pattern of obstetrical and gynaecological admissions in Ribat University Hospital, Khartoum

ABSTRACT

Conditions related to pregnancy, child-birth and purperium account for 10% of general clinical practice and 19% of hospital admission. This paper aims at determining the pattern of Obstetrics and Gynaecology admissions in Ribat University Hospital, Khartoum, Sudan. All records of patients admitted in Obstetrics and Gynaecology department, Ribat University Hospital, from January to December 2003 were examined and analyzed using SPSS for Windows. Hospital admissions related to Obstetrics and Gynaecology constituted 28.9% of the total admissions in the hospital Malaria is the first cause for hospitalization followed by pregnancy induced hypertension. The study showed that normal vaginal delivery constituted 61.1% while caesarian section showed a high rate compared to the literature [30.9%]. Contractedpelvis was the first indication for caesarian sections [13.3% for emergency and 35.5% for elective]. The study concluded that the Obstetrics and Gynaecology admissions constitute a big burden in a Sudanese hospital Malaria is the main cause of pregnancy related admission, followed by pregnancy induced hypertension. The commonest mode of delivery was vaginal but the rate of emergency caesarian sections was higher than the international figures; the major indication of the procedure was contracted pelvis. The study highlighted the need for improving antenatal care services and raising the awareness of doctors about these findings: