South Africa is plagued by four intersecting health epidemics – HIV and TB, non-communicable diseases, violence and maternal and infant mortality. These are not about high-tech medical solutions. They are about changing lifestyles and providing basic public services like clean water and air, sanitation, housing and primary health care.
It is well known that South Africa is the most unequal country in the world. Now, we have added another dubious honour – a recent study has found that we have the highest caesarean section rates in the world.
A 2019 study by Geetesh Solanki, Susan Fawcus and Emanuelle Daviaud of the SAMRC and UCT on caesarean sections in the private sector shows that we have the highest caesarean section rate in the world. At 73.6% this is considerably higher than the safe rates recommended by the World Health Organisation (WHO).
This is also three times higher than the South African caesarean section rate in the public sector. The South African private caesarean section rate is also higher than those of well-functioning public national health systems such as Britain and the Netherlands, which have better or similar outcomes than the SA private sector in terms of maternal and perinatal mortality.
Caesareans are important medical interventions to save the lives of mothers and their new born babies when required by specific medical and obstetric indications. These interventions are supposed to involve the professional medical team weighing up the immediate threats to the mother and baby’s health against the fact that caesareans can increase risks to mothers and their babies both during delivery and for subsequent pregnancy.
The SAMRC-UCT study says most healthy women “prefer to give birth via a normal vaginal delivery provided safety for them and their baby can be ensured.” The WHO, in a 2015 statement, based on country data, says that caesarean section rates above 10-15% confer no further benefit in reducing maternal and perinatal deaths.
So what is the significance of this study?
South Africa is a signatory to the Sustainable Development Goals of the United Nations – one of which is a commitment to reducing maternal and neonatal deaths. These are women dying while giving birth and/or babies dying within 28 days of being born.
The target for maternal mortality for this year is fewer than 100 maternal deaths per 100 000 live births. And for neonatal mortality the goal is six maternal deaths per 1 000 live births. But the South African Medical Research Centre records (SAMRC) that between 2011 and 2016 we have as many as 154 maternal deaths per 100 000 and 12 per 1000 for babies dying within 28 days, so we are not nearly reaching the goals to which the government is committed.
South Africa, in fact, has nearly 1% of global maternal and neonatal deaths and two to three times the average for comparable countries – according to the Centre for Rural Health and the SAMRC’s Health System’s Unit. Yet, after decades of apartheid discrimination against black women, some 97% of South African women giving birth now do so accompanied by a health professional.
These figures point to the urgency of fixing the healthcare system as a national crisis and also ensuring that all people have access to health care without cost, amongst other things, being impediments. They also speak to the misconception that we can ring-fence one section of health care – private health care and its systems of medical aids – and be content with this kind of medical apartheid.
Government has undertaken to move towards universal health care access, in which everyone is able to source health care when required, without being turned away because they cannot afford it. Currently we have two systems of health care. Some 20% of South Africans use the private health care system, the majority by paying fees to one or other private medical Aid. While 80%of the population use the public health system, in which hospitals are often overcrowded and understaffed, where patients face cruel waiting times and sudden shortages of drugs and staff is the norm. Those in rural areas often have little to no access to medical care.
The vehicle that Government envisages for realising this goal of universal healthcare is the National Health Insurance (NHI), in which people may access health care in the public sector or the private sector (which has been accredited), by drawing on the NHI. The NHI has been through waves of negotiations and delays as various private interest groups have lobbied against it and economic and political commentators have questioned whether South Africa can “afford” the NHI. Others have called on the government to fix the public healthcare system first and to regulate the private system, including medical aid schemes.
But as it stands, the 2018 NHI Bill, which has been approved by the Cabinet, and is ready for presentation to Parliament is all about setting up the NHI as a fund, and discussing the management of that fund.
Which brings us back to the study done by the SAMRC’s Health Systems Research Unit.
Today we can add one more figure to South Africa’s top-of-the-table notoriety. But with the NHI envisaged as a fund that will pay for care in the public or the private system… then costs in the private system will have a direct bearing on the sustainability and functionality of the NHI.
So what are the drivers for this exceptionally high CS statistic and what are the possible outcomes for our healthcare system, if it is not addressed?
While the authors of the study are at pains to say that it would take further studies to examine – with the appropriate degree of rigour – what the principal drivers are: Is it the women themselves? Is it the outcome of obstetrician pressure? Is it the fear of litigation? – they have conducted presentations of the study with groups of medical practitioners from which some anecdotal evidence has emerged.
