Dije S., 20

22 year old Dije lives with her husband who is a small scale trader. She sells palm oil from home and together they earn 6500 Naira monthly. At 38 weeks of pregnancy, she developed antepartum enclampsia, a condition that put both mother and her baby in severe danger. Her family could not afford the cost of emergency medical care. The situation placed both her life and that of her unborn baby at serious risk until timely support enabled her to receive lifesaving treatment. At the hospital she was promptly stabilized and closely monitored by the obstetric team. Given the severity of the eclampsia and evidence of fetal distress at term, an emergency delivery was performed to save the lives of both the mother and her baby. This condition represented a true obstetric emergency requiring urgent treatment and specialized care to prevent maternal and neonatal complications.

Dijee was immediately admitted and managed as a case of antepartum eclampsia. She received emergency stabilization, including airway protection, oxygen therapy, intravenous fluids, and close monitoring of her vital signs. Magnesium sulphate was administered to control and prevent further seizures, while antihypertensive medications (such as Labetalol or Hydralazine) were given to reduce severe hypertension. Laboratory investigations were conducted, and a urinary catheter was inserted to monitor urine output. After stabilization, the pregnancy was promptly terminated through the appropriate mode of delivery to save both mother and baby. Following delivery, she continued to receive intensive postpartum care, including magnesium sulphate maintenance therapy, intravenous antibiotics, analgesics, fluid management, and continuous monitoring. Despite aggressive treatment and resuscitative efforts, she developed severe complications related to eclampsia and sadly passed away approximately 24 hours after delivery. The baby survived and remained in stable condition under neonatal care.

The patient was diagnosed with antepartum eclampsia at 38 weeks of gestation, complicated by fetal distress in her first pregnancy. This is a life-threatening obstetric emergency that places both mother and baby at risk of severe complications, including stroke, organ failure, seizures, placental abruption, and fetal death if not managed promptly. Following emergency stabilization and delivery, her condition improved significantly. Her blood pressure and neurological status were closely monitored, and she responded well to treatment. The baby was also carefully assessed after delivery. The prognosis is favourable due to timely intervention. With continued postpartum monitoring and regular follow-up, both mother and baby are expected to make a good recovery.