Roksana K., 20

Roksana Khatun is a 20-year-old housewife in her first pregnancy, living with her husband under difficult financial circumstances. Her husband works as a garments worker with an irregular income, earning approximately USD 81 per month, which is barely enough to meet their basic household needs and leaves them unable to afford the cost of urgent maternity care. Despite these hardships, Roksana remains hopeful and determined to have a safe delivery and give her first baby a healthy start. At 40 weeks of pregnancy, she developed watery vaginal discharge and lower abdominal pain, and examination revealed severe oligohydramnios with fetal distress, requiring urgent medical attention. Without timely treatment and delivery management, fetal distress may worsen and place the baby at serious risk, making prompt care essential for a safe outcome

According to the doctor, LUCS is recommended to achieve timely delivery because Roksana has severe oligohydramnios with fetal distress at 40 weeks. With prompt cesarean delivery, appropriate maternal monitoring, and newborn care, the risk of further fetal compromise can be reduced and a safer outcome for both mother and baby is expected. If delivery is delayed, persistent low amniotic fluid may cause umbilical cord compression and worsening fetal distress, potentially resulting in severe oxygen deprivation, emergency complications, or fetal loss.