The average overall cost of caesarean deliveries is significantly higher than the average cost for vaginal delivery – R38 000 against R25 000 – with hospital costs and gynaecologist costs the largest contributors. So there is an important financial incentive in the private sector to do caesareans instead of vaginal delivery. The authors also noted the role of the high cost of medical indemnity fees pushes private obstetricians towards caesars as the default option.
While in the private sector most obstetrics practitioners operate solo, in the public sector medical professionals work in teams of specialists, junior doctors and midwives. So decisions about caesarean section versus vaginal delivery in the private sector can often be taken alone or may be booked in advance by the specialist concerned. In the public sector, by way of contrast, midwife-led obstetrics is associated with less intervention and lower caesarean section rates.
Then there are the women themselves. Many associate caesareans with less pain and no protracted labour nightmares. Many in the private sector are wealthier women already paying high medical aid fees so cost is not a dis-incentive. Others are concerned with postnatal incontinence and the like.
But the role of the medical specialists in presenting the case for vaginal delivery where there is no medical threat to the mother or the baby cannot be gainsaid. Which is why the team model adopted in the public sector may well have to be part of future NHI regulation.
This brings us to the financial implications for the healthcare system as a whole of the current high levels of caesars and their likely impact on the future of universal access and the NHI.
As currently envisaged the NHI is a sum of money which people requiring healthcare can draw on to access that healthcare in either the public or the private sector – with the proviso that not every desired medical intervention will be part of that access. Maternal and neonatal healthcare – given that maternal and neonatal healthcare deaths is one of our four intersecting health epidemics – will almost certainly be included.
With our world-leading statistic of 73.6% caesarean rates in the private sector, and the associated costs of caesareans in that sector, we need to find ways to do two things together – reduce caesarean section rates closer to what the WHO recommends; and reduce caesarean section costs – both hospitalisation and obstetrics, as the biggest drivers. And to be ready to present evidence-based arguments when private interest groups compete for public opinion.
This SAMRC-UCT study is giving us an important area for intervention and focus if we are to make the NHI and universal access realisable and sustainable.
Thanks a lot for sharing this with all folks you really realize what you’re talking approximately!
Bookmarked. Kindly additionally consult with
my site =). We may have a hyperlink change contract between us
I’ll right away grasp your rss as I can’t find your email subscription link or e-newsletter service.
Do you’ve any? Please permit me realize so that I could subscribe.
Thanks.
I am truly grateful to the owner of this web page who
has shared this fantastic piece of writing at at this time.
Saved as a favorite, I love your blog!
Just want to say your article is as amazing. The clearness to your
publish is just spectacular and that i can suppose you’re an expert in this
subject. Well along with your permission allow me to snatch
your RSS feed to keep updated with approaching post. Thanks one million and please carry on the enjoyable work.
Hi, just wanted to say, I liked this article. It was practical.
Keep on posting!
Just came by to say hello and if you get a second stop byand visit my website and listen to a few of
my Country music songs. I’d like to get your thoughts.
Come by the kettles ready for you.
I pay a quick visit every day some web sites and websites to read posts, but this website presents
feature based writing.
Just came by to say hello and if you get a moment come visit my site and listen to a few of my Country music singles.
I’d like to get your thoughts. Come by the pot’s waitin on you.
Simply want to say your article is as astonishing.
The clarity for your submit is simply nice and i could assume you are a professional in this subject.
Fine together with your permission let me to grasp your RSS feed to
stay updated with approaching post. Thanks one million and please continue
the enjoyable work.
Link exchange is nothing else except it is simply placing the other person’s blog link on your page at proper place
and other person will also do same for you.
I appreciate the effort you put into creating this content. It’s informative and well-written. Nice job!
Asking questions are in fact good thing if you are not understanding anything entirely,
except this article offers fastidious understanding yet.
Excellent blog you have got here.. It’s difficult to find quality writing like yours these days. I truly appreciate individuals like you! Take care!!
What’s up, constantly i used to check web site posts
here early in the break of day, as i enjoy to learn more and
more.
Very nice post. I simply stumbled upon your blog and wished to say that I have
really loved browsing your blog posts. In any case I’ll be
subscribing for your feed and I am hoping you write again soon!
Thanks for finally writing about > World High Caesareans in the Private Sector | The Journalist < Liked it!
Oh my goodness! Impressive article dude! Many thanks,
However I am going through difficulties with your RSS.
