Naomy C., 17

Cherotich comes from a very low socio-economic background, marked by persistent poverty and limited access to basic necessities. Her family survives on minimal and unstable income, making it extremely difficult to afford essentials such as adequate food, decent housing, and clothing. Due to these financial constraints, accessing timely medical care is often not possible, leading to delays in treatment and reliance on informal or inadequate health services. Cherotich presented to the hospital accompanied by her mother. She reported a sudden onset of per-vaginal bleeding, associated with severe abdominal pain, mild lower back pain that was not increasing in frequency or intensity, as well as uterine tenderness and rigidity. She was at 38weeks gestation. She also gave a history of having fallen on steep ground one week prior, after which she began experiencing discomfort that later progressed to her current condition. Following clinical examination and investigations, she was diagnosed with antepartum haemorrhage secondary to placental abruption. Placental abruption is a serious obstetric condition in which the placenta separates partially or completely from the uterine wall before delivery, leading to bleeding and reduced oxygen and nutrient supply to the fetus. This condition poses significant risks to both the mother and the baby and requires urgent medical intervention. Due to the severity of the bleeding and the high risk to both maternal and fetal life, the medical team recommended an emergency caesarean section as the safest and most immediate option to save lives. Cherotich learned about Helpster Charity during her hospital stay when the billing clerk was conducting routine rounds in the ward to assess patients’ insurance status and ability to pay for care. Upon realizing that Cherotich had no medical insurance and was unable to afford the cost of surgery, the clerk alerted the hospital social worker. The social worker conducted a formal assessment and confirmed that Cherotich would not be able to meet the medical expenses, after which she was referred to Helpster Charity for assistance.

Cherotich came in the facility facility in labour accompanied by her mother with complains of sudden onset of p.v bleeding associated with severe abdominal pain, mild pain at the back but not increasing in frequency and intensity. She reports that One week a go she fell on a steep ground and started feeling unwell. On examination and laboratory investigation she was diagnosed with A.P.H following placenta abruption. Medical team recommended for emergency ceaserian section to prevent further complications and to save lives of the mother and the baby, the Operation was promptly conducted successfully both mother and the baby are in good state and after awhile they were discharged when stable.

Following the emergency caesarean section for placental abruption, Cherotich’s prognosis is guarded in the immediate postoperative period but favourable with appropriate care. With prompt surgical intervention, effective control of bleeding, adequate blood and fluid replacement if required, and close postoperative monitoring, she and the newborn baby are expected to stabilize. With continued inpatient care, infection prevention, pain management, and regular follow-up, Cherotich is likely to regain full strength and experience good maternal outcomes.