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…
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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…
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…
Fatima, a 30-year-old G4P3 woman, delivers vaginally at a regional hospital ED after a precipitous unattended home delivery at 39 weeks. She arrives 30 minutes after delivery with a soaked wrapper and…
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 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…
Abena, a 26-year-old woman, G1P0, at 39 weeks gestation, delivers vaginally at Korle Bu. The placenta is delivered 10 minutes later. At 30 minutes post-delivery, the midwife calls for emergency assist…
Akua, a 28-year-old primigravida at 37 weeks gestation, is brought to the regional hospital A&E by her husband after a witnessed generalised tonic-clonic seizure lasting approximately 90 seconds. She …
Ama, a 32-year-old woman, G3P2, at 34 weeks gestation, presents to Komfo Anokye ED referred from a district hospital with worsening epigastric pain, nausea, and jaundice for 36 hours. She was treated …
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 42-year-old G7P6, Yaa, is referred urgently from a district hospital in the Brong-Ahafo Region. She had an unsupervised home delivery two hours ago. On arrival: she is unconscious, BP 50/palp, HR 16…
Akosua, a 28-year-old primigravida at 36 weeks gestation, is brought to the Komfo Anokye ED by her husband after she developed a severe headache and blurred vision over 4 hours. She has no prior histo…
Akosua, a 32-year-old woman, G4P3, presents to the emergency department of the Komfo Anokye Teaching Hospital in active labour at 38 weeks gestation. She had a previous lower-segment caesarean section…
Abena, a 35-year-old G3P2, is brought to the Tamale Teaching Hospital ED in haemorrhagic shock following a prolonged home delivery. On arrival: BP 65/40 mmHg, HR 150 bpm. An inverted uterus with the p…