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Dr. Moro Morgan, Juba (2026)

11/08/2026

How Pregnancy Tests Work

Pregnancy tests detect human chorionic gonadotropin (hCG), a hormone that rises after implantation. As hCG enters the bloodstream and then the urine, a pregnancy test may detect it and produce a positive result. Testing too early can lead to a false-negative result, so testing after a missed period is generally more reliable.

10/08/2026

postpartum hemorrhage (PPH)

10/08/2026

You Can Get Pregnant Immediately After Period.

Especially those with shorter Menstrual Cycles (like 21–24 days), pregnancy can happen very soon after their period ends sometimes even immediately after their period .
Many people think Ovulation always happens on Day 14.
That is not true for every woman.
Ovulation depends on your cycle length.
If your cycle is shorter, ovulation comes earlier.
That means your fertile days also come earlier.

For example:
If your cycle is 21 days,
you may Ovulate around Day 7.
And because S***m can stay alive inside the body for up to 5 days
If you have unprotected s£x on Day 4, 5, or 6(even if your period just ended),that s***m can wait inside and meet the egg when Ovulation happens.
And yes
that can lead to pregnancy. 🤰
This is why some women get pregnant right after their period and feel confused because they thought it was a “safe time
That is why understanding your cycle is very important.
Have you ever heard someone say,
“But it was just after my period, how did I get pregnant?”

Now you know why.

10/08/2026

Dear men,

Having s3x with a lady who has a va**nal yeast infection does NOT automatically mean you will get an infection.
But there are a few important things you should know…
A va**nal yeast infection, commonly caused by Candida, is not usually classified as a sexually transmitted infection.

10/08/2026

Bleeding after delivery (postpartum hemorrhage or abnormal postpartum bleeding) can have several causes. While some bleeding (called lochia) is normal for several weeks after childbirth, heavy or excessive bleeding is a medical emergency.
Common causes of bleeding after delivery
Uterine atony (most common cause)
The uterus fails to contract properly after delivery, allowing blood vessels to continue bleeding.
Retained placental tissue
Pieces of the placenta remain inside the uterus, preventing it from contracting effectively.
Ge***al tract trauma
Tears or lacerations of the cervix, va**na, or perineum during childbirth.
Uterine rupture (rare but serious).
Blood clotting disorders
Conditions such as disseminated intravascular coagulation (DIC), severe preeclampsia, or inherited bleeding disorders can impair blood clotting.
Uterine inversion
A rare condition where the uterus turns inside out after delivery, causing severe bleeding.
Infection (endometritis)
Infection of the uterine lining can lead to prolonged or abnormal bleeding, often accompanied by fever and foul smelling discharge.
Warning signs of postpartum hemorrhage
Soaking one or more sanitary pads in an hour.
Passing very large blood clots (larger than a golf ball).
Dizziness, fainting, or weakness.
Rapid heartbeat or difficulty breathing.
Pale, cold, or clammy skin.
Treatment
Treatment depends on the cause and may include:
Uterine massage.
Medications that help the uterus contract (uterotonics).
Removal of retained placental tissue.
Repair of tears or lacerations.
Intravenous fluids and blood transfusion if needed.
Surgery in severe cases.
If a woman experiences heavy bleeding after delivery, she should seek emergency medical care immediately, as postpartum hemorrhage can become life a threatening if not treated promptly.

08/08/2026

DYSENTERY

●Dysentery is a Gastrointestinal disorder were there is Infection and inflammation to the intestines by either the Shigella or Entamoeba hystolytica causing symptoms such as Bloody stool, Abdominal pains, Fever Etc.

RISK FACTORS.
1.No handwashing after toilet use.
2.No Handwashing before handling Food.
3.Poor waster Disposal.

●There Basically two types of Dysentery.
1.BACILLARY DYSENTERY
2.AMOEBIC DYSENTERY

1.BACILLARY DYSENTERY.
●This is an Acute inflammation of the large intestines caused by the Shigella and is characterised by Diarrhoea, blood and mucous in stool.

👉4 SHIGELLA STRAINS.
1. Shigella Dysenteriae
2.Shigella Sonei
3.Shigella Flexneri
4.Shigella Boydii

👉PATHOPHYSIOLOGY
●The organism Gains access into the body through intake of Food and/or Water contaminated by the organism.
●It Goes to the large intestines were it causes inflammation. This will lead to bleeding in the intestines.
●There is pus formation following inflammation.Adjacent lymph nodes are affected leading to Fever.

👉SIGNS AND SYMPTOMS
Symptoms usually occur within a week.
1.Colic Abdominal pains
2.Fever
3.Profuse Diarrhoea
4.Tenesmus (Feeling like passing stool)
5.They don't usually have Dehydration.

👉MANAGEMENT
INVESTIGATION /DIAGNOSIS
1.History Taking
2.Physical Examination
3.Stool for m/c/s.
4.Direct Immunofluorescence
5.Sigmoidoscopy.

