Queenter A., 18

Queenter is the first-born in a family of three girls. Both of her parents are alive and work in farming to earn a living. She is in Form Four at the local day secondary school and enjoys playing netball. She aspires to become an ICT professional in the future. This is a family of peasant farmers who rely on assistance from neighbors and villagers. The absence of alternative income sources beyond the farm makes them vulnerable and impacts their ability to meet basic needs. Queenter was admitted to the ward accompanied by a relative with complaints of lower abdominal pain radiating to the back, without any leakage of amniotic fluid. She is a primigravida with an expected delivery date of 30/12/2025 and has attended four antenatal clinic visits. On examination, her findings were: FH-38/40, FHR-142 bpm, longitudinal lie, cephalic presentation, ROA position, and cervical dilation of 6 cm at 6:30 pm. She was admitted for monitoring of labor. Although cervical dilation was progressing, fetal descent remained poor. By 9:30 pm, there was still no further progress despite augmentation. The medical officer on duty was consulted and advised preparation for an emergency caesarean section due to a differential diagnosis of cephalopelvic disproportion.

Quinter had a successful operation and both her and the baby are doing well. She was discharged in good condition through the MCH. Even though she has to miss exams due to the operation, she willingly accepted to do her final exam next year. her teachers promised to assist her with her studies

Queenter’s prognosis after the cesarean section is generally good since there were no intraoperative or postoperative complications. With proper postoperative care - including pain management, wound care, infection prevention, and monitoring for bleeding - she is expected to recover well and resume normal activities within a few weeks. Early mobilization, adherence to follow-up visits, and support for breastfeeding and infant care are essential for optimal recovery.