Obstetrics & Gynaecology with Dr. Mwando Chrispin

Obstetrics & Gynaecology with Dr. Mwando Chrispin Passionate OBGYN Registrar educating on women's health. Let's learn together!
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Help exists. Please sick help🙏 *xual_reproductive_health
21/04/2026

Help exists. Please sick help🙏
*xual_reproductive_health

Goodevening
18/04/2026

Goodevening

Good morning what are some of the myths you've come across about PCOS?
14/04/2026

Good morning
what are some of the myths you've come across about PCOS?

Good morning Family.Help exists!❤️
27/03/2026

Good morning Family.
Help exists!❤️

06/03/2026

Good morning Family, hope you're all well. Quick one, if you've been diagnosed with fibroids before, what was the experience like? what are some of the challenges you faced? please feel free to share your inbox via inbox too if you can't share here and we promise to keep you anonymous 🙏 let's learn and interact together

Night Shift Chronicles: Part 1There’s something about the night shift — it lulls you into a false sense of calm before c...
04/03/2026

Night Shift Chronicles: Part 1

There’s something about the night shift — it lulls you into a false sense of calm before chaos quietly knocks.
It was one of those eerily quiet calls. Too quiet. Then my phone shattered the silence.
“Dr Mwando, we have a stuck aftercoming head.”
Adrenaline instantly replaced sleep.
A stuck aftercoming head happens during a breech delivery — the baby’s body delivers, but the head becomes trapped at the cervix. It’s a race against time. Once the head is stuck, the umbilical cord is compressed, oxygen stops, and death can follow within minutes.
I ran.
When I arrived, the scene was surreal. The baby’s small body hung motionless, the head still lodged in the birth canal. The baby didn’t even look big — maybe 1.5 kg at most — yet the pregnancy was 42 weeks. The baby was limp. Lifeless.
I felt for the cord. No pulsations.
No fetal heartbeat.
I explained the situation to the mother. Calm. Composed. Brave beyond words. She understood.
I attempted standard breech maneuvers. Nothing.
Tried again. Still nothing.
Why isn’t this baby coming? I thought.
This woman had delivered four babies before — bigger babies than this one. What was different?
“Get the ultrasound.”
The screen told the story instantly.
A massive head filling the entire pelvis.
Almost no visible brain tissue.
Hydrocephalus.
The baby’s skull was distended with fluid — so enlarged it physically could not pass through the pelvis.
I explained everything carefully to the mother. She listened quietly.
I took a long needle and syringe, attempting to drain the fluid and decompress the head. But the head was too high. I couldn’t access it. I tried again. And again.
Nothing.
Two hours had passed. The mother was exhausted. We were running out of options.
We discussed the unthinkable — decapitation to deliver the body, followed by a cesarean section to retrieve the head. A devastating, gruesome procedure — but sometimes the only way to save the mother.
She agreed. Stronger than anyone in that room.
The nurses were shaken. I wasn’t eager either. No one ever is.
Before proceeding, I asked for one more attempt with the needle.
One last try.
This time — fluid.
Clear, tense “brain water” flowed into the syringe. The head began to soften. Slowly, visibly decompressing.
And just like that — the baby delivered.
The night had started quietly.
It ended with a lesson I’ll never forget: in obstetrics, you never give up too soon — and sometimes, one more attempt changes everything.

04/03/2026

Goodevening guys, night chronicles is back! Who is ready? tell us where you'll be reading from in the comment section below👇

What is infertility?Infertility means a couple is unable to get pregnant after 12 months of regular, unprotected s*x (or...
02/03/2026

What is infertility?

Infertility means a couple is unable to get pregnant after 12 months of regular, unprotected s*x (or 6 months if the woman is over 35).
It doesn’t always mean you can never have children — it just means it’s taking longer than expected.

Types of infertility

1) Primary infertility - The couple has never been able to get pregnant.

2) Secondary infertility - The couple has had a pregnancy before, but now cannot conceive again.

what are some Common causes?

Infertility can come from:
I) The woman
II) The man
III) Both partners
Or sometimes IV) no clear cause

In women: 1) Problems with ovulation (not releasing eggs regularly)
2) Blocked fallopian tubes
3)Hormonal problems
(Conditions like PCOS)

In men:
1) Low s***m count
2) Poor s***m movement
3) Problems with s***m shape

Tests that may be done:
Doctors usually test both partners.

For the woman:
1) Ovulation tests → to check if eggs are being released
2) Ultrasound scan → looks at the uterus and ovaries
3) Hormone blood tests → checks reproductive hormones
4)HSG (hysterosalpingogram) → dye test to see if tubes are open

For the man:
1) Semen analysis (main test)
→ checks s***m count, movement, and shape

Treatment options
Treatment depends on the cause:
1. Lifestyle changes
Healthy diet
Reduce alcohol/smoking
Weight control
Stress management

2. Medications
-To help the woman ovulate
-To correct hormone problems

3. Surgery
-To open blocked tubes
-To remove fibroids or other abnormalities

4. Assisted reproduction (advanced options)
IUI (Intrauterine Insemination)
→ s***m is placed directly into the uterus
IVF (In Vitro Fertilization)
→ egg and s***m are combined in a lab, then the embryo is placed in the uterus

Are you suffering from infertility or know someone that does? Help exists.
Please seek help from your nearest health facility

Should you be worried about ovarian cysts? Short answer: Sometimes—but most of the time, not really.What are ovarian cys...
01/11/2025

Should you be worried about ovarian cysts?
Short answer: Sometimes—but most of the time, not really.

What are ovarian cysts and where do they come from?
Ovarian cysts are fluid-filled sacs that develop on or inside the ovary—just like the one shown in the image above. These cysts can be functional (physiological) or pathological (disease-related or cancerous).

Functional cysts are the most common and usually harmless. They’re thin-walled, fluid-filled sacs that often form as part of the normal menstrual cycle.

During a menstrual cycle, a follicle grows to release an egg. If ovulation doesn’t occur, that follicle may remain and become a follicular cyst. This type may cause mild discomfort or none at all, and it often disappears on its own within a few weeks.

Another common type is the corpus luteum cyst, which forms after the egg is released. Sometimes, it can appear in early pregnancy and helps produce progesterone to support the pregnancy during the first few weeks.

Cysts can also develop in the second trimester of pregnancy, caused by hormonal changes. These usually resolve on their own and may even be seen incidentally during a cesarean section.

Certain ovulation induction medications (used in fertility treatment) can also cause temporary cyst formation.

Because most functional cysts are small (less than 10 cm) and harmless, treatment is usually conservative—watch and wait. They typically resolve on their own. You do not need to take a 14-day course of antibiotics.

Stay tuned for Part II, where we’ll discuss the less common but more concerning pathological cysts.

29/10/2025

Good morning everyone. It’s been a while since I last shared anything on this platform, but I’ll do my best to post something every week going forward.

Newest specialist in town! Dr. Mwando Chrispin — BScHB, MBChB, and now officially MMed in Obstetrics and Gynecology. May...
23/05/2025

Newest specialist in town! Dr. Mwando Chrispin — BScHB, MBChB, and now officially MMed in Obstetrics and Gynecology. Maybe I will be active posting on this page again 😁.

Happy women's day.
08/03/2025

Happy women's day.

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Lusaka
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