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Florence is a maize and bean farmer from Kenya who needs $534 to fund a c-section for a safe delivery of her baby.

Florence
41%
  • $220 raised, $314 to go
$220
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$314
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May 29, 2020

Florence is 37 years old and the fourth born in a family of six. Along with her siblings, she did not manage to continue with her studies due to financial challenges. As a result, they started taking on work they could find in order to survive. Florence got married and was blessed with five kids. She has lost two of her children and now has three living children. Her three kids are all in school (Grades 6,4 and nursery school).

Florence is a small-scale farmer who grows maize and beans for home consumption. Her husband is also a casual laborer. He picks khat for the community members. Through their effort, they are able to raise an income for their family, but it is very limited to supporting basic needs. They live in a small timber house within their father’s home.

Florence presented at the hospital expecting and at term. Given her medical history and current health status for her and the baby, the medical team recommends a c-section delivery feeling that a failure to attend to her condition may risk losing the baby or complications including uterine rapture.

Florence shared, “I am pleading for help to save my life and my baby.”

Florence is 37 years old and the fourth born in a family of six. Along with her siblings, she did not manage to continue with her studies du...

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Florence's Timeline

  • May 29, 2020
    PROFILE SUBMITTED

    Florence was submitted by Joan Kadagaya, Curative Medical Support Program-Partner Representative at African Mission Healthcare, our medical partner in Kenya.

  • May 30, 2020
    TREATMENT SCHEDULED

    Florence was scheduled to receive treatment at Maua Methodist Hospital. Medical partners often provide care to patients accepted by Watsi before those patients are fully funded, operating under the guarantee that the cost of care will be paid for by donors.

  • May 30, 2020
    PROFILE PUBLISHED

    Florence's profile was published to start raising funds.

  • TODAY
    AWAITING FUNDING

    Florence is currently raising funds for her treatment.

  • TBD
    AWAITING UPDATE

    Awaiting Florence's treatment update from African Mission Healthcare.

Funded by 2 donors

Funded by 2 donors

Treatment
Caesarean section (C-Section)
  • Cost Breakdown
  • Diagnosis
  • Procedure
On average, it costs $534 for Florence's treatment
Hospital Fees
$420
Medical Staff
$0
Medication
$80
Supplies
$34
  • Symptoms
  • Impact on patient's life
  • Cultural or regional significance

​What kinds of symptoms do patients experience before receiving treatment?

The symptoms depend on the particular condition that is being indicative of the c-section. Usually the doctor schedules a c-section because she anticipates complications closer to the time of labor. A common reason for c-section is a previous c-section, which can make a vaginal birth more difficult. The previous c-section may have been performed as an emergency, for fetal distress, if the mother's pelvis is too small, or if there was a previous or current complication of pregnancy. A more complete set of indications for a c-section includes: 1. Breech presentation- position in which the feet or buttocks appear first during birth 2. Diabetes in childbirth/Gestational diabetes - in pregnant women who have never had diabetes before caused by improper insulin responses, can lead to macrosomia (large baby) and making vaginal birth difficult. 3. Ectopic pregnancy - a pregnancy in which the fetus develops outside the uterus, typically in a fallopian tube 4. History of molar/ectopic pregnancy- previous pregnancy(cies) in which the fetus develops outside the uterus, typically in a fallopian tube. 5. History of pre-term labor - Previous regular contractions of the uterus resulting in changes in the cervix that start before 37 weeks of pregnancy. 6. Multiple gestation - carrying two or more fetuses simultaneously. 7. Oligohydramnios - a condition in which not enough amniotic fluid, which surrounds the fetus, is produced. 8. Pre-eclampsia - high blood pressure in pregnancy characterized sometimes with fluid retention and proteinuria (abnormal quantities of protein in the urine). 9. Pre-term labor - regular contractions of the uterus resulting in changes in the cervix that start before 37 weeks of pregnancy. 10. Rupture of uterus before labor - A full thickness disruption of the uterine wall before labor resulting in life threatening maternal and fetal compromise. 11. Rupture of uterus during labor- A full thickness disruption of the uterine wall during labor resulting in life threatening maternal and fetal compromise. 12. Suspicion of chorioamnionitis - intra amniotic infection. Typically results from bacteria ascending into the uterus from the vagina and is most often associated with prolonged labor. 13. Suspicion of cord compression - obstruction of blood flow through the umbilical cord secondary to pressure from an external object or misalignment of the cord itself. 14. Suspicion of morphological/functional placental abnormality - abnormal structure (as with twinning) and functioning of the placenta. Other abnormalities of placenta are degree or site of inplantation and mechanical abnormalities. 15. Suspicion of other membrane abnormality. 16. Suspicion of other umbilical cord condition - the cord that connects the fetus to the placenta during gestation. It could be infected or have another condition. 17. Suspicion of placenta previa - A condition in which the placenta partially or wholly blocks the neck of the uterus, thus interfering with normal delivery of the baby. 18. Suspicion of placental separation/hemorrhage - a pregnancy complication where placental lining has separated from the uterus of the mother prior to delivery. It is the most common pathological cause of late pregnancy bleeding. 19. Suspicion of placental transfusion syndromes - a disease of the placenta or afterbirth that affects identical twins or higher multiple gestations pregnancies who share a common monochorionic placenta. Causes disproportionate blood supply resulting in high morbidity and mortality. 20. Suspicion of prolapsed cord - umbilical cord prolapse is where the umbilical cord comes out of the uterus before the baby's head and can cause still birth as it cuts off blood flow and oxygen to the baby. 21. Suspicion of unspecified membrane abnormality. 22. Unspecified high risk pregnancy - when there are potential complications that could affect the mother, the baby or both. Example maternal age, medical conditions that exist before pregnancy or occur during pregnancy. 23. Unspecified obstetric trauma - injuries suffered by women during delivery, usually refers to perineal lacerations/ tears- the perineum separates the vagina from the anus.

​What is the impact on patients’ lives of living with these conditions?

Puts the mother's and baby's health and survival at risk.

What cultural or regional factors affect the treatment of these conditions?

In low and middle income countries, large sectors of the population lack access to basic obstetric care. Therefore, maternal mortality continues to be high. According to WHO, every year in the world, there is an additional need for 0.8-3.2 million c-sections in low income countries where 60% of the world's births occur.

  • Process
  • Impact on patient's life
  • Risks and side-effects
  • Accessibility
  • Alternatives

What does the treatment process look like?

Please refer to the AMHF treatment process document.

What is the impact of this treatment on the patient’s life?

Safe delivery. A healthy baby and mother. Prevention of mortality and complications, such as vesico-vaginal fistulae (VVF).

What potential side effects or risks come with this treatment?

Elective c-sections are considered relatively safe. But it does pose a higher risk of some complications than does a vaginal delivery. Example: a longer recovery time needed, heavy blood loss, infection, blood clots in the legs or lungs, bowel problems, fetal injury: placenta complications, breaking open of the incision or scar. However, when a c-section is truly needed, the procedure is life saving.

How accessible is treatment in the area? What is the typical journey like for a patient to receive care?

There are few quality centers with qualified personnel and adequate equipment to perform a c-section.

What are the alternatives to this treatment?

Trials of vaginal delivery can be tried in some women but for many expectant mothers an elective c-section is planned because the doctor deems a trial of vaginal delivery unsafe or even impossible.

Meet another patient you can support

100% of your donation funds life-changing surgery.

Meet another patient you can support

100% of your donation funds life-changing surgery.