Mitchelle A., 20

Mitchelle is the firstborn child in a family of peasant farmers. She is a Form Four leaver who has recently completed her national examinations. Despite coming from a humble background, she is a motivated young woman who enjoys singing and playing netball. She has two younger siblings who are still in school. Mitchelle aspires to perform well in her examinations so that she can secure a place at university and fulfil her dream of becoming an English teacher. The family survives on subsistence farming, with minimal and unpredictable income that barely meets daily needs. Paying school fees was a persistent challenge, and Mitchelle was frequently sent home due to arrears. She missed school on several occasions due to lack of school fees, which resulted in interruptions in her education and caused her to complete secondary school at an older age than her classmates. Despite these challenges, she remained determined to finish school. The family learned about Helpster Charity through community members who had previously received medical support, which gave them hope of accessing care they would otherwise not afford. During her school days, Mitchelle conceived, and as her expected date of delivery approached, she began experiencing lower abdominal pains radiating to the back starting at around 2:00 pm, with no drainage of liquor. The pain persisted, prompting her aunt to accompany her to the hospital for assessment and evaluation. Upon examination, Mitchelle was found to be in labour, although the progress was slow. Mitchelle also had postdatism. Labour augmentation - a medical intervention used to stimulate or strengthen uterine contractions in order to improve the progress of labour - was initiated. Despite this, labour continued to progress poorly. Subsequently, signs of fetal distress were noted, and it was concluded that an emergency caesarean section was necessary to ensure the safety of both the mother and the baby.

On examination, the abdomen was gravid, FH-37/40, lie -longitudinal, presentation - Ceph, Pos - ROA, Cervical Os was closed and descent - 5/5 Laboratory investigation of urinalysis was done - NAD Sonography was also done Mitchelle had a successful operation and both her and the baby are doing well. She was discharged in good condition through the MCH. She looks forward to receiving her examination results. She is able to do a few house chores

Following the emergency caesarean section, Mitchelle’s prognosis and that of her newborn baby is good. With appropriate postoperative care, pain management, infection prevention, and close monitoring, she is expected to recover well without major complications. Early ambulation, adequate nutrition, and adherence to follow-up appointments will support proper wound healing and overall recovery. With continued medical support and psychosocial care, Mitchelle is expected to regain full strength, adapt well to the postpartum period, and safely care for her newborn.