Mary M., 29

Mary is a 29-year-old woman who has been married for about a year and lives with her husband in a rural community about 50 km from Bauchi. Her husband is currently unemployed, and the family faces financial hardship despite having basic housing and access to electricity and well water. She presented with prolonged labour after being referred from a primary healthcare facility where she had previously received normal antenatal care. On assessment, she was stable, but obstetric evaluation showed a fully dilated cervix with the baby’s head remaining high and evidence of excessive moulding. She was diagnosed with cephalopelvic disproportion, a condition where the baby’s head cannot pass through the mother’s pelvis, and an emergency cesarean section was advised. However, due to financial constraints, the family was unable to proceed without assistance.

Mary a 29-year-old referred to our facility from a primary health care on account of prolonged labour. A working diagnosis of Cephalo Pelvic Disproportion was made and immediately planned for emergency cesarian section. She was operated successfully and admitted into the ward to recuperate and had blood pressure control. She was discharged on the 4th post-operative day for follow up and blood pressure control. The family extends gratitude to Helpster Charity for the support.

Cephalopelvic disproportion is a serious condition that can result in prolonged labour, fetal distress, and increased risk of complications for both mother and baby if not promptly managed, typically requiring emergency cesarean delivery. With timely surgical intervention, both maternal and fetal outcomes are generally good. Prognosis is favorable when managed early, but delays in treatment may lead to severe complications such as uterine rupture, infection, fetal compromise, or even maternal and neonatal mortality.