Mothers on the Frontline: The Crisis of Maternal Health in Conflict-Torn Sudan.

IF 4.7 2区 医学 Q1 OBSTETRICS & GYNECOLOGY
Ibrahim Nagmeldin Hassan, Muhsin Nagmeldin Hassan Ibrahim, Mohamed Ibrahim, Nagmeldin Abuassa
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Abstract

The ongoing armed conflict in Sudan, which began in April 2023, has had devastating effects on maternal health services across the country. More than 1.1 million pregnant women are now in urgent need of medical care as health care infrastructure crumbles under the strain of violence. Hospitals and health centers have been destroyed or rendered inaccessible, and shortages of medical supplies and the widespread loss of health care workers have left many women without access to essential maternal services, including antenatal care, safe delivery assistance, and postnatal care. Consequently, countless women are forced to give birth in unsafe conditions without the presence of skilled health care personnel, dramatically increasing the risk of complications such as sepsis, hemorrhage, and obstructed labor. The conflict also has contributed to a surge in preterm births due to heightened stress, insecurity, and malnutrition affecting expectant mothers. In addition to the physical dangers, the psychological toll on pregnant women is profound. The trauma of living in war-torn regions, displacement, and the constant threat of violence have led to rising levels of anxiety, depression, and other mental health disorders. Furthermore, the conflict has exacerbated incidents of sexual and gender-based violence, further endangering the lives of women and compounding their psychological trauma. This article examines the diverse aspects of the maternal health crisis in Sudan, calling for immediate humanitarian aid, including medical, nutritional, and psychosocial support. Long-term solutions also are needed to rebuild maternal health services and address the ongoing physical and psychological suffering of Sudanese women and their children.

前线的母亲:饱受冲突蹂躏的苏丹的产妇保健危机。
苏丹于2023年4月开始的持续武装冲突对全国各地的孕产妇保健服务造成了毁灭性影响。由于卫生保健基础设施在暴力压力下崩溃,目前有110多万孕妇迫切需要医疗护理。医院和保健中心被摧毁或无法进入,医疗用品短缺和保健工作者的广泛流失使许多妇女无法获得基本的孕产妇服务,包括产前护理、安全分娩援助和产后护理。因此,无数妇女被迫在没有熟练医护人员在场的不安全条件下分娩,大大增加了败血症、出血和难产等并发症的风险。冲突还导致孕妇的压力、不安全感和营养不良加剧,导致早产激增。除了身体上的危险,对孕妇的心理伤害也是深远的。生活在饱受战争蹂躏地区的创伤、流离失所以及不断受到暴力威胁,导致焦虑、抑郁和其他精神健康障碍的程度不断上升。此外,冲突加剧了性暴力和基于性别的暴力事件,进一步危及妇女的生命,加重了她们的心理创伤。本文探讨了苏丹孕产妇健康危机的各个方面,呼吁立即提供人道主义援助,包括医疗、营养和社会心理支持。还需要长期解决办法,重建孕产妇保健服务,解决苏丹妇女及其子女持续遭受的身心痛苦。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Obstetrics and gynecology
Obstetrics and gynecology 医学-妇产科学
CiteScore
11.10
自引率
4.20%
发文量
867
审稿时长
1 months
期刊介绍: "Obstetrics & Gynecology," affectionately known as "The Green Journal," is the official publication of the American College of Obstetricians and Gynecologists (ACOG). Since its inception in 1953, the journal has been dedicated to advancing the clinical practice of obstetrics and gynecology, as well as related fields. The journal's mission is to promote excellence in these areas by publishing a diverse range of articles that cover translational and clinical topics. "Obstetrics & Gynecology" provides a platform for the dissemination of evidence-based research, clinical guidelines, and expert opinions that are essential for the continuous improvement of women's health care. The journal's content is designed to inform and educate obstetricians, gynecologists, and other healthcare professionals, ensuring that they stay abreast of the latest developments and best practices in their field.
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