A woman is in pain and her husband won’t sign the consent form for a Caesarean Section (CS).
A woman who is mentally alert and competent can sign her own consent form. We cannot continue to lose mothers and babies because of ignorance.
A Young Nurse Encounters Nigeria
Sunday, January 4th, was an unusually demanding day for me. I had an event in Ughelli, Delta State, and had to drive from Onitsha to the city. From there, I proceeded to another event in Mgbidi, Imo State, and thereafter traveled from Owerri to Lagos.
On the Air Peace flight, I sat in 5A, beside me in 5B was a young woman of about 24 years, Chidera Ugwokeba, whose parents are from the South East, but who was born and raised in the USA. She had just graduated from nursing school and was visiting Nigeria with her parents for the first time. She had exchanged her seat with her sibling to enable her talk to me having been told who I am.
During the flight, she began to share her sadness and confusion about Nigeria. Her first question was simple but piercing: Why do basic things not work in Nigeria? She then recounted a painful experience. Her sister, also visiting Nigeria for the first time, had a domestic accident and was rushed to what they were told was the best government-owned hospital in the area.
On arrival, even though her sister’s hand was bleeding, the hospital staff insisted that payment must be made before any treatment could begin. Shocked, they asked the hospital attendant whether he truly did not see the urgency of the situation. In response, they were shown other patients with even worse conditions who were also being left unattended because they had not paid.
They eventually paid, and it was time for the blood test. Traumatised, they realised the hospital had only one blood-testing machine for all patients, and it was not being sterilised between uses. When she raised concerns that the equipment had not been properly sterilised, they were bluntly told to stop asking questions if they wanted her sister to be treated. Despite their payment, they had to buy all the items needed for her treatment.
She found it hard to believe because, according to her training and every hospital she had visited, treatment comes first - payment comes later. She told me they had considered organizing a GoFundMe to support healthcare back home, but relatives warned them that any money raised would likely be embezzled.
Then she said something that struck me deeply: “I now understand what happened to Boxer Joshua. This is why there was no ambulance to rush him to a nearby hospital.” She wondered aloud whether it was simply because the country is poor. Yet she added that she would willingly offer her skills and service for free and help raise money to make things better.
Listening to the lament of a young, patriotic Nigerian who is prepared to offer free service and raise money to help her country and its citizens, I painfully replied by encouraging her not to lose hope. The country is not poor, but it is poorly governed. Nigeria can afford basic necessities, especially critical and necessary ones, but they are often not considered priorities due to incompetent leadership.
A standard ambulance costs about ₦150 million ($100,000). Nigeria spent ₦39 billion refurbishing the National Conference Centre in Abuja and ₦21 billion rebuilding the Vice President’s residence. Those two projects alone- ₦60 billion -could have provided about 400 brand-new ambulances, roughly 11 per state, including the FCT. Had 11 functional ambulances existed in Ogun State, one might have been available for Joshua.
Building a primary healthcare centre in a community costs about ₦75 million. Yet we spent about ₦300 billion ($200 million) on an additional presidential jet - money that could have built over 4,000 primary healthcare centres, about 110 per state. The only visible value the jet adds is the ability of the President to occasionally disappear without the public knowing where he is, as is the case now.
A Cesarean section is the only major surgery in the world where:
Five to seven layers of tissue — skin, fat, fascia, muscle, and uterus — are carefully opened.
And A new life is lifted into the world — sometimes urgently, sometimes unexpectedly.
And within hours, the mother is told to stand, walk, and care for her newborn.
Six hours after surgery where stitches, staples, and deep incisions still burn — she is expected to:
Feed her baby
Change diapers
Bond through exhaustion
Sit up despite intense abdominal pain
And while healing, her body still goes through:
Contractions as the uterus shrinks back
Hormonal surges
Breast milk production
Emotional turbulence
Sleepless nights
Yet she keeps going — even when:
Laughing hurts
Sneezing hurts
Standing hurts
Sleeping hurts
Breathing hurts
Still… she does it.
Not because it’s easy.
Not because she feels ready.
But because her baby needs her.
And that — is strength.
To every C-section mom reading this:
You didn’t take the “easy way.”
You took the necessary way.
You chose life, safety, and love.
Your scar is not a mark of weakness —
✨ It is a silent badge of courage. ✨
Whether planned, emergency, or after hours of labor —
you brought a life into this world with bravery few will ever understand.
So hold your head high.
Rest when you need to.
Heal at your own pace.
And never forget:
You are strong.
You are enough.
You are a warrior.
i
In a mother’s womb were two babies. One asked the other: “Do you believe in life after delivery?”The other replied, “Why, of course. There has to be something after delivery. Maybe we are here to prepare ourselves for what we will be later.”
“Nonsense,” said the first. “There is no life after delivery. What kind of life would that be?”
