- Request received06/08/2026
- Checked & confirmed30/08/2026
- FundraisingOngoing30/08/2026
- Treatment provided
- Invoice paid
- Case closed
Why is treatment sometimes done earlier than the payment?
When a case is urgent and vital, hospitals often proceed with delivering medical care right away to save a life, even before the finalisation of admission procedures. Usually, when this happens, hospitals put the bill on our credit until the funds are transferred to their accounts. That’s why the chronology can sometimes be in disorder.
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Esther Adongo O., 27
FundraisingEmergency care
24
$200
About emergency care
Twin pregnancy with Grade III placenta previa means a woman is carrying two babies while the placenta lies very low in the uterus and partially covers the opening of the cervix. This can cause sudden, heavy vaginal bleeding, particularly in late pregnancy or during labour, placing both the mother and babies at significant risk.
Siaya County Referral Hospital
Along siaya- Rangala road
Background
Esther is a young mother of four who left school in Class Six. She lives with her spouse and children in a single-room mud-walled house. With no employment of her own, she depends on her spouse, who survives on irregular menial jobs. She hopes to one day establish a small grocery stall to supplement the family income. Esther discovered her pregnancy during a health facility visit and subsequently attended seven ANC visits, walking over 40 minutes each way. Having delivered her previous child by Caesarean section, she required careful monitoring. At about eight months, Esther suddenly developed painless vaginal bleeding, with blood trickling down her legs. She was rushed to a nearby health centre and urgently referred to Siaya County Referral Hospital. Specialist assessment revealed a twin pregnancy with Grade III placenta previa, where the placenta significantly covers the cervical opening. Combined with her previous Caesarean scar, this created a very high-risk obstetric situation with the potential for severe maternal haemorrhage and fetal compromise. An emergency Caesarean section was therefore performed to protect Esther and her babies.
Medical history
Esther was taken for an emergency caesarean surgery, the surgery was a success and she was taken to the post -op ward. While in the ward she was administered ceftriaxone,flagyl, morphine, among other drugs. Her catheter was removed after 2 days, and ambulation encouraged. The dressing on her surgical site was removed after 72 hrs. She was able to respond well to medication, and she was eventually discharged on orals. A follow up clinic was booked for her to ensure she was healing well.
Prognosis
Esther’s Grade III placenta previa with twins and a previous Caesarean scar made vaginal delivery unsafe. Labour could provoke severe or uncontrollable haemorrhage, fetal distress, shock and potentially maternal or fetal death. Caesarean delivery was therefore medically indicated. With the timely surgery, adequate blood-loss management and appropriate postoperative monitoring, her prognosis is favourable.
