Pamela was clearly in a lot of pain and kept begging health workers to save her life and that of her baby. I quickly put on gloves make quick assessment of situation. And my primary examination showed that she had tenderness on touching her abdomen and this would mean two things; either a pending uterine rupture or a detached placenta from the uterine attachment wall. Also, her baby’s presenting part which was the head had swollen and in medicine it’s a sign of obstruction, meaning that the baby’s head was trying to pass through a narrow passage -the pelvis bone. Luckily, the baby’s heart could be heard faintly with the fetoscope.