Fatima U., 22

Fatima is a 22-year-old primigravida living with her husband in a mud house, reflecting their limited resources and vulnerability. She was admitted on January 29, 2026, with a 48-hour history of labor pains. Prior to presentation, she had received intravenous fluids at a peripheral primary health center without progress. On evaluation, she was found to have prolonged obstructed labor with full cervical dilatation but failure of fetal descent, complicated by fetal distress evidenced by meconium-stained liquor on ultrasound. Clinical findings also showed caput and molding, indicating prolonged pressure on the fetal head. In view of obstructed labor and fetal compromise, an Emergency Caesarean Section (EMCS) was recommended and performed to ensure maternal and fetal safety.

Fatima was diagnosed with prolonged obstructed labor with fetal distress. She was admitted for emergency C/S. Surgery was successful and the baby was delivered safely. Immediately after surgery, she was given uterotonic medication Oxytocin to help the uterus contract and reduce the risk of postpartum hemorrhage. Fatima’s condition improved steadily after surgery. Her vital signs remained stable, the surgical wound healed well without signs of infection, and she was able to breastfeed and ambulate with minimal discomfort. She was discharged in stable condition with advice to continue prescribed medications, maintain proper wound care and hygiene, avoid heavy lifting, and attend postnatal follow-up visits for review. Family planning counseling and nutritional support were also provided to promote full recovery. She was grateful to Helpster Charity for the free surgery.

Fatima Usman, was diagnosed with prolonged obstructed labor with fetal distress at term. After the ​Clinical Presentation: The patient presented after 48 hours of labor pain. Examination showed signs that the baby was unable to pass through the birth canal naturally, despite the cervix being fully dilated. ​Signs of Complications: The doctor noted meconium-stained liquor (the baby passed their first stool in the womb) and caput/molding of the fetal head, which are significant indicators of labor obstruction and fetal stress. And confirmed a viable fetus at 39 weeks but also indicated fetal distress, meaning the baby was not receiving adequate oxygen or was under physical strain which requires urgent attention.