Tabitha A., 19

Tabitha’s parents live in the rural mountain region of Mt. Elgon in Bungoma County. Her mother depends on small-scale farming on a piece of land less than a quarter acre, which barely sustains the family. They rely on a stream for drinking, washing, and other domestic needs, and often struggle to get even two meals a day. Tabitha, who was 38 weeks pregnant, was referred from a nearby mission hospital due to poor progress in labor. She had been 3cm dilated for over 8 hours and complained of worsening lower abdominal pain that did not respond to painkillers. It was also reported that she had been draining fluid for three days and experienced reduced fetal movement. Upon examination, she was found to have cephalopelvic disproportion with prolonged labor. An emergency cesarean section was performed to save both her life and that of her baby

Tabitha was referred from a mission hospital with prolonged labour. On examination, she was diagnosed with cephalopelvic disproportion, a condition that required immediate emergency caesarean section. The surgery was successful, and both mother and baby were in good condition. She was prescribed ampicillin capsules, Zulu MR, Ranferon syrup, and metronidazole tablets for infection prevention and recovery. With time, she improved and was discharged in stable condition, and both mother and baby are now doing well.

Prognosis is good since the emergency caeserean section was done on time. Prolonged labour with Cephalopelvic disproportion is a serious and is an emergency cases that requires immediate intervention. If delays occured or late intervention there may be a possibility of maternal issues like, uterine rupture, excessive bleeding (postpartum hemorrhage), and the risk of infection, shock, or fistulas.