A 26-year-old primigravida, Ama, at 34 weeks gestation is brought to the regional hospital ED with a single grand mal seizure 20 minutes ago. She is now post-ictal. BP 160/106 mmHg, HR 108 bpm. Magnes…
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A 38-year-old woman, Ama, 34 weeks pregnant, is brought to the Tamale Teaching Hospital A&E with a one-hour history of severe occipital headache, visual blurring, and two witnessed generalised tonic-c…
A 35-year-old woman, G4P3, at 32 weeks gestation, is brought by relatives to the regional hospital A&E with sudden onset of severe, constant lower abdominal pain and heavy vaginal bleeding for 2 hours…
A 29-year-old woman, Abena, is 34 weeks pregnant and is referred from a district hospital in Brong-Ahafo with BP 175/115 mmHg, severe headache, and visual blurring. On arrival at the regional hospital…
A 22-year-old woman named Aisha presents to a regional hospital emergency department in the Northern Region. She is 34 weeks pregnant and was referred from a district hospital after developing general…
A 26-year-old primigravida, Akosua, at 38 weeks gestation is brought to the labour ward of a regional hospital in the Ashanti Region. Her membranes rupture spontaneously and the midwife immediately no…
Abena, a 32-year-old primigravida at 34 weeks gestation, is brought to the Komfo Anokye ED by her husband after two days of worsening jaundice, epigastric pain, and confusion. She has no prior liver d…
A 29-year-old woman, Abena, 30 weeks pregnant, is referred from a district hospital in the Bono Region to the regional hospital ED. She complains of frontal headache and visual disturbances described …
A 29-year-old primigravida at 34 weeks is referred from a district hospital in Brong-Ahafo to the regional ED after a seizure. She received diazepam 10 mg IV at the district hospital and the seizure t…
A 26-year-old primigravida at 36 weeks gestation presents to a regional hospital ED in the Northern Region with a 20-minute history of generalised tonic-clonic seizures. She was commenced on intraveno…
A 24-year-old woman, Abena, presents to the regional hospital ED in Tamale at 7 weeks gestation (confirmed by LMP) with sudden-onset severe right iliac fossa pain that started an hour ago. She has had…
Abena, a 31-year-old woman, presents to the Korle Bu emergency centre on day 4 post emergency caesarean section with worsening wound pain, fever, and feeling unwell. Temperature is 38.5°C, HR 104 bpm,…
Fatima, a 26-year-old G1P0, delivers a healthy male infant at Korle Bu emergency centre after a prolonged second stage. Immediately following delivery of the placenta, the midwife notes heavy vaginal …
A 22-year-old primigravida, Aisha, at 40 weeks gestation presents in active labour to the Komfo Anokye Teaching Hospital ED. After delivery of the fetal head, the shoulders fail to deliver. The nurse …
A 28-year-old primigravida at 36 weeks gestation is brought by her husband to the Komfo Anokye ED after a witnessed generalised tonic-clonic seizure lasting 90 seconds at home. She has no prior histor…
Aisha, a 28-year-old primigravida at 36 weeks gestation, is brought to the Komfo Anokye ED by ambulance from a district hospital in Ashanti Region. She had a generalised seizure lasting 90 seconds en …
Fatima, a 32-year-old G3P2, delivers vaginally at a district hospital in the Upper East Region. The placenta delivers completely. Within 20 minutes she has lost an estimated 900 mL of blood. The uteru…
A 32-year-old woman (G2P1) is referred from a district hospital in Brong-Ahafo to a regional hospital at 34 weeks gestation with a 4-hour history of severe headache, visual blurring, and epigastric pa…
A 28-year-old primigravida, Akosua, delivers a 4.2 kg baby after a prolonged second stage at a regional hospital in the Ashanti Region. Ten minutes after placental delivery, the midwife notices contin…
A 26-year-old woman, Abena, with known bronchial asthma (on salbutamol inhaler) delivers her second baby at Komfo Anokye ED after a precipitous labour. She has received oxytocin 10 IU IM and ergometri…
A 28-year-old primigravida at 34 weeks gestation collapses in the labour ward at Korle Bu Teaching Hospital. Her midwife initiates a maternal cardiac arrest call. The resuscitation team arrives within…
A 32-year-old woman, Afia, G3P2, delivers at a district hospital in Brong-Ahafo. Twenty minutes after a normal vaginal delivery the midwife calls urgently: the patient has a boggy, poorly contracted u…
A 24-year-old woman, gravida 2 para 1, is brought to a regional hospital ED in the Northern Region 5 days after a home delivery assisted by a traditional birth attendant. She has fever for 3 days, off…
Adwoa, a 26-year-old primigravida at 14 weeks gestation, is brought to the regional hospital ED in Kumasi by her husband. She reports three days of nausea, vomiting 8–10 times per day, and inability t…
Abena, a 26-year-old primigravida at 38 weeks, is admitted to the Korle Bu Emergency Centre after a witnessed eclamptic seizure. She has been started on magnesium sulphate using the Pritchard regimen:…
Afia, a 26-year-old woman, presents to a district hospital in Brong-Ahafo 8 days after a vaginal delivery at home. She has had fever for 5 days, lower abdominal cramps, and foul-smelling vaginal disch…
Akosua, a 24-year-old woman, presents to a district hospital in the Upper West Region with sudden-onset severe lower abdominal pain for 3 hours and one episode of vomiting. Her last menstrual period w…
Afia, a 34-year-old primigravida at 36 weeks gestation, is brought to the Komfo Anokye ED by ambulance from a district hospital. She developed a generalised tonic-clonic seizure lasting 90 seconds on …
A 31-year-old multiparous woman, Fatima, at 36 weeks gestation presents to a district hospital in the Northern Region after sudden gush of fluid vaginally. The on-call officer performs a vaginal exami…
Yaa, a 35-year-old G4P3, is referred from a district hospital in the Volta Region to the regional hospital ED with ongoing PPH. She delivered 90 minutes ago. She received oxytocin, ergometrine, and mi…