Jane Nzinga K., 38

Jane is a friendly and devoted mother of four who lives with her husband and children, including a newborn, in a single-room mabati house in Kware slums. She had no opportunity for formal education and is currently unemployed. Her husband depends on irregular construction and steel-fixing jobs, and Jane occasionally assists him when work is available. Their unpredictable income makes meeting basic household and medical needs difficult. Jane hopes to establish a small hotel business and create a more stable future for her family. While pregnant, Jane went into labour and presented to St. Clare Clinic at about 5:00 a.m. After labouring throughout the day with poor progress, referral to Kenyatta National Hospital was considered but could not proceed as planned due to the doctors’ strike. Through a CHV, the family was introduced to Imara Healthcare and Helpster, and Jane was transferred by ambulance. She arrived in severe pain, with strong contractions, full cervical dilatation and leaking membranes. Due to obstructed labour and failure to progress, an emergency Caesarean section was recommended.

an emergency Caesarean section was necessary due to obstructed labour and poor progress, which placed both the mother and baby at significant risk. The timely intervention allowed for safe delivery and helped prevent serious complications. The newborn is currently stable, breastfeeding well, and receiving appropriate routine care and monitoring. With continued post-operative and newborn care, the mother and baby are expected to recover well. Without timely intervention, the baby could have developed fetal distress and other serious or potentially life-threatening complications associated with prolonged obstructed labour.