Esther T., 30

Esther is a 30-year-old wife and mother living in a quiet village five hours from the city, where life is simple but hard: no electricity, rough roads, a shared well for water, and a small one-room home she shares with her husband, a devoted missionary, and their one living child. Behind their humble life lies deep sorrow, as Esther had twice before lost babies just as she neared delivery, a pain no mother forgets. Too poor to afford proper care, the family reached out to Helpster Charity, whose volunteer guided them to our facility. Esther arrived at term with three days of worsening epigastric pain unrelieved by antacids, followed by mild fever and sleepless nights of distress. On examination, she was febrile at 37.8°C, pulse 114/min, blood pressure 146/88mmHg, with no signs of labor. Her abdomen was gravid, and the baby's heart raced persistently between 163 and 174 beats per minute, a sign of fetal distress at term. She was rushed to theatre for an emergency Caesarean section, giving this little one, and Esther, a fighting chance at the life they had prayed so long for.

Mrs. Taddy is A 30 years old G4P3A1 female with history of two perinatal fetal death who presented at term with three days epigastric pain, fever of two days with no symptoms of labour. Examination revealed a gravid woman in painful distress, no uterine contraction or abnormal vaginal discharge but with persistent fetal tachycardia of 174/min, febrile with temperature 37.8oC. She was billed for and had emergency caesarean section with intraoperative findings of gross meconium-stained liquor and a female fetus in severe distress with APGAR score at first minute of 3 that deteriorated despite resuscitation. Mother however did well post operatively and was discharged four days after and is currently doing well on follow-up. The family remained grateful to Helpster Charity for the medical support.

On examination, Esther was in painful distress, febrile with temperature of 37.8 degree Celsius, pulse rate of 114/minute and blood pressure of 146/88mmHg. No features of labor. She was diagnosed with Fetal destress at term and emergency delivery of the baby was urgently done. It is an obstetric emergency requiring prompt intervention, including maternal resuscitation, oxygen administration, and expedited delivery by emergency caesarean section, to prevent perinatal morbidity and mortality. Prognosis is not always good as many babies have died due to fetal distress. Urgent treatment improved outcome.