Authors: Haitham Abdalla Ali Ismail, KME Eltalib, HAM Mohamed, MAE Hamadia, IAI Mohammed, EIM Hamatalla, AEA Zakaria, AMA Abdalbagi, AEB Suliman, AFI Abdalrahim, SMAAM Almaki, EMB Gadalkarim, HG Ahmed.
Background: Female Genital Mutilation (FGM), which involves the partial or total removal of external female genitalia, is common in Sudan. The current study intends to examine the demographic characteristics associated with various types of female genital mutilation in Sudan.
Methodology: This study was carried out between November 2024 and January 2025 at El-Obeid Maternity Teaching Hospital and the Sudan Family Planning Association facility in El-Obeid, North Kordofan State, Sudan. The study included 450 women ofreproductive age with a history of FGM who agreed to participate while receiving antenatal care (ANC), vaccination, post-abortion care (PAC), and family planning services during the study period.
Results: Type III was the most common among rural populations, comprising 79/150 (52.6%), followed by Type I at 43/150 (28.6%), Type II at 20/150 (13.3%), and the undefined Type at 8/150 (5.3%), respectively, per capita. Approximately 192 out of 450 individuals (42.6%) suffered psychological or emotional harm. Out of 192 incidents, 88 (45.8%) were classified as Type I, 71 (37%) as Type II, and 27 (14%) as Type III. Among 190 Type I cases, 44 (23.2%) experienced urinary tract infections, 50 (26%) reported dysmenorrhea, and 23 (12%) suffered dyspareunia. Conclusion: FGM is common in Sudan despite the change from severe to less dangerous forms. Younger women have milder FGM than older women. Trauma affecting mental health UTI, dysmenorrhea, and dyspareunia are frequent in Sudan. Additional communitylevel activities are needed to eliminate this practice in Sudan.
Patients and Method: This is a descriptive and analytical survey with retrospective collection, over a period of 6 years from January 1, 2018 to December 31, 2023 at the maternity ward of the Owendo University Hospital. It concerned all patients admitted for serious obstetric pathology in peripartum requiring admission to intensive care. Epidemiological, clinical and prognostic variables were studied.
Results: During the study period, 1889 patients were admitted to intensive care. We have retained 179 (9.5%). The average age was 28.3±7.3 years with, 133 (74.3%) were unemployed, among them, 59 (44.36%) were learners. When the pregnancy had benefited from prenatal care (70.4%), the midwife was the provider for 68% of cases. At the time of admission to intensive care, 139 patients (77.6%) were from the operating room. Eclampsia was the reason for admission for 65 cases (36.3%), severe preeclampsia 50 cases (27.9%) and postpartum haemorrhage 27 cases (15.1%). The average length of hospitalization was 3.2±1.5 days and 10 deaths (5.6%) were recorded.
Conclusion: Maternal morbidity and mortality remain high, and intensive care stays must be systematic for high-risk pregnancies (HRP).
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