Nabila A., 19

Nabila Akter, a 19-year-old first-time mother, dreams of a happy life with her husband and children and enjoys cooking for her family. Her husband, Rakib Sikder, is only 22 and works as a daily wage laborer, earning just 9,000 taka per month to support his parents, Yusuf Sikder (50) and Selina Begum (43), along with his pregnant wife. With such a small income, it is impossible for the family of five to manage household expenses and afford costly medical treatment. At 36+ weeks of pregnancy, Nabila developed severe complications with leakage of fluid, reduced fetal movement, and ultrasonogram findings of oligohydramnios with fetal distress. Without an urgent caesarean section, both Nabila’s life and her unborn child’s survival are at grave risk.

After experiencing, passage of gush of water with continuous leaky membrane for 2 days as well as less fetal movement for 1 day without labour pain over 36 weeks of her pregnancy , she arrived at our hospital at 9.0AM in 24 august, where doctors performed an ultrasound and clinical examination that revealed severe oligohydro amnions with fetal distress , making vaginal delivery impossible. An emergency cesarean section was promptly arranged, and the procedure was successful, resulting in the birth of a beautiful baby girl. Both the mother and the baby are safe and sound, with no complications arising from the surgery. We discharged the patient at 10.30AM in 27 august 2025.The patient's family expressed their heartfelt gratitude to the Helpster Heroes and the hospital for their timely and effective care.

Given the patient's condition, the doctor's prognosis emphasizes the necessity of close monitoring and timely intervention to ensure a safe outcome. If the oligohydramnios is left unaddressed, the risk of the umbilical cord becoming compressed increases dramatically, which can cut off the baby's vital oxygen and nutrient supply and lead to fetal distress, brain damage, or even stillbirth. The doctor's treatment plan will likely involve careful fetal monitoring and a decision on the safest time and method of delivery, which, given the previous C-section, will likely be a planned cesarean section. By proceeding with a medically supervised delivery, the doctors can mitigate the risks associated with both the low amniotic fluid and the prior surgical history, leading to a much safer and healthier outcome for both the mother and the baby.