The second said, “I don’t know, but there will be more light than here. Maybe we will walk with our legs and eat from our mouths. Maybe we will have other senses that we can’t understand now.”
The first replied, “That is absurd. Walking is impossible. And eating with our mouths? Ridiculous! The umbilical cord supplies nutrition and everything we need. But the umbilical cord is so short. Life after delivery is to be logically excluded.”
The second insisted, “Well I think there is something and maybe it’s different than it is here. Maybe we won’t need this physical cord anymore.”
The first replied, “Nonsense. And moreover, if there is life, then why has no one ever come back from there? Delivery is the end of life, and in the after-delivery, there is nothing but darkness and silence and oblivion. It takes us nowhere.”
“Well, I don’t know,” said the second, “but certainly we will meet Mother and she will take care of us.”
The first replied “Mother? You actually believe in Mother? That’s laughable. If Mother exists then where is She now?”
The second said, “She is all around us. We are surrounded by her. We are of Her. It is in Her that we live. Without Her, this world would not and could not exist.”
Said the first: “Well I don’t see Her, so it is only logical that She doesn’t exist.”
To which the second replied, “Sometimes, when you’re in silence and you focus and listen, you can perceive Her presence, and you can hear Her loving voice, calling down from above.”
Maybe this was one of the best explanations of the concept of GOD.
– this lovely parable is from Your Sacred Self by Dr. Wayne Dyer 🙏
What cannot be hidden in Leadership
Leadership of a nation is such that it's either succeeding or failing, none can be hidden. There are critical areas of leadership that must exist for a nation to move forward, and these are summed up in four Cs: Competence, Capacity, Character and Compassion. Where these four are non-existent, there is no magic you can do.
It's in this line that I have always maintained that we must move away from voting based on tribe and religion, and begin to vote for people with competence, capacity, character, and compassion, because we have all seen, painfully, what leadership without these qualities has done to our country.
Competence because Nigeria today needs a leader who understands the issues, who has the knowledge, experience, and clear ideas to solve them. Capacity because it is not a ceremonial position; it requires strength, stamina, and the mental energy to confront our complex challenges. And above all, leadership must be rooted in character and integrity because without integrity, public trust collapses, corruption thrives, and selfishness takes over. But perhaps most importantly, we need compassion, because when a leader lacks compassion, human lives are treated as statistics, and suffering is ignored.
Sadly, the evidence is right before our eyes. Recently, we witnessed severe flooding in Niger State that claimed nearly 200 lives, with many still missing. Yet, not even a single presidential visit, this, in a nation where the scene of the tragedy is less than an hour away by helicopter.
Just days ago, over 200 Nigerians, innocent men, women, children, and even soldiers were massacred in Benue State. Again, no presidential visit. No physical presence at the scenes of pain. No genuine national mourning. No leadership face to comfort the grieving or give hope to the people.
Yet, we have seen what true leadership looks like elsewhere:
In India, after a plane crash killed nearly 200 people, the Prime Minister was physically at the scene within hours.
In South Africa, when floods claimed 78 lives, the president went personally to the affected communities, stood with them, and took responsibility.
That is leadership with compassion. That is leadership that understands the value of human life. But here in Nigeria, we have normalised leadership without empathy, without accountability, and without a human face.
That is why I insist: Nigeria does not just need another president; Nigeria needs a leader, a leader with competence, capacity, character, and compassion. Until we choose leaders on these principles, the cycle of pain will only continue.
A New Nigeria is POssible.
-PO
My appeal to Middle Belt Influencers is not to look at the composition of the Coalition. Rather look to Peter Obi. Look to his compassion.
He said he is not interested in witch-hunting anybody, & I agree. I want those who destroyed My once Darling Nigeria to stay alive & witness the powerful DREAM that is POssible.
That man has no single bone of violence in him. But he knows the color of Equity & Justice.
On his watch? There’ll be “Equal Citizenship” for every tendency. Bickering only reinforces the APC. Concentrate on Obi & leave the overzealous alone. Some of us are too emotional, full of energy, & I understand.
The feeling in Nigeria is evocative, we all have strong feelings. But the thinking is right. Nigerians in their millions think it is time for Nigeria to reinforce its “Right to Change.”
NIGERIA IS CHANGING & everyone should change with it. This was not the DREAM that was Nigeria. But Peter will do what he says on the tin. The APC is a monster & a thief. I know who he is. I’ve seen him for the last 10 years do what he does best. But he don’t scare me, not for one bit. We know how it goes, "the thief runneth when no one gave chase."
Enough of that: The Obidients are a family, & family is a touchy issue. We're the community, & community is family. When it’s family, you don’t say NO, you step in. We’ve always been judged in a way, they keep judging us.
