Challenges in women’s healthcare: Management
of molar pregnancy in a resource-limited rural
Tanzanian hospital – a case report

Dominika Trojnarska; Paulina Pietrzyk; Gabriela Mierzwa; Ernest Abraham; Robert Jach

doi:10.5114/ppiel.2024.144984

eISSN: 2299-8284
ISSN: 1233-9989

Nursing Problems / Problemy Pielęgniarstwa

Current issue Archive Manuscripts accepted About the journal Editorial board Reviewers Abstracting and indexing Subscription Contact Instructions for authors Ethical standards and procedures

Editorial System

Submit your Manuscript

Editorial Policies

Sarajevo Declaration on Integrity and Visibility of Scholarly Publications

4/2024
vol. 32

Send email

Copy url:

abstract:

Case report

Challenges in women’s healthcare: Management of molar pregnancy in a resource-limited rural Tanzanian hospital – a case report

Dominika Trojnarska

¹

,

Paulina Pietrzyk

²

,

Gabriela Mierzwa

³

,

Ernest Abraham

⁴

,

Robert Jach

³

Institute of Nursing and Midwifery, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland
Clinical Department of Gynaecological Endocrinology and Gynaecology, University Hospital in Krakow, Poland
Department of Gynaecology and Obstetrics, Faculty of Medicine, Jagiellonian University Medical College, Krakow, Poland
San Pio Hospital, Maganzo – Bukombe, Tanzania

Nursing Problems 2024; 32 (4): 204-207

DOI: https://doi.org/10.5114/ppiel.2024.144984

Online publish date: 2025/01/17

View full text Get citation

PlumX metrics:

Providing healthcare in low- to lower-middle-income countries requires substantial effort from medical professionals. This case highlights the critical need for sustainable healthcare solutions to offer adequate care in such areas.

The aim of this case report is to present the challenges faced by midwives, nurses, and doctors in Tanzania when providing standard care in resource-limited settings.

A 30-year-old woman presented with vaginal bleeding and an enlarged uterus, diagnosed via transabdominal ultrasound as a molar pregnancy. Due to financial constraints, only essential tests and improvised surgical interventions, including a makeshift suction device, were performed. Despite these challenges, the procedure was successful, and the patient was discharged with follow-up recommendations. However, she did not attend the scheduled follow-up.

This case underscores the difficulties in providing standard care in resource-limited settings and highlights the need for adaptive strategies, local healthcare training, and continued support for medical missions to improve healthcare in underserved regions.

keywords:

Challenges in women’s healthcare: Management of molar pregnancy in a resource-limited rural Tanzanian hospital – a case report

Dominika Trojnarska 1 , Paulina Pietrzyk 2 , Gabriela Mierzwa 3 , Ernest Abraham 4 , Robert Jach 3

hydatidiform mole, healthcare professionals, limited resources

Dominika Trojnarska

¹

,

Paulina Pietrzyk

²

,

Gabriela Mierzwa

³

,

Ernest Abraham

⁴

,

Robert Jach

³