Maryam S., 30

Maryam Salisu is a 30-year-old woman from Amshi village, married to the village Imam. Her husband also works as a farmer, while Maryam engages in small-scale trading to support the household. Despite their combined efforts, the family survives on a very limited monthly income of about ₦5,000, making it difficult to meet their basic needs. In the face of these challenges, Maryam remains hardworking and devoted to her family. She presented at 38 weeks of pregnancy with abdominal pain and active labor contractions. Her pregnancy was high-risk due to a cesarean section performed just 6 months earlier for cephalopelvic disproportion, raising concern about the strength of the uterine scar during labor. Diagnosis is Cephalopelvic Disproportion (inadequate pelvis) with recent previous C/S surgery paid for by a Commisioner foundation. She underwent an emergency repeat cesarean section, which was successful. Both mother and baby were stable postoperatively, and they have since been discharged in good condition, with plans for routine follow-up and continued care.

The baby was delivered safely through an emergency cesarean section due to the risks associated with the previous recent surgery and CPD. Immediately after birth, the newborn was assessed and found to be stable, with good vital signs and no immediate complications. Routine newborn care was provided, including monitoring, warmth, and feeding support. During the hospital stay, the baby was closely observed for any signs of distress or complications related to delivery. The child remained stable throughout, feeding well and showing normal activity appropriate for age. Following a satisfactory period of observation, the baby was discharged alongside the mother in good condition. The outcome reflects successful intervention and proper postnatal care, with expectations for normal growth and development.

Maryam was diagnosed with CPD and recent surgery, at risk of uterine rupture and severe bleeding. In such cases, a repeat cesarean section is usually the safest option to deliver the baby and avoid life-threatening complications. She underwent a timely repeat cesarean section due to the high risk associated with her recent previous surgery, and the procedure was successful without complications. The prognosis is excellent, with both mother and child in good health. With proper postoperative care, wound monitoring, and adequate spacing before future pregnancies, she is expected to make a full recovery and maintain good long-term health.