Monica A., 38

Monica is the mother of six children and lives with them in a modest two-room mud-walled house. She has an unstable relationship with the children's father, who visits only occasionally. With no formal employment, Monica survives through subsistence farming and support from well-wishers and members of her church to provide food and other basic needs for her family. Monica went to a nearby health facility after feeling sickly where pregnancy was confirmed. Despite walking about 5 kilometres for each visit, she faithfully attended all seven recommended antenatal clinic appointments. During the pregnancy, she noticed excessive weight gain, followed by blurred vision, episodes of difficulty breathing, and severe abdominal pain. She was initially admitted for observation at the nearby health facility but requested discharge because her young children had been left alone at home. About a week later, she developed marked swelling of both legs and recurrent severe abdominal pain. On returning to the hospital, she was found to have dangerously high blood pressure and was urgently referred to Siaya County Referral Hospital, where she was admitted with severe pre-eclampsia, a life-threatening pregnancy complication requiring specialized obstetric care and close monitoring.

Monica was brought to the hospital with complaints of abdominal pains ,she was diagnosed with preeclampsia and wheeled to theatre for an emergency surgery. The surgery was a success and post surgery she was advised in early ambulation, her catheter was removed after 24 hrs and the dressing on her surgical site removed after 72 hrs. She was administered morphine, pcm, ceftriaxone, nefidipine, IV dexamethasone among other drugs. She responded well to medication, her blood pressure became stable and was eventually discharged on orals. A call to her home revealed that she was well recovered and had gone back to her normal life

Monica, a 38year-old expectant mother, was taken for an emergency caesarean section due to pregnancy-induced hypertension / Preeclampsia (PET), This complication placed both Monica and her unborn baby at significant risk. Without timely medical intervention, conditions such as preeclampsia can progress rapidly and may lead to life-threatening complications including seizures, organ failure, severe infection, In severe cases, these complications can be fatal for both the mother and the baby. However, with prompt surgical delivery, close monitoring, and appropriate medical treatment, the chances of stabilizing Monica and protecting the life of her baby improve significantly. Continuous post-operative care and management of her blood pressure will be essential for a safe recovery.