Alphine A., 18

Alphine is the second-born child in her family and lives with her newborn baby, parents, and siblings in a two-room mud-walled house. She is currently a Form Four student and depends on her parents, who are both peasant farmers, for support. Despite the family’s financial challenges, Alphine remains committed to her education and hopes to become a nurse in the future. Alphine reported missing her menstrual periods but initially assumed they would return. When the absence persisted for six months, she confided in her mother, who took her to a nearby health facility where pregnancy was confirmed at six months gestation. Her mother encouraged her to continue with school while attending antenatal care clinics. Despite having to walk for more than an hour to reach the health facility, she successfully attended four ANC visits. One Saturday night, Alphine developed abdominal pain around midnight. Thinking she was hungry, she ate something, but the pain persisted and began radiating to her back. The following morning, she was rushed to hospital, where evaluation revealed fetal distress. Due to the risk to the baby, an emergency Caesarean section was performed.

Alphine was taken for an emergency caesarean surgery, the surgery was a success and she was taken to the post -natal ward. While in the ward she was administered ceftriaxone,flagyl, tranexamic among other drugs. Her catheter was removed after 2 days, ans ambulation encouraged. The dressing on her surgical site was removed after 72 hrs. She was able to respond well to medication ans she was eventually discharged on orals. A follow up clinic was booked for her to check how she was recuperating.

Alphine a 18-year-old patient undergoing an emergency caesarean section secondary to non-reassuring fetal status (NRFS) and grade II meconium aspiration has a guarded but potentially good prognosis with timely surgical intervention and appropriate neonatal resuscitation. Alphine received a prompt successful surgery delivering a healthy baby and with good post operation management she is expected to make a full recovery