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Trop Doct 2009;39:238-239
doi:10.1258/td.2009.090005
© 2009 Royal Society of Medicine Press

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Short Reports

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

Elhassan M Elhassan MD   *   Omer A Mirghani MRCOG   *   Ishag Adam MD PhD   {dagger} 

* University of Geizera, Wad Medani; {dagger} University of Khartoum, PO Box 102, Khartoum, Sudan

Correspondence to: Ishag Adam, University of Khartoum, PO Box 102, Khartoum, Sudan Email: ishagadam{at}hotmail.com

The aim of this study was to investigate the incidence and causes of maternal deaths and stillbirths at the Hospital of Obstetrics and Gynecology at Wad Medani, Sudan, from 1 January 2003 through 31 December 2007. All maternal deaths and stillbirths during this period were reviewed and classified retrospectively. There were 146 maternal deaths and 33034 live births, giving a maternal mortality ratio of 442/100,000 live births. The age range was 18–42 years with a mean (standard deviation) of 30.57 (5.26) years. The most common cause of death was septicaemia following obstructed labour or abortion-related sepsis, followed by haemorrhage, pre-eclampsia/ecalampsia, viral hepatitis and malaria. The stillbirth rate was 29/1000 births; the majority of which (8/1000) were macerated stillbirths.


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