Mercy R., 24

The mother is a caring and devoted homemaker who lives with her husband and their only son in a small rented iron-sheet (mabati) house. Her husband relies on irregular casual jobs as the family's only source of income, but there are many days when he is unable to find work, leaving the family struggling to afford food, rent, healthcare, and other basic necessities. Despite these financial hardships, she remains resilient and hopeful. She enjoys knitting clothes and making friends and had enrolled in a knitting course with the dream of starting a small knitting and clothing business to support her family. Unfortunately, she was forced to discontinue the course because they could not afford the training fees. At 36 weeks' gestation, she presented to the hospital with severe lower abdominal pain radiating to her back, signaling the onset of labor. She was admitted and monitored closely, but after four hours the baby developed fetal distress, evidenced by an abnormally high heart rate and thick meconium-stained liquor following rupture of membranes. Owing to the risk to both mother and baby, the medical team performed an emergency Caesarean section.

Mercy Rebecca was admitted at Imara Healthcare Centre after developing complications during labor that required an emergency CS. Upon assessment, the medical team promptly prepared her for surgery to ensure the safety of both mother and baby. The CS was successfully performed, and Mercy received comprehensive post-operative care, including pain management, antibiotics, IV fluids, close monitoring, wound care, and breastfeeding support. She responded well to treatment, her surgical wound healed satisfactorily, and her condition steadily improved during her hospital stay. Treatment/Drugs Given IV Ceftriaxone 1 g once daily -5 days. IV Flagyl 3* daily for 5 days. IV Diclofenac 75 mg OD- 3 days. IV Paracetamol 1 g 3* daily for 3 days. IV Normal Saline (500,mls) – 2 pints, administered as IV fluids. Discharged with PO Brufen 400mg tds3/7 PO Flagyl 400mg tds 3/7 PO Clindamycin 300mg 5/7 Mercy was discharged home in stable condition with appropriate medication, follow-up instructions, and guidance on postnatal care. She has continued to recover well and is now able to care for her newborn and gradually resume her normal daily activities while enjoying precious time bonding with her baby.

Mercy developed fetal distress during labor, evidenced by persistent fetal tachycardia and thick meconium-stained liquor, indicating that the unborn baby was at significant risk of oxygen deprivation. This constituted an obstetric emergency, and the decision to perform an emergency Caesarean section was appropriate and lifesaving for both mother and child. Her prognosis is good because timely surgical intervention prevented further fetal compromise and potential complications such as birth asphyxia, meconium aspiration syndrome, brain injury, or stillbirth. With appropriate postoperative care, monitoring, and follow-up, both mother and baby are expected to make a good recovery.