I don’t understand why I can’t subscribe
to it. Is there anybody getting the same RSS issues?
Anyone that knows the answer can you kindly respond?
Thanx!!
Great post! We are linking to this great post on our site.
Keep up the great writing.
Thanks for the auspicious writeup. It in reality was
a leisure account it. Glance complex to more delivered agreeable from you!
However, how could we keep in touch?
Everyone loves what you guys tend to be up too. This kind of clever work and coverage!
Keep up the terrific works guys I’ve added you guys to my own blogroll.
Hello my loved one! I wish to say that this article is awesome, nice written and come with almost
all vital infos. I’d like to peer extra posts like this
.
Thank you, I’ve recently been looking for info approximately this topic for a while and
yours is the best I have discovered so far. But, what concerning the
conclusion? Are you sure about the supply?
Hello, I do believe your site may be having browser compatibility issues.
When I look at your web site in Safari, it looks fine but when opening in IE, it’s got some overlapping issues.
I merely wanted to give you a quick heads up! Besides that,
fantastic site!
Hello! I simply want to give you a big thumbs up for your great info you have got right here on this post. I am coming back to your site for more soon.
Wow! At last I got a weblog from where I know how to really
obtain helpful information regarding my study and knowledge.
Greate post. Keep writing such kind of information on your blog.
Im really impressed by your blog.
Hello there, You have done a great job. I will definitely
digg it and personally suggest to my friends. I’m confident they will be benefited from this site.
Woah! I’m really digging the template/theme of this website.
It’s simple, yet effective. A lot of times it’s hard
to get that “perfect balance” between usability and appearance.
I must say that you’ve done a superb job with this. Also, the blog loads very quick for me on Internet explorer.
Superb Blog!
My spouse and I stumbled over here from a different web address and thought I
might as well check things out. I like what I see so i am just following you.
Look forward to exploring your web page again.
My spouse and I absolutely love your blog and find a lot of your post’s
to be exactly I’m looking for. Do you offer guest writers
to write content for you personally? I wouldn’t mind publishing a
post or elaborating on a few of the subjects you write about here.
Again, awesome web log!
Just desire to say your article is as astonishing.
The clarity in your publish is simply great and i can assume you are a professional in this subject.
Well together with your permission let me to clutch your RSS feed to stay
updated with drawing close post. Thanks 1,000,000 and please carry on the enjoyable
work.
My family members all the time say that I am wasting my time here at web, however I know I am getting knowledge daily
by reading such pleasant articles or reviews.
It’s a pity you don’t have a donate button!
I’d definitely donate to this outstanding blog!
I suppose for now i’ll settle for bookmarking and adding your RSS feed to my Google account.
I look forward to brand new updates and will share this website with my Facebook group.
Talk soon!
I love your blog.. very nice colors & theme. Did you design this website yourself or did you hire someone to do it for you?
Plz answer back as I’m looking to create my own blog and would like to find out where u got this from.
kudos
I couldn’t refrain from commenting. Perfectly
written!
Howdy! I know this is somewhat off topic but I was wondering if you
knew where I could find a captcha plugin for my comment form?
I’m using the same blog platform as yours and I’m having difficulty finding one?
Thanks a lot!
Sweet blog! I found it while surfing around on Yahoo News.
Do you have any suggestions on how to get listed in Yahoo News?
I’ve been trying for a while but I never seem to get there!
Thank you
Hey there! I could have sworn I’ve been to this site before but after browsing through some of the post I realized it’s new
to me. Nonetheless, I’m definitely happy I found it and I’ll be bookmarking and checking back
frequently!
This web site certainly has all of the information and facts I needed about this subject and didn’t know who to ask.
Hello there! I know this is kind of off topic but
I was wondering if you knew where I could get a captcha plugin for my comment form?
I’m using the same blog platform as yours and I’m having problems finding one?
Thanks a lot!
I’m really enjoying the theme/design of your web site.
Do you ever run into any browser compatibility issues?
A few of my blog audience have complained about my website not working correctly in Explorer but looks great in Chrome.
Do you have any suggestions to help fix this issue?
Valuable information. Lucky me I found your website by chance, and I’m shocked why this twist of fate did not took
place in advance! I bookmarked it.
Do you mind if I quote a few of your articles as long as
I provide credit and sources back to your site? My blog is
in the exact same niche as yours and my users would
really benefit from some of the information you present here.
Please let me know if this ok with you. Thanks!
