Maryam N., 40

Maryam is a mother of 7 children now with the pregnant of the 8th child, she is happily married. She is a house wife and the husband is a timber cutter, they struggle with their feeding in the family. They live in a 2 rooms apartment having a pit toilet. They have access to electricity and they make use of water from the well for their daily activities. Maryam is a 40yr old patient G11 P8+2 6A woman, referred from PHC with the complaints of headache, epigastric pains, body swelling and irritability pregnancy is term (38 weeks 5D) according to late scan. No convulsion, no vomiting, then she consented for BTL She was discovered to be hypertensive in her 2 previous pregnancy which resolved the following delivery, she has conscuted for BTL in this delivery. On examination, a woman, irritable, conscious with bilateral pitting pedal edema, not pale. Pulse rate=94bpm, Blood pressure =230/130mmHg Abdominal examination: SFH= 38cm, singleton foetus, longitudinal lie, cephalic presentation. After thorough evaluation, Maryam was diagnosed with Grand multiparity with Eminent Eclampsia. She needs emergency delivery via C/S. The family heard about Helpster Charity and asked for help because the family cannot afford the medical bills.

The above named 40yr old patient G11 P8+2 6A woman, referred from PHC with the complaints of headache, epigastric pains, body swelling and irritability pregnancy is term (38 weeks 5D) according to late scan. She was discovered to be hypertensive in her 2 previous pregnancy which resolved the following delivery, she has conscuted for BTL in this delivery. On examination, young woman, irritable, conscious with bilateral pitting pedal edema, not pale. She was diagnosed with Grand multiparity with Eminent Eclampsia+ Completed family size. She had a successful surgery; she was admitted in the ward for post-op to recuperate and had her blood pressure monitored as well as wound dressing. They family are so grateful for the medical support.

For Maryam a 40-year-old woman with eminent eclampsia, prognosis depends largely on early recognition and prompt treatment. With timely administration of magnesium sulfate, blood pressure control, and planned delivery, maternal outcome is generally good and seizures can be prevented. However, advanced maternal age increases the risk of complications such as eclampsia, stroke, placental abruption, HELLP syndrome, renal failure, and postpartum hemorrhage. Fetal outcome depends on gestational age and placental function. Overall, prognosis is favorable with urgent hospital management, but delay in intervention significantly increases maternal and perinatal morbidity and mortality. She is to have caesarian section.