Most. Mukta B., 30

A 30-year-old pregnant woman at 39 weeks and 4 days of pregnancy hopes for a safe delivery and a healthy baby while caring for her family. She lives with her husband, 11-year-old son, and 66-year-old mother-in-law in fragile housing; her husband works as a day laborer, earning approximately USD 49 per month, leaving the family unable to afford essential living expenses and delivery costs. After experiencing lower abdominal pain, fatigue, and intermittent abdominal tightening for two days, she sought medical care at New Evercare Hospital, where an ultrasound revealed breech presentation. Despite regular antenatal visits and an attempt to arrange a normal delivery at home with a health worker, she required hospital assessment and appropriate delivery planning. Without timely obstetric management, breech presentation may lead to obstructed labor, fetal distress, serious birth injuries, and potentially life-threatening complications for both mother and baby.

The recommended treatment for her is LSCS under SAB, which is considered an appropriate option for delivering the baby and reducing the risk of further complications. With timely surgical intervention and proper medical care, the baby is expected to have a good recovery and a healthy life. However, if delivery is delayed or the condition remains untreated, the baby may be at increased risk of fetal distress, umbilical cord prolapse, birth trauma such as brachial plexus injury, and head entrapment. The mother may also face serious complications, including infection and other potentially life-threatening conditions.