Doris G., 34

Doris is a 34 year old mother, she is staying with her husband and first child. Life has been very difficult due to financial challenges. They have a 2 rooms apartment, pit toilet, access to well and no electricity. The husband is not currently working and the mother is a housewife. Monthly income is 5000. Mrs Doris is a 34 years old female who presented with history of labour for 2 days. She had CS in her previous delivery due to cephalopelvic disproportion (mismatch between baby’s head and birth canal). Examination showed a lethargic patient with gravid uterus. Vaginal examination showed head of fetus tightly fixed in the pelvis with marked molding and thickened cervix. Membrane still intact. Fetal heart rate normal.Diagnosis of Obstructed Labour was made.

Mrs Doris is a 34 years old female who presented with history of labour for 2 days. She had CS in her previous delivery due to cephalopelvic disproportion (mismatch between baby’s head and birth canal). She is not a known diabetic or hypertensive. Examination showed a lethargic patient with gravid uterus. Not pale and temperature of 37.1oC. Vaginal examination showed head of fetus tiedly fixed in the pelvis with marked molding and thickened cervix. Membrane still intact. Fetal heart sound was 119/minute. Patient was diagnosed with Obstructed Labour. She was immediately rushed for an emergency C/section where baby was delivered. Mother was admitted in the ward to recuperate and to further have wound dressing, she was stable and baby is breast feeding well. Patient was discharged to return for follow up. The family are happy and remain grateful for the medical support.

Obstructed labour occurs when the fetus cannot progress through the birth canal despite adequate uterine contractions. The prognosis of obstructed labour is good when recognized early and managed promptly with appropriate obstetric intervention, such as caesarean section