Maternal and fetal outcomes of home births in Western Sudan

Abstract

Background: In light of the ongoing Sudanese crisis, many pregnant women are having trouble getting the medical care they seek. Thus, the current study sought to evaluate the effects of home births in Western Sudan on both mothers and their newborns. Methodology: From January to December 2023, in the Obstetrics and Gynecology teaching hospital in El-Obeid, North Kordofan State, Sudan, we conducted a descriptive longitudinal investigation for this study. This study has recruited approximately 224 participants. Results: The most common maternal outcomes observed in this group of patients were postpartum hemorrhage, followed by puerperal sepsis and eclampsia, accounting for 14.3 percent, 13%, and 9 percent of cases, respectively. Fresh stillbirth accounted for the majority of cases, while macerated stillbirth, fetal distress, and birth trauma accounted for 28%, 17%, 15%, and 9% of the cases, respectively. Conclusion: Home birth is widespread in Sudan; however, it might harm the mother and baby. Postpartum hemorrhage, puerperal infection, and eclampsia are the main maternal consequences. Fresh stillbirth, macerated stillbirth, fetal distress, and delivery trauma are common fetal outcomes. Prioritize maternity and prenatal care system improvements.