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

Abstract

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.

Maternal and perinatal outcomes of pregnancies associated with tuberculosis in eastern Sudan

“…In the present study, the incidence of nuchal cord (5.5%) was slightly higher than the 4.1% reported in the Ivory Coast [1], but lower than that found elsewhere [2,3]. The rate of multiple loops of the nuchal cord was 1.4% (50/3580).…”

“…In Kassala Maternity Hospital, there is a high maternal mortality rate (644 per 100 000 live births), with tuberculosis one of the most common indirect causes [3]. In the present study, 5 (11.9%) women were co-infected with HIV.…”

High incidence of obstetric complications in Kassala Hospital, Eastern Sudan

“…Th e healthcare that is provided in sub-Saharan African hospitals dealing with these obstetric complications can be infl uenced by diff erent factors such as education, client orientation and fi nancial considerations. Kassala, Eastern Sudan, is a clear example of such interaction, where we recently observed a signifi cant association between education, low antenatal care coverage and high maternal mortality in the area (Ali et al 2010;and Adam 2011b). We aimed in this study, to investigate obstetric complications in order to support the caregivers, health planners and programme managers with evidence-based data that are fundamental for intervention.…”

Seasonal variation and hypertensive disorders of pregnancy in eastern Sudan

“…Maternal mortality is extremely high in Sudan, with pre-eclamp-sia\eclampsia accounting for 4.2% of the obstetric complications in Kassala, eastern Sudan, which represents 18.1% of the direct causes of maternal deaths (Ali et al 2012;Ali and Adam 2011). Some studies have suggested that pre-eclampsia might be aff ected by seasonal variation.…”