Naomi A., 27

Naomi is a young mother of three in her late twenties who lives with her husband and children in a single-room mud-walled house. She left school in Class 8 due to financial hardship and is currently unemployed, relying on her husband, an unskilled construction laborer, to support the family. The family's income is irregular and often insufficient to meet all their basic needs. Despite these challenges, Naomi hopes to one day start a small vegetable business to improve her family's livelihood. After missing her menstrual periods, Naomi attended a nearby health centre where pregnancy was confirmed. She enrolled for antenatal care and completed five ANC visits, remaining generally well throughout the pregnancy. One morning, she experienced a sudden gush of fluid without labor pains, suggestive of spontaneous rupture of membranes. She sought care at a nearby health facility, where she received treatment and was discharged, but the fluid leakage persisted. She later presented to a sub-county hospital, where an ultrasound revealed oligohydramnios. Due to the continued leakage of amniotic fluid and the risk to both mother and baby, she was referred to Siaya County Referral Hospital for specialized obstetric management, including possible Caesarean section.

Naomi was brought to the hospital with complaints of broken water while expectant with no associated pain; she was found to be oligohydramniotic and had to be taken for an emergency cesarean surgery. She successfully underwent the procedure and was taken to the ward for post-operation management. In the ward she was administered analgesics and antibiotics like ceftriaxone and painkillers like tramadol, among other drugs; she was encouraged to have her oral sips after 6 hrs. She responded well to treatment and was eventually discharged on orals. A follow-up clinic was booked for her

Emergency Caesarean section due to fetal distress is a potentially life-threatening obstetric emergency, primarily because fetal distress indicates that the baby may not be receiving adequate oxygen. Without timely intervention, there is a risk of severe birth complications, permanent neurological injury, or fetal death. With the emergency C-section that was promptly done, the prognosis is generally good for both mother and baby, with a significantly reduced risk of life-threatening outcomes and improved chances of full recovery.