Hassan Ibrahim Nagmeldin, Hassan Ibrahim Muhsin Nagmeldin, Ibrahim Mohamed, Abuassa Nagmeldin
Faculty of Medicine, University of Khartoum, the Faculty of Medicine, Sudan University of Science and Technology, and the Faculty of Medicine, Al-Neelain University, Khartoum, Sudan.
Obstet Gynecol. 2025 May 1;146(1):e1-e6. doi: 10.1097/AOG.0000000000005906.
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.
始于2023年4月的苏丹持续武装冲突对该国的孕产妇保健服务造成了毁灭性影响。随着暴力冲突的压力导致医疗基础设施崩溃，超过110万孕妇现在急需医疗护理。医院和保健中心被摧毁或无法进入，医疗用品短缺以及医护人员的大量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。冲突还由于影响准妈妈的压力增大、不安全和营养不良导致早产激增。除了身体上的危险，孕妇所承受的心理负担也极为沉重。生活在饱受战争蹂躏地区的创伤、流离失所以及持续的暴力威胁导致焦虑、抑郁和其他心理健康障碍的发生率不断上升。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并加重她们的心理创伤。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、营养和心理社会支持。还需要长期解决方案来重建孕产妇保健服务，并解决苏丹妇女及其子女持续遭受的身心痛苦。
