Bendaline C., 18

Bendaline is an 18-year-old Form Three student in a public day secondary school. She is humble, respectful, and hardworking, and enjoys helping her mother run their small business during her free time. She lives with her mother in a remote rural area, where her mother is the sole provider. The family depends on a small-scale business that generates little income, mainly used for basic needs such as food, clothing, and shelter, making healthcare expenses difficult to afford. Bendaline was brought to the facility in labour at 38 weeks gestation, accompanied by her mother. She complained of severe lower abdominal pain radiating to the back, increasing in frequency and intensity, and reported leaking fluid before arrival. Examination, laboratory tests, and ultrasound showed prolonged 3 cm cervical dilation without fetal descent, an inadequate pelvis, and grade II meconium staining. She was diagnosed with cephalopelvic disproportion complicated by fetal distress and premature rupture of membranes. An emergency Caesarean section was recommended and successfully performed, saving both mother and baby.

Bendaline came to the hospital in labour accompanied by her mother presenting with; 38 Weeks of gestation with history of severe lower abdominal pain radiating to the back increasing in frequency and intensity. She also reports that had been drained liquid increasing in volume. On examination, laboratory and ultrasound investigation, She ta 3 cm cervical dilated for several hours without any sign of descent, abnormal fetal heart rate, reduced fetal movement and Meconium grade 2 was noticed. Due to this complications medical team recommended for emergency ceaserian section to be contacted immediately for the purpose of saving lives of mother and the baby. Surgical procedure was done successfully and after postoperative care , she responded positively with the child and discharged home when stabilized and in good condition.

Bendaline, an 18-year-old young woman, is suffering from Cephalopelvic Disproportion (CPD) complicated by fetal distress and Premature Rupture of Membranes (PROM). CPD happens when the baby’s head or body is too large to pass safely through the mother’s pelvis during delivery. PROM means the “water” around the baby breaks before normal labour is well established, increasing the risk of infection and complications. Fetal distress shows that the baby is not coping well inside the womb, often due to reduced oxygen supply. These conditions together are considered an obstetric emergency and require urgent hospital management. Doctors would closely monitor both mother and baby, give supportive treatment such as fluids, antibiotics if infection risk is present, and prepare for immediate delivery most commonly through an emergency Caesarean section. Possible dangers if treatment is delayed include: Severe maternal infection Obstructed labour Heavy bleeding Uterine rupture Fetal brain injury from lack of oxygen Stillbirth or newborn complications The prognosis is good with immediate action on ceaserian section delivery and postoperative care.