Patience I., 41

Patience is a 41-year-old pregnant mother of four whose family is experiencing severe financial deprivation and homelessness following the loss of her husband's employment as a ship chef. Due to overwhelming circumstances, she has been unable to afford or access antenatal care or procure any provisions for the baby. The patient is a 33-week pregnant multigravida (G5P4) presenting with third-trimester gestation, severe pregnancy-induced hypertension (PIH) with a blood pressure of 168/91 mmHg, and a single viable fetus in breech presentation. Upon evaluation at our facility, she was diagnosed with uncontrolled pregnancy-induced hypertension complicated by persistent breech presentation in an unbooked third-trimester pregnancy. In view of her age and multiparity, urgent medical intervention is indicated, and she has been scheduled for a Caesarean section.

The 41-year-old Patience is an unbooked multigravida with a high risk of complications due to pregnancy-induced hypertension and breech presentation. She requires urgent medical stabilization and a definitive Caesarean section. This combination significantly increases the risk of eclampsia, placental abruption, maternal stroke, umbilical cord prolapse, head entrapment, and fetal death. With timely delivery and rigorous blood pressure control, the prognosis for both mother and child is excellent. This intervention will directly avert catastrophic complications, ensuring maternal and neonatal survival.