Aisha S., 27

Aisha Suleiman is a 27years old woman, married to Anas Usman Abubakar. This is her third pregnancy. She attended Hideaya Academy Rigasa where she obtained her SSCE certificate but couldn’t further due to financial problems. She is the 7th born of 16 children in her family; recently lost her dad due to hypertension. She is a full time house wife whose husband barely makes a living as a Laborer. Aisha previous history that lead to previous C/S was due to poor progress/prolonged labor, her current (third) delivery is indicated to be conducted via Caesarean section. Consequently, she was urgently referred and presented at our facility for immediate medical intervention and assistance. Upon evaluation, she was diagnosed with Cephalopelvic proportion, poor progress of labor and failed cervical dilatation resulting to prolonged labor.

Aisha Sulaiman, a 27-year-old arrived unbooked at the facility on 11th May 2026 with a history of three pregnancies, two previous caesarean sections due to prolonged labor and malpositional cephalopelvic disproportion, and no prior successful vaginal delivery. Obstetric assessment at term showed a breech presentation, longitudinal lie, fetal heart rate of 156 bpm, and estimated fetal weight of 2.8 kg, which placed her at high risk for complications like obstructed labor, uterine rupture, and fetal compromise if vaginal delivery was attempted. She was admitted and had investigations including an obstetric ultrasound, FBC, and U/E/Cr before proceeding to an urgent caesarean section for a safe fetomaternal outcome. The surgery went well and she delivered a live male neonate, with both mother and baby stable and healthy post-operatively. At discharge on 16th May 2026, she was prescribed Tab Augmentin 1g twice daily for 7 days, Tab Flagyl 400 mg three times daily for 5 days, Tab Fesolate once daily for 20 days, and Tab Folic Acid once daily for 20 days. Her recovery advice included proper wound care to keep the incision site clean and dry, maintaining good personal hygiene, and returning in 5 days for a follow-up and wound check. Aisha left the facility in good health, having moved from a high-risk pregnancy to a safe delivery and a steady start to her postpartum recovery.

Aisha has a history of inability to achieve vaginal delivery due to persistent failure of cervical dilation. Currently, she is considered high-risk, as continued labor in the presence of a non-dilating cervix may lead to obstructed labor, maternal exhaustion, uterine rupture, infection, and fetal compromise. On current assessment, there is failure of cervical dilation, making vaginal delivery unlikely and unsafe. Continued attempts at labor in this condition pose significant risks, including obstructed labor , uterine rupture , severe maternal hemorrhage , infection, and possible fetal compromise or demise. Prognosis is good if prompt C/S is done to avoid prolonged and possibly fetal death and uterine rupture.