Cervical ripening and induction of labour with foley's catheter compared to oxytocin

The purpose of this study was to evaluate the effectiveness, efficiency, benefit, safety and maternal and fetal complications by using the Foley's urinary catheter size 20 versus oxytocin for preinduction ripening of the uterine cervix and induction of labour. Prospective randomized clinical trial. Labour and delivery ward Medani Maternity Teaching Hospital. In the period from Jul. 2004 to Feb. 2005 Seventy patients requiring induction of labour at term with a Bishop score of

Malaria and maternal mortality in Gezira-Sudan

The objectives of this study include: [1] to identify the magnitude of malaria as a cause of maternal mortality [MM] [2] to study the demographic characteristics of MM cases caused by malaria and [3] to identify the actual cause of MM due to malaria. This is a six years hospital based retrospective review of hospital records of ladies died due to malaria in Wad Medani Teaching Hospital for Obstetrics and Gynaecology [WMTHOG], form 1 January 1998 to 31 December 2003. Malaria caused 10% to 40% of MM per year. The mean age was 27.57 years, most of them were primigravidae and from rural areas. 37.8% of the deaths occurred between 28 and 36 week of gestation. The median duration of stay in hospital was two days. However 32.4% of deaths stayed for less than 24 hours that indicated severe and serious clinical presentations. The main causes of death due to malaria or its complication were: anaemia [24.3], cerebral malaria [21.6%], circulatory failure [12.51] and renal failure [8.1%]. Others were pulmonary oedema, hyperpyrexia, puerperal psychosis, abortion, severe epistaxis, cardiac arrest, black water fever, electrolyte imbalance, and hepatic failure. The study recommended effective prevention of malaria and an intensive care approach in its management

effect of antenatal care on the probability of neonatal survival at birth, Wad Medani Teaching Hospital, Sudan

This study is a comparative prospective cohort study testing the hypothesis that "there will be positive and established effects of each quality type of antenatal care intervention on neonatal survival at birth" by disproving the alternative hypothesis. A sample of 236 deliveries was selected. All the respondents were primigravidae with their quality type antenatal care recorded AIl pregnancies outcome [still-or-live birth] was examined and then recorded together with mothers' health state. Further analysis was carried out using log-linear and logistic regression. Aecarding to the applied scoring system 98 were sorted out as "good" women, 55 as "moderate" and 83 as "bad" in terms of their state of health. Women, who received "good" antenatal care, were 106. Only 2 [1.08%] had stillborn babies, while 57 who received "moderate" antenatal care had 8 [14.03%] stillbirths. Those who received no services [73] ended with 16 [21.09%] stillborn babies. Data was standardized for the influence of antenatci care, coded, computed and conclusions driven. Women having good health and receiving good antenatal care services are more likely to have live-born babies in opposition to those who had bad health and had no antenatal care. The odds of having a live-birth is 11.807 greater among women who had good antenatal care and good health than those who lacked good health and had no antenatal care services. Different combinations of variables could also show that antenatal care is the decisive variable in pregnancy desirable outcome [live-birth]. The frequency of stillbirth was very high [31.11%] among women categories "bad health" and "no antenatal care" Adequacy of antenatal care is strongly and consistently associated with birth outcome