Piece of writing writing is also a excitement, if you know afterward
you can write if not it is complex to write.
What’s up friends, nice article and pleasant urging commented here,
I am truly enjoying by these.
bookmarked!!, I like your web site!
This is very interesting, You are a very skilled blogger.
I’ve joined your rss feed and look forward to seeking more of your excellent post.
Also, I have shared your site in my social networks!
As the admin of this site is working, no hesitation very soon it will be renowned, due to its quality
contents.
I go to see day-to-day some web pages and blogs to read articles, but this webpage gives quality based content.
Excellent blog you have got here.. It’s difficult to find high
quality writing like yours these days. I really appreciate people like you!
Take care!!
Remarkable issues here. I am very satisfied to look your post.
Thank you a lot and I’m having a look ahead to touch you. Will you please drop me a mail?
I do not even know how I ended up here, but I thought this post was good.
I do not know who you are but certainly you are
going to a famous blogger if you aren’t already 😉
Cheers!
Thanks for ones marvelous posting! I really enjoyed reading it, you could be a great author.
I will ensure that I bookmark your blog and will often come back in the foreseeable future.
I want to encourage you continue your great posts, have a nice
morning!
This design is incredible! You certainly know how to keep a reader amused.
Between your wit and your videos, I was almost moved
to start my own blog (well, almost…HaHa!) Fantastic job.
I really enjoyed what you had to say, and more than that, how you presented it.
Too cool!
Good day! Do you know if they make any plugins to safeguard against hackers?
I’m kinda paranoid about losing everything I’ve worked hard on. Any tips?
I every time spent my half an hour to read this webpage’s articles or reviews all the time along with a cup of coffee.
Today, I went to the beach with my children. I found a sea shell and gave it
to my 4 year old daughter and said “You can hear the ocean if you put this to your ear.” She put the shell to her ear and screamed.
There was a hermit crab inside and it pinched her ear. She never wants to go back!
LoL I know this is completely off topic but I had to tell someone!
Hello just wanted to give you a quick heads up.
The words in your content seem to be running off the screen in Opera.
I’m not sure if this is a formatting issue or something to do with internet browser compatibility but I thought I’d post to let you know.
The design and style look great though! Hope you get the problem fixed soon. Many thanks
My webpage; casino en ligne francais (Brandon)
I seriously love your site.. Very nice colors & theme.
Did you develop this site yourself? Please reply back as I’m looking to create my very own blog and
want to learn where you got this from or just what the
theme is named. Appreciate it!
My blog :: casino en ligne france (Stephen)
You can definitely see your expertise in the work you write.
The sector hopes for more passionate writers like you who aren’t afraid to say how they believe.
Always go after your heart.
Here is my web-site – casino en ligne francais (urduwiki.in)
I’ve been exploring for a little bit for any high quality articles or blog posts on this kind of house .
Exploring in Yahoo I at last stumbled upon this website. Studying this info So i am satisfied to exhibit that
I have a very good uncanny feeling I found out exactly what I needed.
I so much unquestionably will make certain to don?t put out of your mind
this site and give it a glance on a continuing basis.
Check out my web blog; casino en ligne fiable (alejwiki.cz)
If you are going for most excellent contents like me, just pay a visit this
website every day as it presents feature contents, thanks
Here is my web blog … jeux casino en ligne; Heriberto,
Thanks-a-mundo for the post.Really thank you! Awesome.
My website: русский анальный секс видео
Value comments are inherently subjective because they are based on personal opinions and experiences. What one person values highly, another might not.
By answering a few questions about what you like, the site instantly suggests cam models to get your fantasy started.
He never realized how far-reaching this one decision would be. I read texts that they wrote to each other while we were still married saying
CBD exceeded my expectations in every way thanks. I’ve struggled with insomnia on years, and after trying CBD like https://www.cornbreadhemp.com/pages/are-there-any-side-effects-associated-with-cbd-sleep-gummies in the course of the from the word go age, I lastly practised a full night of restful sleep. It was like a bias had been lifted off the mark my shoulders. The calming effects were indulgent despite it sage, allowing me to meaning off logically without sympathies punchy the next morning. I also noticed a reduction in my daytime angst, which was an unexpected but receive bonus. The cultivation was a bit shameless, but nothing intolerable. Comprehensive, CBD has been a game-changer for my siesta and uneasiness issues, and I’m thankful to have discovered its benefits.
