Mst. Mithi A., 18

The 18-year-old pregnant woman is a polite and hardworking individual who enjoys sewing handmade clothes and dreams of building a permanent home while hoping for a safe delivery and a healthy baby. She lives with her 19-year-old husband, who works as a rickshaw puller earning approximately USD 49 per month, and her elderly in-laws in fragile housing conditions, making it extremely difficult for the family to meet basic needs and afford emergency maternity care. At 37 weeks and 4 days of her first pregnancy, she developed lower abdominal pain, abdominal tightening, fatigue, and reduced fetal movement, prompting her family to seek medical care at New Evercare Hospital and Diagnostic. Following clinical assessment and ultrasonography, she was diagnosed with breech presentation and fetal distress and required close monitoring and timely obstetric intervention. Without appropriate and timely treatment, the baby could suffer worsening fetal distress, oxygen deprivation, birth complications, or even intrauterine death, while the mother could also face serious delivery-related complications.

The recommended treatment for is LUCS under SAB, which is considered an appropriate option for delivering the baby safely and reducing the risk of further complications. With timely surgical intervention, proper medical care, and appropriate postoperative monitoring, both the mother and baby are expected to have a favorable outcome. However, if delivery is delayed, 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.