They say that our words are too harsh. But after all these years, they are still comfortable with children begging on the streets, than staying in classrooms (where they belong).
As for Peter, "everything I’ve circulated about him are widely true. But he is only human. Although he is full of integrity & almost saintly; still, he has blood flowing through those veins."
So let’s celebrate Victory. That’s what today is, a celebration of life. A life of kindness.
Let’s celebrate life, not death.
Let’s celebrate perseverance, not failure.
The future, not the past. Joy, not the pain. It’s the crack of dawn, let’s celebrate happy hour.
We all have desires, even if they remain hidden from us. But we are neighbors, let’s be neighborly. The mind can play tricks under stress. But the fact we here says we care.
What’s not to like about Peter? He is smart, by all accounts he is compassion itself. Do not let ancient prejudices becloud your sense of judgement & fairness. If he emerges as the “leader of the coalition,” then he will need the Muslim North. Malice will always lead to a type of bad blood. In the end, we’re all one country.
He has been fair to all the regions (even without presiding). He’ll be more than fair to everyone (should providence smile on him). Peter is the child of destiny, his legend is still being written.
Nigeria has been through blood & shame. Nowadays we live in denial. That place could be a whole new world. But its needs its tribal chieftains to guarantee its right to change.
If I can trust him, it means he’s trustworthy. You too can trust him. When you do that? You give back to your children, their long-lost voices.
Hyperemesis Gravidarum: When Pregnancy Feels Like a Ruthless Conspiracy.
Dear @AdesuaEtomiW,
Thank you for peeling back the layers on this deeply misunderstood condition.
Hyperemesis Gravidarum...a name that rolls off the tongue with the same ease that food refuses to stay down.
And no, it is not just "excessive vomiting during pregnancy."
What about the searing chest pain from acid reflux clawing its way up your throat?
Or the weight loss, the kind that turns you into a shadow of yourself?
Pregnant women, when you feel this way, come to the hospital. Do not wait. Do not assume it is normal.
Because sometimes, lurking beneath the relentless nausea is a vitamin deficiency that could steal your balance, muddle your thoughts, even erode your memory (Wernicke’s encephalopathy is not a myth).
And when you arrive at the hospital, remember these:
● Blood clots are a real and deadly threat. Ask about medications to prevent them. Many have died, not from the sickness, but from what it silently brings.
● Know your IV fluids. Tell them, firmly, that dextrose or sugar-containing fluids are not for you. Say it with conviction, because sugar can trigger a neurological disaster you do not need. Instead, ask for Ringer’s lactate or a suitable alternative.
● This is why you must marry a man who will hold your hair back as you throw up. Who will sit beside you, through the exhaustion, the tears, the slow drip of IV fluids. Because Hyperemesis Gravidarum is not just a battle...it is a war, and you need an ally.
Now, let me teach you Hyperemesis Gravidarum with the H.Y.P.E.R.E.M.E.S.I.S. method. Because if we must suffer, at least let us educate while we do.
H – Hospitalization: Because what’s pregnancy without a little all-inclusive stay? IV fluids, nausea meds, and existential dread. Welcome to the VIP section!
Y – Yellowish discoloration (jaundice): When your liver decides it’s as fed up as you are and starts cosplaying a minion.
P – Persistent vomiting: Morning sickness? Cute. This is all-day, all-night, no-holds-barred, call-the-exorcist vomiting.
E – Electrolyte imbalances: Your body, now playing "Suwe" with sodium and potassium, waiting for you to collapse.
R – Risk factors: Multiples, molar pregnancies, past HG… Basically, if you thought pregnancy was going to be a glowing experience, the universe is laughing at you.
E – Emotional impact: Anxiety, depression, and questioning all your life choices while hugging a toilet.
M – Malnutrition: You wanted to “eat for two,” but instead, you’re surviving on ice chips and the occasional saltine.
E – Encephalopathy (Wernicke’s): Because vomiting so much you forget basic math is, apparently, a thing.
S – Severe dehydration: Your kidneys are on strike, your urine is darker than your sense of humor, and you’re one IV drip away from becoming a raisin.
I – Intravenous fluids: Because drinking water is a luxury when your stomach has decided to go on full rebellion mode.
S – Small, frequent meals: A suggestion from people who have never had HG. Blink twice if you’ve ever dry-heaved at the thought of food.
To all the pregnant women out there, waging this battle...I hope you have the best support.
Because Hyperemesis Gravidarum is not just a condition. It is a test of endurance, a lesson in resilience, and a brutal, unforgiving storm. And the least the world can do is understand.
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@AdesuaEtomiW ❤️❤️❤️
Been there twice now & I'm definitely taking a bow after this. It's such a horrible experience that I dont wish to have again, I can't even explain how I found myself asking God to take back his blessings so I could have my life back. I'm grateful he didn't listen 🙏