Faith A., 17

Faith, the second of four children, lives with her mother, siblings and newborn baby in a one‑room mud house with a grass roof. A partial orphan, she relies on her single mother - a peasant farmer - for support. Despite financial struggles, Faith stays in school and is now in Grade 10, dreaming of becoming a police officer. She suspected pregnancy but hid it out of fear. The father, a fellow student, left her after finding out. Her mother learned about the pregnancy at five months and took her for a medical check‑up. Due to financial issues, Faith attended just one antenatal visit, though her teachers helped her stay in school until late pregnancy. One day, while preparing to fetch water, she felt abdominal pain that kept worsening. With help from a Good Samaritan, they reached Siaya County Referral Hospital. Doctors found oligohydramnios (low amniotic fluid) and performed an emergency Caesarean section to protect both mother and baby.

Faith 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.

Faith, a 17‑year‑old patient, was diagnosed with severe oligohydramnios and underwent emergency caesarean section. The prognosis is guarded but potentially favourable - it depends on the timing of intervention and the fetal condition before surgery. Severe oligohydramnios risks cord compression, fetal distress, meconium aspiration, growth restriction and birth asphyxia. Prompt surgery helps prevent further fetal compromise and improves maternal and neonatal outcomes. Maternal recovery is generally good with proper care; neonatal outcome depends on gestational age and complications. After successful surgery and good postoperative management, Faith is expected to make a full recovery.