Purity N., 18

Purity is an 18-year-old young woman who lives with her mother in a rural village. She is humble, hardworking, and enjoys singing gospel music, with the dream of becoming a successful musician. Her mother supports the family through a small-scale business, but the limited income is often insufficient to meet their basic needs, including healthcare expenses. Purity was admitted to the maternity unit in active labour with regular painful contractions, lower abdominal pain, backache, and passage of blood-stained mucus. On examination, she had a term singleton pregnancy with a normal fetal heart rate. Although labour was closely monitored using a partograph and contractions remained strong, it failed to progress. The baby's head did not descend despite increasing cervical dilatation, and significant molding and caput developed, indicating cephalopelvic disproportion (CPD). She became exhausted after prolonged obstructed labour, placing both her and the baby at risk of serious complications. An emergency obstetric intervention was therefore undertaken to ensure the safe delivery of the baby and protect the lives of both mother and child.

Purity Nelima was admitted to the maternity unit with complaints consistent active labor. She reported of regular painful uterine contractions that had progressively increased in frequency and intensity. She also complained of lower abdominal pain, backache, and passage of blood-stained mucus (show). On examination, she was alert and in distress due to labor pains. In view of the diagnosis of obstructed labor secondary to cephalopelvic disproportion, the decision was made to intervene to prevent maternal and fetal complications. The patient underwent the recommended procedure and received the necessary medical care and postoperative monitoring. Was given; I.m Oxytocin, I.v Normal saline, I.v Metronidazole and I.v paracetamol. She responded positively to medication and discharged home when stabilized and in good condition.

Purity has been diagnosed with obstructed labour secondary to cephalopelvic disproportion (CPD), an obstetric emergency requiring urgent surgical intervention. Continued labour places both the mother and baby at high risk of uterine rupture, severe bleeding, infection, fetal distress, brain injury, or death. An emergency Caesarean section has therefore been recommended as the safest mode of delivery. If the operation is performed promptly and appropriate postoperative care is provided, the prognosis for both mother and baby is expected to be favorable. Any delay in intervention may significantly increase the risk of serious maternal and neonatal complications.