Vina A., 34

Vina is a mother of 2 before the third child came. She is a petty trader, her husband is currently not working. They live in a 2 rooms apartment having a pit toilet, no access to electricity and they have a well in their compound. The family are financially struggling as things become very difficult for them due to financial constraints. Vina, a 34yr old patient G3 P2 to21A, at 38 Weeks had Emlscs over 3 years ago for suspected constractal pelvics. She is not a known DM HTN. Pregnancy was booked in the PHC. There was no bleeding in the course of the pregnancy. No headache. On examination, young woman, not pale, afebrile, not dehydrated. Pulse rate=84bpm, Blood pressure =90/60mmHg Abdominal examination: SFH=38cm, singleton fetus longitudinals lie, cephalic presentation. Diagnosis of Inadequate Pelvis or Contracted pelvis with previous C/S at term was made and she requires Ceaserean Section. The family cannot afford the medical bills that is why they contacted Helpster Charity through a volunteer. After Surgery, patient and the neonate would be on admission for wound care and neonatal Care.

The above named 34yr Old patient G3 P2 to21A, at 38 Weeks had Emlscs over 3 years ago for suspected contractile pelvis. On examination, young woman, not pale, afebrile, not dehydrated. Pulse rate=84bpm, Blood pressure =90/60mmHg Abdominal examination: SFH=38cm, singleton fetus longitudinal lie, cephalic presentation. A diagnosis of Contracted pelvics with previous C/S at term was made. After Surgery, patient and baby were managed well in the ward, she had blood pressure being monitored as well as wound dressing. The mother is happy for saving her life and her baby.

For Vina a 34 year old woman with a contracted pelvis, prognosis depends on early recognition and proper obstetric management. It was identified during antenatal care and managed with a planned cesarean section, maternal and fetal outcomes are generally good. However, if undiagnosed and labor is allowed to progress, it may result in obstructed labor, uterine rupture, postpartum hemorrhage, fistula formation, fetal distress, or stillbirth. Prognosis is favorable with timely intervention but becomes poor when there is delayed diagnosis or inadequate obstetric care.