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Psychosocial Wellness In Pregnancy

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Bringing a child into the world is among one of the most life-altering transitions a human being, male or female, can ever go through. Even as medical researchers continue to make ground breaking discoveries about the intricacies around it, social scientists say the psychosocial issues of pregnancy and their implications on both men and women are rarely probed and even when done, only peripherally. Medical sociologist Mercy Wahome breaks down what psychosocial wellness during pregnancy entails and its impact.

You’ve just learnt you’re pregnant and in a few months, your weight will increase and the only thing you will be able to see past your chin is your growing belly. For a man, it means months of swinging on an emotional pendulum as your partner’s unpredictable mood swings take centre stage. Though all your friends gush about how great pregnancy and parenting are, secretly, you both frown about the physical, lifestyle and financial implications and how it affects your relationship. The question is – to whom do you turn to about your anxieties, fickle as some of them may sound? After all, once a woman becomes pregnant, everything around the couple becomes more about the baby and not them, right? Wrong!

According to Mercy Wahome, a medical sociologist at Mercy Medical Centre, fickle or not, a parent’s and especially a mother’s psychosocial wellness (the interrelation between social factors such

as religion, tradition, pop culture and how they influence thought and behaviour) is of utmost importance as it can determine whether one has a smooth or rough transition into motherhood. This can be nfluenced by many factors several of which include:

Personal experiences

Though pregnancy is a gift every woman stands a chance to experience, each is unique. According to Wahome, despite pregnancy being a natural process, many people interpret the term ‘natural’ broadly expecting many couples to become perfect parents instantly. This is despite a barrage of information, judgment over decisions on how to deal with one’s pregnancy, and the very nature of a couple’s pregnancy, that is if it is smooth or problematic, wanted or unwanted, natural or inseminated.

All these can influence how a couple and especially women view and treat their pregnancy cycle. A lot of changes also occur, for instance, instincts heighten, hormones upsurge cause mood swings and physical changes such as increased breast size and the body slowing down to store energy for child labour can create problems if misunderstood.

Changing Trends

In traditional African societies, pregnant and new mothers had their mothers and mothers-in-law dote on them. In the busy and ‘modern’ lifestyle of contemporary African society, there is little room for that. Pregnancy was also a woman’s realm as most fathers took a back seat. However, science shows that having fathers actively involved in pregnancy is beneficial. Pregnancy becomes easier when one gets support fromthose around.

Manouvering the jargon minefield

According to Wahome, while it helps to have the best expertise in terms of doctors, many medics – especially in public hospitals where pregnant women are treated en masse – do not bother to or even have the time to delve into the implications of the medical tests taken. Wahome adds that the more information one has about their pregnancy, the more confident and empowered one is likely to feel.

Overall health

Wahome says issues surrounding pregnancy such as postpartum blues, poor breast milk production, hard, prolonged and painful labour can be averted if women receive holistic care during pregnancy.

Published in July 2016

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Cover Story

Elizabeth Nzisa: The Firstborn Who Became a Mother Overnight

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While most teenagers spend their days focused on school, friendships, and dreams for the future, Elizabeth Nzisa, fondly known as Shiku, was forced to grow up much faster than she ever imagined. At only 17 years old, she found herself taking on the role of a mother to her three younger siblings after her family was hit by tragedy not once, but twice.

Her story, shared in an emotional interview, is a powerful reflection of strength, sacrifice and the deep bond between siblings. Elizabeth recalls the moment her life changed completely. Her mother died while giving birth to their youngest sibling, a baby boy. In the middle of that painful loss, their father walked away from the family, leaving Elizabeth alone with a newborn and two other young children to care for.

Mama yetu alipass 2024, Feb. Alipass akipata haka katoto kadogo. Dad naye akatuacha akaenda

 

Becoming a Mother Too Soon

She explains that she had no choice but to step up and become the parent in the house. She raised her youngest brother from the day he was born, and to this day he calls her mum, not knowing she is actually his big sister. That detail alone shows how much responsibility she carried at such a young age. She became the provider, the protector, the caregiver, and the emotional support for her siblings while she was still trying to understand life herself. With little help from relatives, Elizabeth had to find ways to survive, balancing school when she could, doing small jobs and making sure her siblings were fed, safe and loved.

The journey was not easy. She faced financial struggles, emotional exhaustion, and the pressure of trying to stay strong even when she felt overwhelmed. There were moments when she doubted herself and wondered if she was doing enough. Still, her story is not about defeat. It is about endurance. Elizabeth talks about finding strength through faith, support from the people around her, and the determination to keep her family together no matter how hard things became.