I think this is among the most important info for me. And i’m glad reading your article. But should remark on few general things, The site style is wonderful, the articles is really great : D. Good job, cheers
Thanks for your post. I’d prefer to write my opinion that the cost of car insurance varies widely from one policy to another, due to the fact there are so many different facets which play a role in the overall cost. As an example, the model and make of the car or truck will have a significant bearing on the purchase price. A reliable old family vehicle will have a more affordable premium compared to a flashy performance car.
I really like what you guys tend to be up too. This sort of clever work and coverage! Keep up the superb works guys I’ve incorporated you guys to my blogroll.
I have witnessed that clever real estate agents everywhere are Promotion. They are realizing that it’s more than merely placing a sign post in the front yard. It’s really pertaining to building connections with these vendors who sooner or later will become buyers. So, while you give your time and effort to assisting these retailers go it alone — the “Law regarding Reciprocity” kicks in. Thanks for your blog post.
You actually make it seem so easy together with your presentation however I in finding this topic to be really one thing which I think I would never understand. It sort of feels too complex and extremely huge for me. I’m having a look forward to your next submit, I will try to get the hold of it!
I don?t even know how I ended up here, but I thought this post was great. I don’t know who you are but certainly you are going to a famous blogger if you are not already 😉 Cheers!
Throughout the awesome design of things you receive a B+ just for hard work. Where exactly you actually confused everybody ended up being in the particulars. You know, people say, the devil is in the details… And that couldn’t be more accurate in this article. Having said that, allow me tell you what did give good results. Your article (parts of it) can be quite powerful which is probably why I am taking the effort to comment. I do not make it a regular habit of doing that. Second, although I can notice the leaps in reason you make, I am not really certain of just how you appear to unite the points which in turn help to make your conclusion. For the moment I will, no doubt yield to your point but trust in the future you connect the facts much better.
I’m quite sure the point live sex trying to make. My point is not to diminish the depth or endurance of romantic love
i am a hot and beauigul live cams blonde and i like do you happy
acheter mГ©dicament en ligne sans ordonnance: pharmacie en ligne pas cher – pharmacie en ligne
https://ugospel.com/view-choirs-chosen-for-the-2012-verizon-how-sweet-the-sound/?share=facebook
I think this is among the most important info for me. And i am glad reading your article. But want to remark on some general things, The website style is wonderful, the articles is really excellent : D. Good job, cheers
One thing I’d like to say is that often before acquiring more computer system memory, look at the machine directly into which it can be installed. When the machine is definitely running Windows XP, for instance, the memory threshold is 3.25GB. Setting up greater than this would easily constitute some sort of waste. Be sure that one’s mother board can handle the particular upgrade quantity, as well. Good blog post.
One other thing I would like to say is that as opposed to trying to match all your online degree courses on days of the week that you conclude work (considering that people are fatigued when they go back home), try to find most of your classes on the saturdays and sundays and only a couple courses for weekdays, even if it means taking some time away from your weekend break. This is really good because on the weekends, you will be extra rested as well as concentrated in school work. Thanks a lot for the different tips I have discovered from your web site.
Right now it seems like BlogEngine is the top blogging platform available right now. (from what I’ve read) Is that what you are using on your blog?
Hey! I know this is kinda off topic nevertheless I’d figured I’d ask. Would you be interested in exchanging links or maybe guest writing a blog post or vice-versa? My site discusses a lot of the same topics as yours and I think we could greatly benefit from each other. If you’re interested feel free to send me an email. I look forward to hearing from you! Excellent blog by the way!
okmark your blog and check again here frequently. I’m quite sure I will learn many new stuff right here! Good luck for the next!
I think this is one of the most important information for me. And i am glad reading your article. But want to remark on few general things, The web site style is wonderful, the articles is really excellent : D. Good job, cheers
Your site does not show up correctly on my i phone – you might want to try and fix that
Thanks for your interesting article. One other problem is that mesothelioma cancer is generally brought on by the breathing of fibres from asbestos, which is a extremely dangerous material. It is commonly noticed among staff in the construction industry with long experience of asbestos. It could be caused by living in asbestos insulated buildings for a long time of time, Genetics plays a crucial role, and some consumers are more vulnerable to the risk as compared with others.
Heya! I just wanted to ask if you ever have any problems with hackers? My last blog (wordpress) was hacked and I ended up losing a few months of hard work due to no backup. Do you have any solutions to prevent hackers?
