

Chimdiebube Onwubiko won a gold medal at the International STEM Olympiad.

He is just 13 years old and currently in JSS3. He has finished _Engineering Mathematics_ by K.A. Stroud.

He has now proven himself on the world stage.

[Alex Onyia @winexviv]

More good news.

Don Anele Munachimso also won gold in Science.

He is the best in world science.

Remember, he is the best in IGCSE Chemistry in Nigeria.

The investment is worth it.

[Alex Onyia @winexviv]

Onyedikachi Egejurum got a Gold.

He is the best in Mathematics in the world Primary Category.

This is the beginning of greatness for the country.

[Morris Monye @Morris_Monye]

UPDATE

Had to pause my World Cup to quickly share this opportunity BECAUSE IT CLOSES TONIGHT!!!

#Tech4Africans is offering 15 million worth of Tech Scholarships with 17+ courses available plus ACTD-USA accredited certification.

Click this link to register (https://t.co/wQiupAmO43)

Don't gatekeep this update.

Ensure you tag someone who needs this and RT with others before it closes ASAP!

[Dr. Ose Etiobhio @osemagnum]

Mammogram and Breast cancer: Beat it early, it's a weak opponent when you hit it early.

READ. SHARE. REPOST

Facts about this (Read slowly)

- Preventive medicine is the new flex in any branch of medicine. Primary prevention is the in-thing now.

- Routine breast examination. This can't be overemphasised especially for women. Now, If you haven't done breast examination this week. Pick 2 days of the week... Let's pick Mondays and Thursdays ( I will be asking you every week).

Now, sit on your bed, in front of a mirror. Divide your breast into 4 quadrants and press it softly, then deep. Check if there are lumps and if there is pain. Press your nipples and see if there is any milk or fluid or blood discharge. Don't stop, go to your armpit, examine everywhere there and see if there is any lump.
Now lay on your back and repeat the same steps!...
(Type "Done" in the comment section, if you truly read and examined yourself).

Picking up any sinister changes early is the best way to kick breast cancer away!

- When you see any lump or breast colour changes or it looking like the back of an orange fruit or hard, please report to the hospital for proper examination and a breast Ultrasound

- Now on MAMMOGRAM.
Usually, depending on the region you find yourself, mammogram starts at about 40... but if you haven't started it... you can commence at 50. It is done every other year in some regions. Some say every other time intervals. In any way, its important to do. This is good health seeking attitude from women.

Mammogram can help clearly see your breast tissues.

- If you have a family history of breast, ovary, lining of the womb, cervical or vulva cancer... YOU MUST BE TWICE AS MORE CAREFUL THAN OTHER PEOPLE HERE. It is advised for you to go for more advanced screening like BRCA genes screening (like Angelina Jolie did and it was positive, of which both were removed) and this can save your life. You will be advised on what to do.

- If a family member had died from breast cancer. Breast screening using Mammogram and BRCA genes screening should be done at least FIVE Years from the age at which the person died. E.g, if your aunty/ sister died from breast cancer at 40 years... you won't wait for 40 years before you start screening... you MUST start from at least 35 years of age.

- Never overlook any suspicion your breast gives you.

- Stop at this point... go back and read all the points stated again

- I'll wait for you.

- Early detection and prompt treatment is key

- Breast cancer screening can be done in pregnancy especially for her high risk women. This is done by shielding the growing baby.

- For me, no woman should be coming to the hospital at stage 3 or 4 disease... it'll be more difficult to treat.

- Protect your breasts. They are a great part of you.

- Be careful of the herbs you use on it

- Ladies with heavy and big boobs, be more careful. You may not even know anything is growing because it may be more difficult to examine. Always examine. press that breast!...

- 40+ women, go for your mammogram especially if you are high risk.

- 50+ women...its a must. Follow your local guidelines.

- 50+ women on hormone replacements... pls ensure your doctor knows you have a breast lump or history of breast cancer or even present... it worsens the breast cancer. It can kill you faster.

- Not all lumps are cancers. Infact, most are benign and a simple removal would aid it.

