Mary E., 28

Mary Ezra is a 28-year-old pregnant woman who is married to one Mr. Ezra Dauda. They live together as husband and wife and their three children in a local community called paseli. They live in a small and modest apartment. Her husband is a subsistence farmer. Mary is a young and easygoing woman, she's relatively quiet but enjoys talking with people who she feels comfortable around. Her hobbies are cooking and gisting. She dreams of starting a restaurant one day. Mary Ezra is a 28-year-old pregnant woman wash rushed into the facility with severe vaginal bleeding and marked physical weakness. She was reported to have experienced prolonged and non-progressive labor after attempting home delivery. An obstetric ultrasound scan was performed confirmed a term pregnancy with intrauterine fetal demise. She was diagnosed with Obstructed Prolonged Labor with Intrauterine Fetal death and Maternal Distress.

Mary Ezra is a 28-year-old pregnant woman diagnosed with intrauterine fetal death and maternal Distress. She underwent an emergency Cesarean Section under general anesthesia. The procedure was successful. She was managed with intravenous antibiotics e.g I.V Ceftriaxone, analgesic such I.V Pentazocine, I.M Diclofenac and fluids. Additionally, the patient received a transfusion of 450ml of screened blood. The patient tolerated all treatment procedures and have shown vital signs of improvements and has since been discharged.

Mary Ezra, a 28-year-old pregnant woman, was diagnosed with obstructed labour associated with intrauterine fetal death and maternal distress. Her prognosis is guarded but may be favourable with prompt obstetric intervention and supportive care. Continued obstructed labour would likely have resulted in worsening haemorrhage leading to hypovolaemic shock, uterine rupture with massive intra-abdominal bleeding, severe sepsis from prolonged retention of the demised fetus, disseminated intravascular coagulation, acute kidney injury, and multi-organ failure. Prolonged pressure from the obstructed fetal head could also have caused obstetric fistula with permanent disability. Delayed or absent intervention would have placed her at very high risk of maternal death.