Over the years, she made sure her siblings stayed in school, had food on the table, and grew up feeling loved despite everything they had lost. What could have been a completely broken home became a family held together by her sacrifice and commitment.

Many viewers reacted emotionally, saying the story moved them to tears. Some described firstborn daughters as second mothers, while others said her life shows the kind of courage people rarely see but should never forget.

 

Click here to read our March issue 2026

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Cover Story

Elizabeth Nzisa: The Firstborn Who Became a Mother Overnight

Published

on

While most teenagers spend their days focused on school, friendships, and dreams for the future, Elizabeth Nzisa, fondly known as Shiku, was forced to grow up much faster than she ever imagined. At only 17 years old, she found herself taking on the role of a mother to her three younger siblings after her family was hit by tragedy not once, but twice.

Her story, shared in an emotional interview, is a powerful reflection of strength, sacrifice and the deep bond between siblings. Elizabeth recalls the moment her life changed completely. Her mother died while giving birth to their youngest sibling, a baby boy. In the middle of that painful loss, their father walked away from the family, leaving Elizabeth alone with a newborn and two other young children to care for.

Mama yetu alipass 2024, Feb. Alipass akipata haka katoto kadogo. Dad naye akatuacha akaenda

 

Becoming a Mother Too Soon

She explains that she had no choice but to step up and become the parent in the house. She raised her youngest brother from the day he was born, and to this day he calls her mum, not knowing she is actually his big sister. That detail alone shows how much responsibility she carried at such a young age. She became the provider, the protector, the caregiver, and the emotional support for her siblings while she was still trying to understand life herself. With little help from relatives, Elizabeth had to find ways to survive, balancing school when she could, doing small jobs and making sure her siblings were fed, safe and loved.

The journey was not easy. She faced financial struggles, emotional exhaustion, and the pressure of trying to stay strong even when she felt overwhelmed. There were moments when she doubted herself and wondered if she was doing enough. Still, her story is not about defeat. It is about endurance. Elizabeth talks about finding strength through faith, support from the people around her, and the determination to keep her family together no matter how hard things became.

Over the years, she made sure her siblings stayed in school, had food on the table, and grew up feeling loved despite everything they had lost. What could have been a completely broken home became a family held together by her sacrifice and commitment.

Many viewers reacted emotionally, saying the story moved them to tears. Some described firstborn daughters as second mothers, while others said her life shows the kind of courage people rarely see but should never forget.

 

Click here to read our March issue 2026

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Cover Story

Endometriosis and sex: How to make intimacy pain-free

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There is no doubt that endometriosis can affect a woman’s way of life. The condition slews a couple of conditions, painful sex being one of them. Penetration pulls and pushes any tissue growth behind the vagina and lower uterus.

Although symptoms may differ from woman to woman, here are some things you can do to lessen your pain and ensure you have some good time:

Take a dose of painkillers

Take an over the counter painkiller that sits well with your body before intercourse and incase pain persists, take another one as prescribed.

Track your cycle and try at certain times of the month

Most women with endometriosis experience excruciating pain during their period and ovulation. Keep track of your cycle so that you can know when you are ovulating. You can use apps like my calendar and flo period tracker to track your periods. This will help you know when best to engage in sexual intercourse.

READ ALSO: Crucial Facts About Endometriosis Everyone Should Know About

Use lube

Vaginal dryness is not something to be ashamed of and if you happen to have it, lube should be your best buddy. Make sure to use any silicon or water based lubricant anytime you feel like your vagina is dry. Ensure the application is of good amount to achieve a wet area.

Explore alternatives

Talk with your partner about things that turn you on and bring you pleasure. Just to mention a few; mutual masturbation, foreplay, kissing and mutual fondling. Sex does not have to mean intercourse.

Try different positions

Experimenting different positions can teach you and your partner which ones hurt and the ones that bring direct pleasure with no or less pain. Positions that are considered better vary from person to person so take the time to explore and learn yourself with your partner.

Find the right rhythm

Finding the right rhythm can help you experience less discomfort during sex. Quick thrusting or deep penetration can aggravate pain. Talk to your partner about that which you do not like and find ways that will satisfy the both of you like exchanging positions so that you can control the speed and rhythm.

Bottom line

Intimacy does not have to be boring, painful or make you hate the condition that you have. Talk openly about your feelings around sex and penetration and what would help to ease your concerns.

Our FREE  e-paper March Issue is here!
As we celebrate our women this month, we bring you the best stories and the most inspiring features to get you going.
Click HERE to read!

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