Mildred A., 22

Mildred is a total orphan and the second-born in her family. Both of her parents died several years ago, while her elder sibling died in 2018 and her younger sibling lost their life in a road traffic accident in 2021. She now lives with her elderly grandmother in a two-room mud-walled house. Due to severe financial hardship, Mildred dropped out of school and survives by doing casual jobs, while her grandmother relies on small-scale farming. She enjoys listening to the radio and hopes to own a small business in the future. During pregnancy, Mildred developed persistent lower back and flank pain and marked fatigue. She sought care at Mulaha Dispensary, where tests confirmed she was pregnant. She enrolled for antenatal care and attended her clinic visits regularly. At 37 weeks' gestation, she developed abdominal pain and abnormal discharge and sought immediate medical attention. She was referred to Siaya County Referral Hospital, where she was diagnosed with a urinary tract infection progressing to pyelonephritis. In pregnancy, pyelonephritis can lead to maternal sepsis, kidney impairment, preterm labour, low birth weight, fetal distress, and, if untreated, may threaten the lives of both mother and baby.

Mildred has been diagnosed with a urinary tract infection in late pregnancy, with features suggesting progression to pyelonephritis. This is a serious condition requiring prompt treatment to protect both mother and baby. She is receiving appropriate antibiotics, supportive care, and close obstetric monitoring. With early diagnosis and timely treatment, her prognosis is favourable, and she is expected to recover and safely deliver her baby. However, delayed treatment could lead to kidney infection, maternal sepsis, preterm labour, fetal distress, or other life-threatening complications.