Dr Joyce Sakala

Dr Joyce Sakala Consultant Obstetrician gynecologist.

Expert in women's health: puberty, menopause, fibroids, ovarian cysts, abnormal bleeding, pregnancy, childbirth plus many more

From calm to action in mere moments❗💥😱Many are a time I have had to pivot from reassuring a couple about their labor pro...
20/04/2026

From calm to action in mere moments❗💥😱

Many are a time I have had to pivot from reassuring a couple about their labor progress to swiftly informing them of the necessity of a caesarian section 🤯

What is your story of navigating a caesarian section and how did you feel in that moment?

What helped you cope and come to terms with how your delivery turned out? 🌟💫🌠🌈💖😊👶💕

Emergency caesarean section can be dramatic and even traumatising for the mothers that experience them❗️Everything happe...
20/04/2026

Emergency caesarean section can be dramatic and even traumatising for the mothers that experience them❗️
Everything happens so fast‼️
1️⃣ Decision + verbal consent
Your provider explains why it’s needed now.
Full written consent needs to happen before you are taken to theatre

2️⃣Rapid preparation: Move to OR — you may walk or be wheeled on your bed.
IV fluids run wide open, antibiotics given if not already.
Anesthesia
Abdomen prepped quickly, catheter placed.
Team gowns up while this happens

3️⃣Right before baby is born
Surgeons will tell you when they’re starting. You may feel pressure, tugging, or movement but not pain.
Anesthesiologist stays by your head, monitoring you and giving anti-nausea meds if needed.
The baby will be shown to you once delivered and attended to accordingly

🎯This is general info about how C-sections are usually handled. Every hospital has its own protocols and your medical team will tailor things to your specific situation.

Steps to expect for a planned or elective C-section:1. Consent + paperwork  Your doctor or midwife will explain why the ...
19/04/2026

Steps to expect for a planned or elective C-section:

1. Consent + paperwork
Your doctor or midwife will explain why the C-section is recommended, the risks/benefits, and anesthesia options. You’ll sign consent forms. This is when you can ask about risks, your partner being present, bedside policy etc

2. Pre-op assessments & tests
Usually 1-7 days before: blood work for anemia/blood grouping, screening for any other conditions and anesthesia review. You’ll get instructions on when to stop eating/drinking — usually no solid food 6-8 hours before, clear fluids up to 2 hours before.

3. Hospital arrival & prep- maybe on the same day or days before depending on policy and pre-existing condition
Check in to the ward. Change into a gown, get an IV line placed.
Blood pressure cuff, pulse oximeter, and fetal monitoring go on.
Abdomen shaved if necessary
Antacid drink given to reduce stomach acid in case of general anesthesia.
Antibiotic IV dose ∼30-60 min before incision to prevent infection.
Preload with intravenous fluids - to prevent hypotension

4. Anesthesia
For most planned C-sections you’ll get a spinal while sitting or curled on your side. Takes 5-10 min. You’ll be numb from chest/ribs down but awake. A catheter is placed after you’re numb. If it’s a true emergency, general anesthesia may be used instead.

5. Partner/support person scrubs in and waits until after the spinal is working. Sterile drapes go up, abdomen cleaned with antiseptic. The team does a “time out” to confirm patient, procedure, and counts. Then surgery starts — baby is usually delivered 5-15 min after the first incision.

A C-section is NOT a walk in the park 🚫It comes with real risks every mother deserves to know about.Possible short-term ...
17/04/2026

A C-section is NOT a walk in the park 🚫

It comes with real risks every mother deserves to know about.

Possible short-term complications‼️
📌 Infection: Wound, uterus, or bladder infections. Antibiotics help, but recovery is harder if the wound gets infected

📌Blood loss: Average C-section = 2x the blood loss of vaginal birth.
Blood transfusion may be required.

📌Blood clots: DVT or pulmonary embolism risk is higher because of the surgery + less mobile after.

📌Organ injury: Bladder or bowel can be nicked during surgery, especially in emergencies or repeat C-sections. Some of these injuries can be unforgiving

📌 Anesthesia issues: Spinal headaches, low blood pressure, rare but serious reactions to medications.

📌Pain: It’s abdominal surgery. Laughing, coughing, standing up, and holding your baby all hurt for weeks.

Longer-term impacts‼️
📌Recovery time: 6–8 weeks minimum. No driving, no lifting anything heavier than baby, stairs are a mission.

📌Scar tissue/adhesions: Can cause chronic pain or complicate future surgeries.

📌Uterine scar risks: Slightly higher risk of placenta previa, placenta accreta, or uterine rupture in future pregnancies.

📌Higher risk in next birth: VBAC is possible but not always offered unless you meet certain criteria. Repeat C-sections add risk each time.

📌Breathing issues for baby: Slightly higher chance of transient breathing difficulties if done early.

