High maternal mortality and stillbirth in the Wad Medani Hospital, Central Sudan, 2003–2007

Elhassan, Elhassan M.; Mirghani, Omer Ahmed; Adam, Ishag

doi:10.1258/td.2009.090005

Cited by 38 publications

(32 citation statements)

References 3 publications

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“…Like our previous recent reports on maternal mortality in western and central Sudan, the causes of maternal mortality were similar in this hospital [1,2].…”

Section: Discussionsupporting

confidence: 85%

“…There is wide regional and interregional variation in the causes of maternal death. Few data exist concerning maternal mortality in Sudan, which is the biggest African country with 40 million inhabitants [1,2]. Moreover, these were only reports without investigating the risk factors; there were no published data concerning maternal mortality in the eastern part of Sudan.…”

Section: Introductionmentioning

confidence: 99%

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Lack of antenatal care, education, and high maternal mortality in Kassala hospital, eastern Sudan during 2005–2009

Ali

Adam

2011

The Journal of Maternal-Fetal & Neonatal Medicine

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The aim of this study was to investigate the incidence and causes of maternal deaths at Kassala maternity hospital, eastern Sudan during 2005-2009. All maternal deaths during this period were reviewed and classified retrospectively. The medical file of consequent women who were discharged from the same ward in the hospital was reviewed to act as control for the maternal death. There were 132 maternal deaths and 20,485 (644/100,000) live births. Septicemia, preeclampsia/eclampsia, hemorrhage, anemia, viral hepatitis, and malaria were the causes for maternal mortality. Primipare (OR = 3.3, CI = 1.6-6.9, p = 0.001), lack of antenatal care (OR = 3.9, CI = 1.6-9.5, p = 0.002), illiteracy (OR = 2.6, CI = 1.4-4.8, p = 0.002), and rural residence (OR = 2.2, CI = 1.2-4.1; p = 0.008) were the predictors for maternal death. The levels of maternal education and antenatal attendance should be raised to reduce the high maternal mortality.

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“…Like our previous recent reports on maternal mortality in western and central Sudan, the causes of maternal mortality were similar in this hospital [1,2].…”

Section: Discussionsupporting

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Lack of antenatal care, education, and high maternal mortality in Kassala hospital, eastern Sudan during 2005–2009

Ali

Adam

2011

The Journal of Maternal-Fetal & Neonatal Medicine

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“…That high frequency is comparable to those found by others authors working in the same situations: 2029 per 100,000 live births in Ivory Coast [8] and 2031 per 100,000 live births in Mali [9]. It is less elevated in some regions: Sudan 442 per 100,000 live births [10] and 92.6 per 100,000 live births in Algeria [11].…”

Section: Ampleness Of Maternal Mortalitysupporting

confidence: 86%

Maternal Mortality in the Obstetrics and Gynecology Service of Regional Hospital Center of Ouahigouya: Epidemiological, Etiological Aspects and Contributing Factors—About 151 Cases Collected in Three Years from 1st January 2013 to 31 December 2015

Ouédraogo¹,

Sib²,

Kiemtoré³

et al. 2017

OJOG

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The objective of our study was to study the epidemiological, etiological and contributory factors of maternal deaths in the obstetrics and gynecology department of the regional hospital center (RHC) of Ouahigouya from 2013 to 2015. We carried out a descriptive and analytical study on maternal deaths in maternity of the RHC of Ouahigouya, including all patients who died in the obstetrics and gynecology department of the RHC of Ouahigouya from 1 January 2013 to 31 December 2015, which meets WHO's definition of maternal death. We recorded 151 maternal deaths and 5481 live births, a maternal mortality ratio of 2755 per 100,000 live births. The most affected women were women aged 20 -24 years (27.8%), multiparous (25.5%), married women (88.7%) and those without income-generating activities (85.4%). The main causes of death from direct obstetrical complications were hemorrhage (38.3%), infections (21.5%), abortions (16.8%) and complications of hypertension disorders (15.8%) and for indirect obstetrical complications, malaria (36.6%), anemia (29.5%), and HIV/AIDS (9.1%). Contributing factors to maternal deaths prior to admission were delay in referral (33.3%) and delay in transfer (31.5%) and delay in admission (32.8%) and delay in diagnosis (23.4). From our study, it appears elsewhere as well as that most maternal deaths are preventable, hence the need for coordinated actions to effectively fight against How to cite this paper: Ouedraogo, I., Sib,

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“…Sudan, the largest African country, has a high maternal mortality ratio with septicaemia, haemorrhage and obstructed labour as the main causes of deaths (Elhassan et al 2009) and the current study showed a high frequency of maternal morbidities. Like other reports in diff erent regions of Sudan, most of the women in this study had no antenatal care (Hassan et al 2009;Ali et al 2010).…”

Section: Discussionsupporting

confidence: 53%

High incidence of obstetric complications in Kassala Hospital, Eastern Sudan

Ali

Okud

Khojali

et al. 2012

Journal of Obstetrics and Gynaecology

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Medical files of women delivered at Kassala Hospital, Eastern Sudan in the period of January-December 2009 were reviewed retrospectively. Out of 4,689 delivered women, 14.7% were teenagers, 67.1% had no antenatal care and 12.6% were grandmultiparous. Obstetric complications included: pre-term birth (2.6%); pre-eclampsia/eclampsia (4.2%); haemorrhage (2.9%); malpresentation (5.5%); obstructed labour (1.9%) and ruptured uterus (0.6%). Caesarean delivery rate was 31.1%. While 89.4% of the newborn babies were taken home, 6% were admitted to the nursery, 4.4% were stillbirths, and 0.2% immediate neonatal deaths. There were 26 maternal deaths (550 per 100,000 live births), mainly due to septicaemia (38.4%), haemorrhage (19.2%), embolism (15.3%) and malaria (11.5%). Thus, there is a high frequency of maternal morbidities and mortality which needs improvement in obstetric care. It is important to make visits from a tertiary hospital to the region to collect statistics and discuss management of the problems they reveal, with the local staff.

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High maternal mortality and stillbirth in the Wad Medani Hospital, Central Sudan, 2003–2007

Cited by 38 publications

References 3 publications

Lack of antenatal care, education, and high maternal mortality in Kassala hospital, eastern Sudan during 2005–2009

Lack of antenatal care, education, and high maternal mortality in Kassala hospital, eastern Sudan during 2005–2009

Maternal Mortality in the Obstetrics and Gynecology Service of Regional Hospital Center of Ouahigouya: Epidemiological, Etiological Aspects and Contributing Factors—About 151 Cases Collected in Three Years from 1st January 2013 to 31 December 2015

High incidence of obstetric complications in Kassala Hospital, Eastern Sudan

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