Caren W., 20

The family comes from a humble background and lives in a remote area. Caren’s father relies on casual labor to earn a living, making less than KSh 150 per day, which is insufficient to meet the family’s needs or cover medical expenses. Their source of water is a nearby stream, and they share a toilet facility with other households. After a hospital assessment revealed the financial challenges she faced in trying to raise money for hospital bills without success, Caren was enrolled in the Helpster Charity program by the hospital’s coordinator. Caren was brought to the hospital in labor by her mother, presenting with lower abdominal pain radiating to the back, severe headaches, and blood-stained vaginal discharge. Upon examination, she was diagnosed with Cephalopelvic Disproportion (CPD), her pelvis was too small for a safe vaginal delivery. The medical team determined that a cesarean section was the safest option, which was successfully performed. Postoperatively, however, Caren required an extended hospital stay. She experienced difficulties initiating breastfeeding, requiring continuous support, monitoring, and lactation assistance. Additionally, she developed a post-spinal headache, a known complication of spinal anesthesia, which significantly affected her comfort, mobility, and ability to care for her newborn. Managing these issues required hydration therapy, analgesia, monitoring, and delayed mobilization. Due to these postoperative complications, she was not fit for early discharge and required continued inpatient care. Caren was deemed suitable for discharge only on day 7, after her headache improved, breastfeeding was successfully established, and she demonstrated stable recovery and adequate functional status.

Caren came to the facility in labour accompanied with her mother. On examination she was diagnosed with Cephalopelvic disproportion a rare pregnancy complications requiring immediate interventions. Ceaserian section was contacted successful, both mother and the baby were in stable condition and discharged.

Caren and her baby both have a favorable outcome following the cesarean section. With proper postoperative care, monitoring, and recovery support, Caren is expected to heal well, and the baby is likely to thrive. Without a cesarean section, Caren and her baby would have faced serious risks. The baby could have become trapped in the birth canal, leading to birth asphyxia, injury, or even death