Aisha S., 27

Aisha Suleiman is a 27years old woman, married to Anas Usman Abubakar. This is her third pregnancy. She attended Hideaya Academy Rigasa where she obtained her SSCE certificate but couldn’t further due to financial problems. She is the 7th born of 16 children in her family; recently lost her dad due to hypertension. She is a full time house wife whose husband barely makes a living as a Laborer. Aisha previous history that lead to previous C/S was due to poor progress/prolonged labor, her current (third) delivery is indicated to be conducted via Caesarean section. Consequently, she was urgently referred and presented at our facility for immediate medical intervention and assistance. Upon evaluation, she was diagnosed with Cephalopelvic proportion, poor progress of labor and failed cervical dilatation resulting to prolonged labor.

Aisha Sulaiman, 27, presented unbooked at term on 11 May 2026. She had three pregnancies and two prior caesarean sections for prolonged labor and cephalopelvic disproportion. Assessment showed breech presentation, longitudinal lie, FHR 156 bpm, and EFW 2.8 kg — high risk for obstructed labor, uterine rupture, and fetal compromise. After ultrasound, FBC, and U/E/Cr, she underwent urgent caesarean section. Surgery was uneventful; she delivered a live male neonate. Both mother and baby were stable post-operatively. Discharged 16 May 2026 on Augmentin 1g BD ×7 days, Flagyl 400mg TDS ×5 days, Fesolate OD ×20 days, and Folic Acid OD ×20 days. Advised proper wound care, hygiene, and follow-up in 5 days. She left in good health.

Aisha has a history of inability to achieve vaginal delivery due to persistent failure of cervical dilation. Currently, she is considered high-risk, as continued labor in the presence of a non-dilating cervix may lead to obstructed labor, maternal exhaustion, uterine rupture, infection, and fetal compromise. On current assessment, there is failure of cervical dilation, making vaginal delivery unlikely and unsafe. Continued attempts at labor in this condition pose significant risks, including obstructed labor , uterine rupture , severe maternal hemorrhage , infection, and possible fetal compromise or demise. Prognosis is good if prompt C/S is done to avoid prolonged and possibly fetal death and uterine rupture.