Mourine N., 19

Moureen is a 19-year-old first-time mother who completed Form Four in 2025. After becoming pregnant, the baby’s father abandoned her and offered no support. She lives with her mother and 21-year-old sister in a single-room iron-sheet house and is unemployed, depending entirely on her mother. Her 16-year-old brother lives with their grandmother in Kisii, but their mother still struggles to pay his school fees from her modest earnings packing beans. Despite these challenges, Moureen enjoys hairstyling and dreams of owning a salon to support her child and family. Moureen has a history of female genital mutilation (FGM) performed during childhood, which later interfered with menstrual flow and required corrective surgery. During pregnancy, she presented in early labour with strong uterine contractions. Assessment revealed and inadequate pelvis, Grade II meconium-stained liquor, raising concern for possible fetal compromise. Given the obstetric findings and concern for the baby’s wellbeing, the medical team recommended and performed an emergency Caesarean section to achieve a timely and safer delivery.

Moureen had CPD with Grade II meconium-stained liquor, making vaginal delivery potentially unsafe and warranting emergency Caesarean section. Her history of FGM also increases the risk of difficult vaginal delivery and genital/perineal tears due to scarring and reduced tissue elasticity. With successful Caesarean delivery, appropriate postoperative care and monitoring of both mother and newborn, her prognosis is favourable. Future pregnancies should receive early antenatal and skilled obstetric care.