Denial of pregnancy or cryptic pregnancy is a common and underdiagnosed medical condition which could be a big challenge in adolescent pregnancy. This is a case report of cryptic pregnancy in an inschool adolescent in which unsuspected labour in a hotel room resulted in a near miss. As denial of pregnancy is highly unpredictable and underdiagnosed, it has become imperative to have a high index of suspicion to be able to capture more people, especially the highly vulnerable adolescents that have the condition. At the primary level of prevention, sexual and reproductive health information, education and care, central to which is adolescent contraception, is Hobson's choice in secondary school educational curriculum.

Background: Maternal mortality, a great tragedy of our time, occupies a large armamentarium in the world reproductive health burden picture and has remained a recurring problem in the global family health. Objective: To review the strategies towards reducing maternal mortality in a low resource setting; using South Sudan as a case study Methodology: Electronic search of published articles on maternal mortality and maternal mortality-related issues, published between 1992 and 2022, was conducted through PubMed, Cochrane libraries, Google search engine and semantic scholar. This was complemented with advanced search using Boolean operators to make the search more focused. The search was however restricted to only articles written in the English language. Conclusion: South Sudan needs a selfless leadership structure in order to achieve the necessary will for the actualization of the outlined sociocultural, economic and medical strategies to combat the country's exceptionally high maternal mortality ratio.