Teresa A., 18

Teresa is the youngest of seven children and lives with her single mother in a two-room house, which was initially rented for them by well-wishers. After the landlord passed away, the house became their permanent residence. Teresa dropped out of school in Class 7 due to financial constraints. Her mother is unemployed and relies on the support of kind-hearted neighbors and relatives. Teresa, who enjoys singing, is now a mother of two. She had her first child at the age of 16, but both fathers of her children (for her young child, and the pregnancy she is carrying currently) abandoned her upon learning of the pregnancies Labor began on a Thursday morning, and Teresa came to the hospital alone, the following day, on Friday evening. By 8:00 p.m. on Friday, at the hospital, she was in active labor, but the medical team noted it was prolonged, putting her at risk of uterine rupture. To protect her health and that of her baby, doctors performed an emergency cesarean section. Earlier in her pregnancy, Teresa recalls that she started feeling nauseous, weak, and unusually sleepy. Concerned about her symptoms, she confided in a neighbour. The neighbour bought her a pregnancy test kit, which confirmed her fears that she was pregnant. Teresa became anxious and stressed, unsure of what to do. The neighbour, who works as a community health volunteer, counseled Teresa and supported her in breaking the news to her mother. Although her mother was initially furious, she eventually accepted the situation and took Teresa to a clinic, where she attended her first antenatal clinic visit at five months of pregnancy. Over time, through conversations with her neighbour, Teresa had occasionally heard about Helpster Charity and its work supporting vulnerable mothers and children. When Teresa’s mother came to visit her in hospital after delivery, a hospital clerk approached them to discuss the hospital bill. Teresa’s mother explained that they would not be able to afford the cost of even a normal delivery, let alone a caesarean section. At that moment, Teresa interjected and suggested that her mother ask their neighbour about Helpster Charity. The hospital clerk overheard their conversation and informed them that instead of contacting the neighbour, the hospital social worker could conduct a social and economic assessment. Based on the findings, the social worker would then liaise with the Helpster Charity volunteer to determine whether Teresa and her family qualified for support.

Teresa was brought to the hospital, having started experiencing contractions. Having had a first child through cesarean, she was diagnosed with an active phase of labor in a previous scar. To reduce the risk of uterine rupture, Teresa was taken for an emergency cesarean, which was successful and delivered a healthy baby. She was transferred to the post-op ward for further observation. She responded well and was transferred to the general ward before being discharged on multivitamins and antibiotics. A visit by volunteer confirmed that Teresa was indeed okay, her wound was healing well, and she could do house chores.

A woman in the active phase of labor with a previous uterine scar must be managed in a well-equipped facility with Immediate access to surgical intervention . The patient was received in time and was wheeled into the theatre for delivery where the surgery was a succuess