Biba H., 21

Habiba is a 21-year-old woman from Musawa Village. She is a full-time housewife who lives with her husband in a modest single-room mud house. Her husband is a small-scale farmer and the sole provider for the family, earning approximately ₦5,500 per month. This limited income is barely enough to cover their daily needs, leaving the family vulnerable to financial hardship.

Habiba was admitted as an emergency case and immediately stabilized. She received intravenous fluids to replace lost fluids and maintain her blood pressure due to the vaginal bleeding. Her vital signs were closely monitored throughout her treatment. To manage the incomplete miscarriage, she underwent a uterine evacuation procedure to remove the retained products of conception and stop the ongoing bleeding. She was also given Misoprostol to help the uterus contract and expel any remaining tissue. To prevent infection, Habiba received antibiotics, including Ceftriaxone and Metronidazole. Paracetamol and other prescribed analgesics were administered to relieve pain and abdominal cramping. She was also started on iron supplements (haematinics) and folic acid to help restore blood loss and support recovery. Following treatment, the vaginal bleeding gradually reduced, her abdominal pain resolved, and her overall condition improved significantly. She remained under observation until she was clinically stable and showed no signs of infection or further complications. By the time of discharge, Habiba had recovered well and was advised to continue her medications, attend follow-up appointments, maintain good nutrition, and allow herself adequate physical and emotional rest.

Habiba was diagnosed with an incomplete miscarriage at 12 weeks gestation, a condition in which some pregnancy tissue had been expelled from the uterus while some remained retained. This resulted in vaginal bleeding, abdominal pain, and placed her at risk of excessive blood loss, infection, and other complications if not promptly managed. Upon presentation, she required urgent medical attention and was carefully evaluated and stabilized. Appropriate treatment was initiated to remove the retained products of conception, control the bleeding, and prevent infection. She responded well to treatment, and her condition improved steadily during her hospital stay. The prognosis is good due to the timely medical intervention and favorable response to treatment. With proper follow-up care, adequate rest, and adherence to medical advice, Habiba is expected to make a full physical recovery. Emotional support and counseling were also recommended to assist her in coping with the loss of the pregnancy.