👉TREATMENT
1. Patient is Advised to be on Fluid therapy after each loose stool.
2.The Drug of choice is Nalidixic Acid 50mg/kg Orally in 4 divided doses for 7days.

2.AMOEBIC DYSENTERY
●This is a Chronic disease of the intestines caused by the Protozoa called the Entamoeba hystolytica.

👉PATHOPHYSIOLOGY.
●Man will ingest the cyst. The cyst will reach the stomach and will not active because of the acidic environment. When it reaches the intestines the cyst breaks and releases the organism that now starts to damage the intestinal walls.
●The organism travels through the Mesenteric artery to the liver causing total destruction to the liver thus causig4an Abscess. Some travel through the blood to the lungs, Brain and Skin causing further damage.

👉SIGNS AND SYMPTOMS.
1.Onset of Symptoms is Gradual.
2.Intermittent Abdominal Pains.
3.Diarrhoea that alternates with Constipation.
4.Abdominal Tenderness
5.liver Enlargement if liver is involved.
👉MANAGEMENT.
INVESTIGATIONS/DIAGNOSIS.
1.History Taking
2.Physical Examination
3.Sigmoidoscopy
4.Tissue Biopsy
5. Liver Aspiration at times .

👉TREATMENT.
1.Fluid therapy is encouraged.
2.Flagyl. in children 1-3years.200mg orally hourly.
3.Tinidazole 50-60mg/kg Daily for 3days.

Plus other supportive drugs.

👉NURSING CARE PLAN

1.RISK FOR INFECTION SPREAD related to the contagiousness of the disease.

2.ALTERED BODY TEMPERATURE related to intestinal infection evidenced by a raised body temperature.

3.ANXIETY related to passsage of bloody stool evidenced by patient enquiring about the cause.

4.DECREASED BODY FLUID VOLUME related to fluid loss through diarrhoea evidenced by a dry mouth.

5.RISK FOR IMPAIRED SKIN INTEGRITY related to skin invasion by the amobiasis
officers learning corner

08/08/2026

Everything will fall into place. Be patient. ⏳
medic practitioners "clinicians"

08/08/2026

WHY SOME WOMEN BECOME TOO WEAK TO PUSH EVEN AFTER REACHING 10 CM DILATION

“Doctor, I am already 10 cm. Why am I still struggling to push?”

This is something that can happen during childbirth, and it does NOT always mean the mother is lazy or refusing to push.

Reaching 10 cm means the cervix is fully dilated and the body has reached the pushing stage.

But here is what many people don't realize:

BEING 10 CM DILATED DOESN'T AUTOMATICALLY MEAN YOU WILL HAVE ENOUGH ENERGY TO PUSH.

Some women have already been battling strong contractions for many hours before reaching full dilation. By the time the cervix is completely open, they may be physically and emotionally exhausted.

Here are some reasons a woman may become very weak at this stage:

👉 PROLONGED LABOR
Hours of contractions can consume a lot of energy and leave the mother exhausted.

👉 DEHYDRATION OR LOW ENERGY
A woman who has not been able to drink adequately or maintain her energy during a long labor may become extremely tired.

👉 SEVERE PAIN, FEAR OR ANXIETY
Pain and fear can make it difficult to relax and coordinate effective pushing.

👉 EPIDURAL OR OTHER PAIN RELIEF
Some pain medicines can reduce sensation, making it harder for a woman to know exactly when and how to push.

👉 BABY'S POSITION
Sometimes the baby is not positioned in the easiest way for descent. For example, an occiput-posterior position can make labor and pushing more difficult.

👉 BABY NOT DESCENDING WELL
Even with a fully dilated cervix, the baby's head still has to move through the mother's pelvis. If descent is slow, pushing can become exhausting.

👉 MEDICAL PROBLEMS
Conditions such as significant anemia, infection or low blood pressure can also contribute to weakness and require medical assessment.

AND PLEASE REMEMBER THIS:

A woman who is struggling to push should not simply be shouted at or told, “Push harder!”

She needs to be assessed.

The healthcare team may help with positioning, pain management, hydration or others

07/08/2026

CERVICAL DILATION DURING LABOR

CERVICAL DILATION SCHEDULE , HOW FAST DOES LABOR PROGRESS?

Every woman’s labour is unique, but here’s the typical pattern.

06/08/2026

The Miracle of Life: How a Mother’s Body Adapts to Pregnancy 🤰✨
"It’s truly incredible what the human body can do!
This visual shows the powerful transformation that happens inside a mother’s body from the first trimester to the end of the third. To make room for a growing baby, internal organs like the stomach, liver, and intestines shift and compress.
It is a testament to the strength, resilience, and sacrifice of mothers everywhere. Nature’s engineering at its finest! ❤️

Dr. Moro Morgan

11/08/2026

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