📍 And the stuff people don’t talk about:
Constipation from pain meds, feeling disconnected from birth, guilt from comments like “you didn’t really give birth.” 😢

C-sections save lives, Full stop❗
Sometimes planned, sometimes emergency at 2am when a heartbeat crashes.
Shaming moms for it ignores the fact they chose surgery + weeks of painful recovery to keep their baby safe.

To every C-section mama: You birthed your child. Your scar is proof. That’s strength, not laziness.

Share if we’re done judging how babies get here 💪


Myth : “Mothers who delivery via C-section are scared or too lazy to push.”There is nothing lazy about getting major abd...
15/04/2026

Myth : “Mothers who delivery via C-section are scared or too lazy to push.”

There is nothing lazy about getting major abdominal surgery.

A caesarean birth involves;

🎯 Cutting through 7 layers of the abdomen

🎯6+ weeks recovery.

🎯Higher risk of infection, blood clots, and complications in future pregnancies.

You don’t “opt in” to that because you just dont feel like pushing.

Why do C-sections actually happen?

🎯Baby’s safety: Breech position, cord prolapse, fetal distress, too big for pelvis.

🎯Mom’s safety: Pre-eclampsia, placenta previa, active herpes, previous uterine rupture risk.

🎯Labor isn’t progressing: 30+ hours, cervix stops dilating, baby stuck. That’s not failure — that’s medicine preventing trauma/death.

🎯Emergencies: When heartbeats drop, you’ve got minutes. A C-section is the rescue plan.

🎯Planned C-sections? Also valid. Trauma survivors, previous stillbirth, severe anxiety, medical conditions. Mental health is health.

🎯Postpartum reality: C-section moms recover from surgery while caring for a newborn. They can’t lift, drive, or sleep on their stomach for weeks. They nurse wounds and still breastfeed through it.

Call that lazy???

🎯Birth isn’t a competition. Vaginal, C-section, medicated, unmedicated — the goal is alive mom, alive baby. Full stop.

Share this if you’re tired of mothers being shamed for how they gave birth.


Lets demystify caesarean birth.It can be life saving for the baby, the mother or both.
15/04/2026

Lets demystify caesarean birth.

It can be life saving for the baby, the mother or both.

🎉 HAPPY NEW MONTH! 😊Sharing a birthday with your mini-me is the ultimate gift! 🤰💕 What a BLISSFUL day for this mommy and...
01/04/2026

🎉 HAPPY NEW MONTH! 😊

Sharing a birthday with your mini-me is the ultimate gift! 🤰💕

What a BLISSFUL day for this mommy and her new baby born today! 🎈

Tag an April baby and let's make them feel EXTRA special today! 😘



⚡Don't brush off the pain! 😔⚡Severe menstrual pain isn't normal!⚡Seeking care can protect her fertility🎺 If you're exper...
31/03/2026

⚡Don't brush off the pain! 😔

⚡Severe menstrual pain isn't normal!

⚡Seeking care can protect her fertility

🎺 If you're experiencing terrible cramps, heavy bleeding, or pelvic pain, talk to a gynaecologist or healthcare provider.

Let's talk about endometriosis!✨ It's a chronic condition where tissues similar to the lining of the uterus grows outsid...
30/03/2026

Let's talk about endometriosis!

✨ It's a chronic condition where tissues similar to the lining of the uterus grows outside the uterus, causing pain, heavy periods, and infertility.

If you're experiencing:
- Severe menstrual cramps
- Heavy or irregular periods
- Pelvic pain
- Infertility;

📌 See a gynecologist for evaluation
📌 Early recognition and treatment can save you from a life of constant pain and infertility
📌Get treatment early
📌 Your pain is real and you are not alone!

🙋‍♀️ Share your stories, ask questions, and let's support each other.


March is endometriosis awareness month.What have you heard and what do you know about endometriosis?
20/03/2026

March is endometriosis awareness month.

What have you heard and what do you know about endometriosis?

Last weekend, I was privileged to attend the Zimbabwe Women Doctors Association 2026 Awards gala, held at Hyatt Regency ...
20/03/2026

Last weekend, I was privileged to attend the Zimbabwe Women Doctors Association 2026 Awards gala, held at Hyatt Regency Harare Meikles, as Guest of Honour and Keynote Speaker in my capacity as MWIA Regional Vice President for Near East and Africa. It was an evening full of inspiration as a number of women were awarded for exhibiting excellence and exceptional leadership in their various roles. I am grateful to the Zimbabwe Women Doctors Association President, Dr Virginia Masunda; and the Vice President and founder, Dr Maita Chatora Mvere, and the entire executive and membership for the invitation and wonderful hospitality.


When duty calls.Guess the location 😄
14/03/2026

When duty calls.

Guess the location 😄

Address

Lusaka
Lusaka
10101

Telephone

+260954149133

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