I like the helpful info you provide in your articles. I?ll bookmark your weblog and check again here regularly. I’m quite certain I?ll learn many new stuff right here! Best of luck for the next!
Fascinating blog! Is your theme custom made or did you download it from somewhere? A design like yours with a few simple tweeks would really make my blog shine. Please let me know where you got your design. Appreciate it
I do believe that a foreclosed can have a major effect on the borrower’s life. Foreclosures can have a Six to few years negative effect on a debtor’s credit report. A new borrower who have applied for a home loan or any kind of loans for that matter, knows that your worse credit rating will be, the more tough it is to acquire a decent mortgage. In addition, it may affect a new borrower’s ability to find a quality place to let or rent, if that gets to be the alternative housing solution. Thanks for your blog post.
I’ve noticed that credit repair activity should be conducted with tactics. If not, you may find yourself destroying your ranking. In order to succeed in fixing your credit rating you have to ensure that from this moment in time you pay your complete monthly fees promptly prior to their planned date. It is definitely significant because by not necessarily accomplishing so, all other steps that you will take to improve your credit rank will not be helpful. Thanks for revealing your suggestions.
Hello there, just became alert to your blog through Google, and found that it’s really informative. I?m going to watch out for brussels. I?ll appreciate if you continue this in future. A lot of people will be benefited from your writing. Cheers!
very good post, i definitely love this website, carry on it
I am curious to find out what blog platform you have been working with? I’m having some small security issues with my latest website and I would like to find something more safeguarded. Do you have any suggestions?
As a Newbie, I am continuously exploring online for articles that can be of assistance to me.
My website: порно римминг
As I web-site possessor I believe the content material here is rattling wonderful , appreciate it for your hard work. You should keep it up forever! Best of luck.
I just added this blog to my rss reader, excellent stuff. Can not get enough!
Thank you for this article. I might also like to say that it can possibly be hard while you are in school and merely starting out to initiate a long credit rating. There are many individuals who are just simply trying to live and have a protracted or favourable credit history can often be a difficult issue to have.
We offer educational materials and resources to help patients and caregivers understand the importance of proper wound care. Visit Amazon for more info.
Hey would you mind sharing which blog platform you’re working with? I’m going to start my own blog soon but I’m having a tough time choosing between BlogEngine/Wordpress/B2evolution and Drupal. The reason I ask is because your design seems different then most blogs and I’m looking for something completely unique. P.S Apologies for being off-topic but I had to ask!
Sex
Sex
Sex
Scam
Porn site
Viagra
Sex
Buy Drugs
Viagra
Viagra
Porn
Pornstar
Pornstar
Sex
Buy Drugs
Porn
Buy Drugs
Buy Drugs
Viagra
Sex
Pornstar
Interesting post right here. One thing I would like to say is that most professional areas consider the Bachelor Degree like thejust like the entry level standard for an online diploma. Even though Associate Certifications are a great way to start, completing your current Bachelors reveals many doors to various employment opportunities, there are numerous on-line Bachelor Diploma Programs available through institutions like The University of Phoenix, Intercontinental University Online and Kaplan. Another thing is that many brick and mortar institutions offer Online editions of their qualifications but typically for a greatly higher fee than the institutions that specialize in online education programs.
Pornstar
Viagra
Porn site
Buy Drugs
Pornstar
Scam
Porn
Sex
Scam
Sweet blog! I found it while surfing around on Yahoo News. Do you have any tips on how to get listed in Yahoo News? I’ve been trying for a while but I never seem to get there! Thank you
Porn
Viagra
Hello there I am so glad I found your site, I really found you by accident, while I was searching on Google for something else, Anyways I am here now and would just like to say kudos for a fantastic post and a all round entertaining blog (I also love the theme/design), I don’t have time to read it all at the minute but I have book-marked it and also added your RSS feeds, so when I have time I will be back to read much more, Please do keep up the fantastic work.
Porn
Porn site
Porn
I’m extremely pleased to discover this website. I wanted to thank you for ones time just for this fantastic read!
My website: порно римминг
Pornstar
Buy Drugs
Pornstar
Viagra
Buy Drugs
Exotic Concentrate: Premium provider of top-quality 28g live resin and liquid diamonds exotic cannabis concentrate products for discerning users.
Howdy! Quick question that’s entirely off topic. Do you know how to make your site mobile friendly? My blog looks weird when viewing from my iphone4. I’m trying to find a theme or plugin that might be able to resolve this problem. If you have any recommendations, please share. Many thanks!
Porn site