Smirty A., 18

Smirty Akter is an 18-year-old, gentle and hopeful mother who dreams of building a small home for her family and spends her free time lovingly making noodles, even while carrying deep worries for her unborn child. Living with her unemployed husband Md. Sujon and her parents-in-law in a government canal-area settlement, the family struggles daily to meet basic needs, making costly medical treatment far beyond their reach. If Smirty cannot undergo the urgent caesarean section, her baby—already in distress with reduced movements and a breech position—could face the same tragic fate as her first child, whom she lost after a home delivery. Without proper treatment, her worsening condition from cholelithiasis and ongoing pain could also put her own life at serious risk. For this family, timely medical care is not just treatment—it is their only hope to save both mother and child and prevent another heartbreaking loss.

Smirty, at 36 weeks and 4 days of pregnancy with breech presentation and cholelithiasis, was admitted on 2.11.2025. She underwent a successful LSCS on the same day to ensure the safety of her and the baby. After the operation, she received proper medical management and attentive nursing care. Her condition improved steadily, and the baby was also healthy. With continuous monitoring and support, both mother and baby remained stable. Smirty was discharged on 5.11.2025 in good condition and is now recovering well at home. The cholecystectomy will be scheduled after 3 months.

The recommended treatment is a Lower Segment Caesarean Section (LSCS), which is the safest way to deliver the baby immediately and prevent further complications. With timely surgery, the baby is expected to recover well. If delivery is delayed, the baby may suffer severe oxygen deprivation, leading to permanent brain damage or death, and the mother may face life-threatening infections or complications. After the caesarean section, a cholecystectomy is essential, as untreated cholelithiasis can cause pancreatitis, cholangitis, or blockage of the bile duct. Therefore, LSCS followed by a laparoscopic cholecystectomy three months later is the best medical management for her.