- Let's beat breast cancer by early detection and prompt treatment.

- Anyone is free to copy and paste this on their TL and increase the awareness

[DHA-GLO @Atasieee]

@osemagnum Amen

[Dr. Ose Etiobhio @osemagnum]

every pregnant woman's childbirth dream...

comes into labour ward.

first examination, 7cm dilated. good contractions.

next examination. 10cm. Push twice... baby out... little or no tear.

some women experienced this... infact, some came in fully dilated

[Dr. Ose Etiobhio @osemagnum]

To every lady still seeing periods every single day.

READ. SHARE. REPOST.

when you see posts like these, these are not just tweets, these are important counselling!...

As a gynae doctor, my heart goes out to your cousin.

Bleeding every day is not a normal period, and it can be physically and emotionally exhausting. Over time, persistent bleeding can lead to anaemia, fatigue, dizziness, breathlessness, and weight loss, which may explain why she feels so unwell.

There are many possible causes of abnormal uterine bleeding. Sometimes it can be due to hormonal imbalances that affect ovulation. In other cases, conditions such as fibroids, polyps, adenomyosis, thyroid disorders, bleeding disorders, certain medications, infections, or changes within the lining of the womb may be responsible. Occasionally, more serious conditions also need to be ruled out.

The challenge is that abnormal bleeding is a symptom rather than a diagnosis, so finding the cause often requires careful assessment, blood tests, scans, and sometimes additional investigations of the womb lining.

SEE A GYNAECOLOGIST. GO FOR A HYSTEROSCOPY... LET US SEE INSIDE THE WOMB.

DON'T SAY IT'S EXPENSIVE!... DO IT!

I hope she continues seeking specialist care and gets the answers she deserves. Living with daily bleeding is incredibly difficult, and I sincerely hope she finds both a diagnosis and effective treatment soon.

Wishing her strength and better days ahead.

[Dr. Ose Etiobhio @osemagnum]

Age 28, yet no periods!

READ. SHARE. REPOST.

this is free consultation you will pay £100/hr to get. Share and help a couple!

She should be discussing with a mature fiancé, not just any boyfriend!

As a gynaecologist, I would say this with a lot of compassion.

No, it is not considered normal to reach 28 years of age without ever having had a menstrual period. However, it is also important not to jump to conclusions or assume the worst.

There are several medical conditions that can cause a woman to never have periods, and some of them are present from birth.

For example, some women are born with an absent or underdeveloped womb, a condition known as MRKH syndrome. They may look completely female on the outside, go through puberty normally, develop breasts, and live healthy lives, yet never menstruate because there is little or no uterus to shed a lining each month.

Another possibility is Androgen Insensitivity Syndrome (AIS), where a person is genetically male (XY chromosomes) but their body develops along female lines. They often appear female externally and may not discover the condition until they seek medical advice for absent periods.

Some women have an imperforate hymen or other congenital abnormalities where menstrual blood cannot leave the body normally. Others may be born with an absent vagina, a shortened vagina, or reproductive organs that did not form in the usual way during fetal development.

There are also hormonal, genetic, and endocrine causes that can prevent menstruation.

What concerns me most in this story is not that she has never bought a pad. It is that she may have spent 28 years without receiving a proper medical evaluation. If she has never been assessed by a gynaecologist, she should consider doing so. Not because she should be judged or pitied, but because she deserves answers about her own body.

And regarding her boyfriend, many women carrying a diagnosis like this struggle with fear, shame, anxiety, or uncertainty about how to explain it to others. That conversation can be incredibly difficult.

Sometimes what looks like secrecy is actually someone trying to come to terms with a deeply personal medical condition.

The most helpful response is curiosity, kindness, and encouraging her to seek specialist care if she hasn't already. Every woman's story is different, and there may be much more behind this than people realise.

[she_plugs @she_plugs]

Being Financially stable requires the selfishness to protect your money from the emergencies of other people.

[Dear Self. @Dearme2_]

Claim it!

