Jacinta N., 26

Jacinta is a 26-year-old mother who is cheerful and sociable. Despite completing her education, she has been unable to secure stable employment and previously worked casually as a sales attendant in a small mitumba shop. Her husband is a temporary petrol station attendant whose work is irregular and not always available. The family, now including their newborn, lives in a single-room bedsitter and depends mainly on his unpredictable earnings. Jacinta was admitted on 30 July 2026 at 8:00 p.m. with abdominal and back pain. After hours of trying to give birth and despite strong uterine contractions, the cervix remained at 6 cm and the baby’s head had failed to engage. She was diagnosed with poor progress of labour secondary to cephalopelvic disproportion (CPD), indicating that the baby could not safely pass through the maternal pelvis. An emergency Caesarean section was therefore performed to prevent complications and ensure a safer delivery for both mother and baby. However, the family was unable to pay the bill and requested support.

Jacinta was admitted and closely monitored after presenting in labor. She received supportive treatment, including intravenous and intramuscular Buscopan, to aid labor progression. However, when labor failed to progress and she was diagnosed with cephalopelvic disproportion (CPD), the medical team promptly performed an emergency cesarean section. A healthy baby girl was safely delivered with excellent Apgar scores of 9 at one minute, 10 at five minutes, and 10 at ten minutes. Following surgery, both mother and baby received routine post-operative and postnatal care, including medication, observation, and breastfeeding support. They are both in good health, with Jacinta recovering well and the baby remaining stable. care they required without delay, which otherwise they wouldn't have afforded. DRUGS GIVEN IV Ceftriaxone-7 vials IM Diclofenac Injection-6 vials IV Normal Saline-stat IM Pethidine 50mg-stat IM Tramadol Injection 100mg BD-4vials IV Flagyl 500 mg-10 vials IV Buscopan 20mg-1 vial IM Buscopan 20mg-1 vial

The emergency cesarean section was lifesaving for both Jacinta and her baby. Because the condition was recognized and treated promptly, the prognosis for both mother and child is excellent. Jacinta is expected to make a full recovery with appropriate post-operative care, medication, and follow-up, while her baby girl is healthy and expected to grow and develop normally. If Jacinta's obstructed labor due to cephalopelvic disproportion (CPD) had been left untreated, both mother and baby would have been at high risk of life-threatening complications. Jacinta could have suffered uterine rupture, severe bleeding, infection, exhaustion, or even death. The baby could have experienced prolonged oxygen deprivation, resulting in brain injury, stillbirth, or neonatal death.