Christine J., 19

Christine comes from a poor family and is the firstborn in a family of seven. Her father struggles with addiction to illicit brews and other substances, often exhibiting violent behavior when intoxicated. This situation has forced Christine and her mother to find ways to support themselves and provide for their siblings. Christine became pregnant while trying to meet these basic needs. The family lives in a two-room mud house, relies on stream water for drinking and domestic use, and shares a pit latrine with neighbors and passersby, as their home is located along the roadside. Christine presented to the facility in labor with lower abdominal pain, backache that was increasing in frequency and intensity, and mild vaginal bleeding. On examination, she was noted to have a previous cesarean section scar which was tender on palpation. The abdomen was tense and very tender, causing the patient to wince upon examination, and also had a Bandl's ring which is a clinical sign of impending uterine rupture - it appears as a constriction between the upper and lower segments of the uterus visible on the abdomen. Given her previous cesarean section for cephalopelvic disproportion, an impending uterine rupture was suspected.

Christine came to the facility in labour with complains of lower abdominal pain associated with backache increasing frequency and intensity with mild per vaginal bleeding. On examination she was found with previous ceaserian section scar with is can be very dangerous in normal delivery. The safest method was ceaserian section which was contacted successful both mother and the baby were in stable condition after a while and discharged home.

The prognosis is good. both she and her baby are stable, following the successful emergency ceaserian section. With proper post operative care, total rest, follow -up and motoring, she expected to fully recovered without complications and resume their normal daily activities. With giving emotional and physical well-being support will help quick recovery and help her to take good care of the baby.