[Liverpool FC @LFC]

Legends ❤️🏆

[Liverpool FC @LFC]

The end of an incredible journey with the Reds 👏❤️

[Liverpool FC @LFC]

Our final Salah selfie 🤳👑

[Dr. Ose Etiobhio @osemagnum]

IVF IN NIGERIA: I WILL EXPOSE ALL THE BAD PRACTICES

BEFORE YOU DO IVF IN NIGERIA, PLEASE READ THIS POST

READ, SHARE AND REPOST. Walk with me. A long read!

Dear Nigerians,

You know I am always here for you.
When Hope Is Monetised: A Quiet Reckoning with IVF Practice in Nigeria

I will speak now, carefully and firmly, and without raising my voice, because some truths do not need shouting. They only need honesty, and courage, and a willingness to look at oneself in the mirror and not look away.

IVF is hope with a needle, and science with a prayer stitched quietly into it. And so when hope is mishandled, when science is bent, when desperation is treated as a business model, something sacred is broken. Not loudly. But deeply.
Too many IVF centres in Nigeria are breaking that trust.

Yes, success rates can be high in a batch, and yes, miracles do occur. But statistics, like stories, must be told whole. To announce a 70% success rate without disclosing the average is to sell aspiration without context. Globally, we know the numbers hover around 39–45%, and patients deserve that truth, not a curated fantasy designed to make them sign consent forms with trembling hands.

And then there is competition. Oh, how ugly it becomes when it forgets dignity. To pull another centre down in order to appear taller is not excellence; it is insecurity dressed in a lab coat. Let your outcomes speak. Let your ethics speak louder.

Some women should not proceed with IVF at a given time. A thin endometrium is not an inconvenience to be ignored because the patient is hopeful and uninformed. It is a message. And good medicine listens before it acts.

There is also the quiet danger of underqualified hands, staff hired cheaply, trained poorly, and placed in rooms where lives, embryos, futures are handled. Cost-cutting that endangers patients is not innovation; it is negligence pretending to be efficiency.

And please, let us stop pretending we can guarantee twins or triplets. Doctors are not gods, no matter how advanced the laboratory. To promise multiples is to lie, softly perhaps, but still to lie. Worse still is the reckless transfer of too many embryos, gambling with women’s bodies in the name of higher odds. The world has moved toward single-embryo transfer for a reason. Multiple pregnancies are not trophies; they are high-risk realities.

Patients, already bruised by time and bills and monthly disappointment, deserve respect. Not eye-rolling. Not impatience. Not silence. Certainly not deception, like injecting hCG injection to manufacture a positive pregnancy test, or withholding a negative result because 'she isn’t ready to hear it.' Who decides readiness? Truth delayed is still harm delivered.

You are a serial killer if you inject hcg injections to your patients so it looks like it's positive pregnancy test.

And then there is the cruelty of omission: skipping essential medications to save money and calling it 'coasting,' proceeding to egg retrieval when stimulation has clearly failed, administering placebos as if patients will not one day ask questions. These are not grey areas. They are wrong.

Bad news must be broken gently, and honestly, and by people trained to hold grief without dropping it. Counselling is not an optional extra. It is part of care.
If a procedure is beyond your skill, refer. If a complication occurs, disclose. Duty of candor is not a Western idea; it is a human one.

And yes, IVF is expensive. Drugs are costly. But exploitation wears a particular smell, and patients can sense it even when invoices are wrapped in polite language.
Medications are not communal property. Embryos are not to be shared, traded, or 'managed' without explicit consent. These are not resources. They are possibilities. They are futures.

STOP GIVING PEOPLE'S EMBRYOS OUT WITHOUT CONSENT. YALL BE MOVING MAD!

Do your best, always. But remember the limits of medicine.
Playing God has never ended well.
IVF is already an emotional rollercoaster, and patients climb aboard with faith, and fear, and emptied savings accounts. What they deserve is transparency, integrity, and care that does not flinch when tested.

So this is a call,not for punishment, but for accountability. Not for silence, but for reform. Not for perfection, but for decency. Do better.
Because hope, when entrusted to you, should never leave your hands diminished.