Eupreshia A., 20

Eupreshia is the youngest child in her family. She lives with her mother in a two-room, mud-walled house, following the death of her father. Her older siblings have since left home in search of better opportunities elsewhere. She is currently a Form Four student and continues to pursue her education despite the challenges she faces. Her mother is the sole provider, relying on peasant farming and casual labor to support the household. Eupreshia dreams of one day owning her own shop. Eupreshia reported that she initially began feeling unwell and sought care at a nearby dispensary. During routine tests, she was found to be pregnant. Although the health facility is located far from her home—requiring a walk of nearly two hours—she managed to attend two antenatal clinic visits. During her most recent ANC visit, she complained of extreme weakness and fatigue. Due to her deteriorating condition, she was advised to seek further evaluation at a nearby sub-county hospital. However, due to financial constraints, she was unable to travel immediately. Three days later, she managed to reach the hospital, where she was diagnosed with severe anemia in pregnancy. Given the seriousness of her condition, she was urgently referred to Siaya County Referral Hospital for specialized care and further management. She is currently seven months pregnant.

Eupreshia was brought to the facility with complaints of lethargic feeling. She was diagnosed with severe anemia in pregnancy and UTI in pregnancy. She was promptly admitted and was transfused blood, she was also administered clotrimazole, pcm among other drugs. She was eventually discharged on orals to carry the child to term .

Severe anemia, malaria, and urinary tract infection in pregnancy are high-risk conditions that can threaten both the mother and the unborn baby if not treated promptly, but with timely medical care and close monitoring, the chances of recovery and a safer pregnancy outcome improve. Severe anaemia reduces the oxygen-carrying capacity of the blood, which can compromise both maternal health and fetal development. Malaria in pregnancy is associated with worsening anaemia, fever, and increased risk of complications such as preterm delivery and low birth weight. The presence of a UTI further adds to the risk, as untreated infections in pregnancy can ascend and lead to more severe illness, including kidney infection or triggering premature labor. With timely and adequate treatment, Eupreshia’s prognosis is guarded but potentially good.