Eddah Awino O., 19

Eddah is the youngest child in her family and lives with her husband and mother-in-law in a single-room mud-walled house. She left school in Class 8 due to financial challenges and has no source of income. The family depends on her husband, who works as an unskilled construction laborer whenever work is available, and her mother-in-law, a subsistence farmer. Despite these hardships, Eddah dreams of owning a beauty salon one day. After missing her menstrual period, Eddah attended a nearby health centre where pregnancy was confirmed. She faithfully completed all four recommended antenatal clinic visits despite walking more than 30 minutes to the facility. One Saturday evening, she developed labor pains and was admitted to a nearby health centre for observation. During observation, it became evedent that the labor was prolonged, meaning the cervix failed to dilate adequately and the baby did not progress through the birth canal despite ongoing contractions. This increased the risk of severe complications for both mother and baby. She was urgently referred to Siaya County Referral Hospital, where an emergency Caesarean section was performed to safely deliver the baby and prevent life-threatening complications.

Eddah a 19-year-old diagnosed with Cephalopelvic disproportion (CPD) and a Non-reassuring fetal status has a potentially life-threatening obstetric emergency for both the mother and baby if not managed promptly. CPD prevents safe vaginal delivery because the baby's head cannot adequately pass through the mother's pelvis, while a non-reassuring fetal state indicates the baby may be experiencing inadequate oxygenation (fetal distress). The prognosis is generally good when an emergency caesarean section is performed without delay, with most mothers making a full recovery and the baby's outcome depending largely on the severity and duration of oxygen deprivation before delivery. Delayed intervention increases the risk of fetal hypoxia, stillbirth, maternal hemorrhage, uterine rupture, infection, and other serious complications. Eddah underwent a successful operation and with proper post operation management she is expected to make a full recovery