Viola C., 18

Viola is an 18-year-old girl living with her mother in a remote rural area where access to basic services and opportunities is limited. Due to severe financial challenges, she was forced to drop out of school as her mother could not afford school fees, uniforms, and other essential requirements. This has significantly affected her education and future aspirations. Her mother is a small-scale farmer who relies on subsistence farming to support the household. The income she earns is minimal and unstable, making it difficult to meet basic needs such as food, healthcare, shelter, and education. Despite her efforts, farming yields are often low due to unpredictable weather, limited resources, and poor infrastructure. Viola is a respectful, hardworking, and resilient young woman. She supports her mother with farm work and household responsibilities, contributing as much as she can to their daily survival. Despite the hardships, she remains hopeful and dreams of either returning to school or acquiring skills that will help her build a better future for herself and her mother. Her story reflects the realities faced by many vulnerable girls in underserved communities and underscores the need for educational and economic support. Viola, a primigravida at 39 weeks of gestation, presented to the hospital with a history of reduced fetal movements. She reported experiencing leakage of fluid for about one week, which had increased significantly over the past three days. She also noted that fetal movements had markedly decreased a day prior to presentation. Earlier in her pregnancy, she had been treated for a urinary tract infection at around three months gestation. She underwent thorough clinical evaluation, including laboratory tests and an ultrasound scan. Based on the findings, she was diagnosed with oligohydramnios accompanied by fetal distress. Due to the severity of these complications, the medical team recommended an emergency Caesarean section as the safest intervention to preserve the lives of both the mother and her unborn baby.

Viola came to the facility in labour accompanied by her mother, with history of reducing fetal movement,she reports to have been draining liquid for last one week which increased in amount three days a go, she reports that a day before she didn't perceived fetal movement she also said that she had treated urinary tract infection when she was three months pregnant. Based on clinical examination, laboratory and ultrasound investigation, she diagnosed with oligohydramnios with fetal distress. Due to this complications medical team made a decision of emergency ceaserian section for the purpose of saving lives of mother and the baby as the only safest method. Surgical procedure was successful done both mother and the baby were doing well,was under management for some days and responded well to medication and discharged home when stabilized and in good state.

The reduced amniotic fluid likely resulted from prolonged rupture of membranes, increasing the risk of infection and compromising fetal oxygenation. The presence of fetal distress further indicated that the baby was under significant stress and required immediate intervention. Given these findings, the medical team made an appropriate and life-saving decision to perform an emergency Caesarean section to prevent possible complications such as stillbirth or severe neonatal compromise. The prognosis is generally good with timely intervention, as the emergency Caesarean section was performed to promptly deliver the baby and reduce further risk. For the baby: With early delivery and proper neonatal care, the baby is expected to recover well, though close monitoring is necessary to assess breathing, infection risk, and overall adaptation after birth. For the mother: Viola is expected to recover well following surgery with appropriate post-operative care, including wound care, infection prevention, and follow-up.