Susan A., 18

Susan is the second-born in a family of three children and became a partial orphan after losing her father three years ago. She lives with her mother and siblings in a one-roomed mud-walled house. Her mother is a peasant farmer, and together they work on the farm and sell vegetables to support the family despite significant financial hardship. Susan is hardworking, determined, and remains focused on her dream of becoming a doctor in the future. Susan missed her menstrual periods and later confirmed pregnancy at the hospital. Out of fear and uncertainty, she hid the pregnancy and did not attend antenatal clinic visits until the seventh month, when her mother noticed she appeared weak and pale and she finally disclosed her condition. As the pregnancy progressed, Susan developed vaginal discharge, fever, weakness, and reduced fetal movements, raising concern for possible infection and fetal distress. Her condition worsened, prompting transfer to Siaya County Referral Hospital. On arrival, she was found to have signs of fetal distress and obstruction requiring an emergency Caesarean section to save both mother and baby.

Susan was taken for an emergency caesarean surgery, the surgery was a success and she was taken to the post -natal ward. While in the ward she was administered ceftriaxone,flagyl, tranexamic among other drugs. Her catheter was removed after 2 days, ans ambulation encouraged. The dressing on her surgical site was removed after 72 hrs. She was able to respond well to medication ans she was eventually discharged on orals. A follow up clinic was booked for her to check how she was recuperating.

The delay in seeking medical attention—due to financial constraints and distance to the health facility—placed both Susan and her baby at considerable risk. Prolonged labor in the presence of a breech presentation can lead to complications such as obstructed labor, fetal distress, birth trauma, or even loss of the baby. Susan condition was serious but will be successfully managed through emergency surgical intervention. With proper postoperative care, follow-up, and support, she is expected to recover well and resume normal activities. Continued access to healthcare and social support will be important for her long-term well-being and that of her child.