Background: Child birth is difficult period and associated with strenuous stress for the birth attendants as well, the parturient ladies, especially in primigravidae whose pelvis has not been tested. Methods: A prospective case-control study at Dongola maternity hospital. To assess mode of delivery and outcome in primigravidae with unengaged head. The study included 248 primigravidae at term, singleton, and in labor, divided into case and control groups equally, unengaged and engaged head. Results: The overall results among both case and control group revealed no difference in mode of delivery, vaginal delivery was (77.4%) and (83.9%), respectively. The significant findings were: head position as it was in the case group 24.2% O.A, 58.1% O.T, and 17.7% O.P. The corresponding figures in control group were 29%, 64.5%, and 6.5%. The difference was significant ( P = 0.024). 91.9% of the case group augmented and 77.4% in the control group ( P = 0.002). The most interesting significant difference was body mass index. in the control group 3.2% had a BMI of <20 kg/m 2 , 50% had a BMI 20–25 kg/m 2 , 16.8% had a BMI 25–30 kg/m 2 , and 30% had a BMI >30 kg/m 2 . In the cases, group were 3.7%, 31%, 25.3%, and 40% sequentially with significant difference ( P = 0.011). Conclusion: With good conduction of labor, there were no difference in mode of delivery and outcome in primigravidae with unengaged fetal heads.

Background: Placenta previa is a major cause of hemorrhage affecting 0.4–0.5% of all pregnancy's early detection of cases and senior input will significantly reduce maternal and fetal morbidity and mortality. Objectives: The aim of the study is to determine risk factors, fetal and maternal outcome in pregnancy complicated by placenta previa. Method: This is descriptive cross-sectional study in women diagnosed with placenta previa at Dongola maternity hospital, Sudan from December 2018 to June 2019. Results: There were 3,674 deliveries and 52 cases of placenta previa during the study period with prevalence of 1.4%. The average age of the patients was 34.8 years and most of them were above 35 years (53.8%), and (63.5%) were para 3 and more. Other identified risk factors included previous cesarean section (69.1%), previous uterine evacuation (13.5%), and assisted reproductive technique (5.8%). Maternal complications were hemorrhage needing blood transfusion (40.4%), cesarean hysterectomy (21.2%), and bladder injury (3.8%), but (34.6%) were with good outcome and no maternal death. NICU admission with RDS (25%), prematurity (25%), and death (5.8%) were the fetal complications, while in (44.2%) fetal outcome was good. Conclusion: The most identifiable risk factors for placenta previa were previous uterine scars, advanced maternal age, and multiparity. And it is associated with adverse maternal and fetal outcomes.

Background: Although there are safe and effective methods of abortion, unsafe abortions still widely spread, mainly in underdeveloped countries. Objective: Study of post abortion care services at Red Sea State to address rate and utilization of post-abortion care package. Methods: This is a descriptive (observational hospital-based study), conducted at Port Sudan Maternity hospital (May 2018–May 2019). The sample included all patients with inevitable and incomplete miscarriage. Results: The total admissions to emergency in gynaecological department during the study period was 9525 cases, of them 1077 cases of abortion, hence the rate was 11.3%. Spontaneous onset occurred in 631 (58.6%) and induced in 446 (41.4%). Surprisingly very few surgical evacuations done in 2 (0.2%). 710 (66.1%) evacuated by Misoprostol and MVA done for 362 (33.7%). Patients who received family planning and counseling were 223 (20.7%). Conclusion: in conclusion the rate of abortion was 11.3%, high incidence of induced abortion and high non-surgical evacuation. Utilization of care package is reasonable.