Caroline A., 18

Caroline is the firstborn child in her family. She previously lived with her parents and younger sibling in a modest two-room mud-walled house. Due to the family's vulnerability, her aunt, a Community Health Volunteer, took her into her home during the sixth month of her pregnancy to provide support and assist with her care. Caroline's father is a peasant farmer, while her mother is unable to contribute to the family's care because of a mental health condition. She attends school with the support of well-wishers who help meet her educational needs. Caroline hopes to venture into business after completing her studies. One month into her pregnancy, Caroline began experiencing weakness, dizziness, and pallor. Although she informed her father, her concerns were not acted upon, and she was unable to seek support from her mother. She kept the pregnancy hidden until her sixth month, when her aunt discovered her condition during a home visit and accompanied her to Siaya County Referral Hospital. An ultrasound confirmed the pregnancy, and she was enrolled in antenatal care, which she attended consistently under her aunt's guidance. When she later developed labour pains, she was admitted to the labour ward. Due to cephalopelvic disproportion, she was unable to deliver vaginally and underwent an emergency Caesarean section.

Caroline presented to the hospital with complaints of abdominal pains radiating to the back, she went into labour but her birthcanal was small which warranted an emergency caesarean surgery. She successfully underwent the procedure and taken to the ward for post operation management. In the ward she was administered ceftriaxone, paracetamol, plastic, among other drugs to which she retained. Ambulation was encouraged, after her catheter was removed after 72 hrs. She was eventually discharged on orals with a follow up clinic booked for her.

Caroline was diagnosed with cephalopelvic disproportion, which prevented a safe vaginal delivery and necessitated an emergency Caesarean section. The timely surgical intervention helped prevent potentially serious complications associated with obstructed labour. Following appropriate obstetric care and postoperative management, Caroline's condition is stable and she is expected to recover well. The prognosis is good, provided she continues with follow-up care, adheres to medical advice, and receives adequate nutritional and psychosocial support during her recovery period.