Khaleda A., 35

Khaleda Khatun, a hardworking housewife, lives in a tin-made house with her husband and two children, surviving on a monthly income of just 7,000 BDT. Despite her dreams of a happy family, she has faced repeated obstetric challenges, including a stillbirth and complicated deliveries. Now, at 36 weeks with fetal distress, she urgently needs a cesarean section, but the family cannot afford the costly hospital treatment. Without immediate care, both Khaleda and her unborn baby could face life-threatening complications. Her determination and resilience, along with the support of her family, are now focused on giving birth to a healthy child safely.

Khaleda Akter was admitted at 36 weeks of pregnancy with signs of fetal distress—lower abdominal pain, LAP and reduced fetal movement. Because she had one priors caesarean deliveries and a history of intrauterine fetal demise, the obstetric team recommended an urgent caesarean section to protect both mother and baby. After pre-operative preparation and anesthesia assessment, Khaleda Akter underwent a lower-segment caesarean section. The procedure was completed without complications, a healthy baby was delivered, and blood loss remained within normal limits. Post-operatively, Khaleda Akter was monitored in the recovery unit for vital signs, uterine contraction, and incision care. She received intravenous fluids, antibiotics to prevent infection, and pain relief as needed. By the 2nd her bowel function and mobility had returned, and the incision was clean and dry. On the third postoperative day she was discharged with instructions on wound care, breastfeeding, and follow-up visits. Shikha recovered smoothly and went home healthy, able to enjoy life with her newborn and family.

If Khaleda Akter undergoes a timely cesarean delivery, both her life and her baby’s chances of survival are significantly improved, offering a safe outcome despite her complicated obstetric history. The surgery will prevent further oxygen deprivation to the fetus, reducing the risks of stillbirth, brain injury, or long-term disability. For Khaleda, the procedure also lowers the risk of life-threatening complications such as uterine rupture or severe hemorrhage. Without prompt treatment, the baby may not survive, and the mother could face serious health consequences. With appropriate medical care, Khaleda has a strong chance to safely deliver a healthy child and return home to her family.