Mary J., 24

Mary a 24 years female, a wife and a mother is a house wife in a small community of Jos, Plateau State capital. She is happily married to her husband about 3 years ago and are already blessed with 1 child until this second expectation. Mary John A 24yr old woman referred from Faith Alive foundation on account of failure of trial of labour after previous caesarean section (TOLAC). She had a caesarean section 2yrs ago on account of cephalopelvic driproportion due to? Pelvic abnormalities. She presented to Faith Alive in labour yesterday and was scheduled for caesarean section but could not get a volunteer surgeon to perform the surgery, necessitating referral to gwash specialist hospital. They got in contact with the Doctor who told them about Helpster Charity and that His hospital is partnering with Helpster Charity. Upon presentation at our hospital, and after further clinical evaluation, She was diagnosed with cephalopelvic disproportion due to Pelvic abnormalities.

Mary John A 24yr old woman referred from Faith Alive foundation on account of failure of trial of labour after previous caesarean section (TOLAC). She had a caesarean section 2yrs ago on account of cephalopelvic disproportion due to Pelvic abnormalities. She was assessed by our physician who scheduled her for an emergency CS due to failure to progress secondary to CPD with 1 previous C/S. She was operated successfully and admitted to recuperate in the ward. She was discharged on the 4th day post operation to be reviewed with her baby in one week. The family extends gratitude to Helpster Charity team and the entire medical team at Gwash Hospital.

The prognosis for failure to progress secondary to cephalopelvic disproportion (CPD) with one previous Caesarean section is generally good when recognized early and managed appropriately. Prompt decision for a repeat Caesarean section prevents complications such as uterine rupture, fetal distress, and maternal exhaustion. Both maternal and neonatal outcomes are usually favorable with timely surgical intervention and good postoperative care. However, delayed management can lead to maternal morbidity, fetal hypoxia, or infection. Future pregnancies require close antenatal monitoring and counseling on elective Caesarean delivery to minimize risk.