maternity

After years of closure due to war, hospitals in the Sudanese capital are welcoming mothers again, despite lingering economic and logistical hurdles.

In the Sudanese city of Omdurman, the maternity hospital, known locally as Al-Dayat or ‘Midwives” in English, has resumed operations after a long closure caused by the war. Mothers are once again arriving at maternity wards, navigating difficult economic and logistical conditions to give birth safely.

Al-Toma Jabara, a mother from East Nile, gave birth to her daughter, Doaa, at the hospital two days ago. She told Al Jazeera that she was unable to conceive during the war years. Fighting between the Sudanese armed forces and the Rapid Support Forces (RSF) separated Jabara from her husband for two years.

She has lived under constant bombardment and clashes in her home, making a normal family life seem impossible. She described Doaa’s arrival as a “new beginning” for her family after years of fear and deprivation.

At Bahri Hospital, Fatima Abdel Rahman, a mother from Al Jazirah state, recounted her exhausting and expensive journey to the capital Khartoum. Her family had to spend a large portion of their income on transportation and temporary accommodation near the facility to monitor her condition post-delivery.

Abdel Rahman noted that medication shortages forced her to buy basic drugs from outside pharmacies at inflated prices, adding to her financial burden. However, she stressed that the functioning maternity ward provided her with a vital sense of safety, sparing her the fear of dying due to lack of medical care – a constant dread she lived with during the war.

Rebuilding the shattered health sector

During the conflict, the closure of specialised maternity hospitals forced many women to undergo unsafe home births or travel long distances, drastically increasing risks for both mothers and infants. An anonymous official from the Khartoum State Ministry of Health confirmed that maternal and infant complications and mortality rates surged during the war due to closures.

The official told Al Jazeera that complication rates are now gradually decreasing as services resume. The health ministry has repaired and reopened 15 maternity wards across the capital, including Al-Dayat and the Saudi Hospital. The capital’s hospitals are now recording a significant increase in births, reaching about 7,000 new deliveries per month.

Emad Abdullah, director of the Omdurman Maternity Hospital, noted that it initially received only one or two cases a day upon reopening. Today, that number has climbed to approximately 60 births per day, as services expand to meet growing demand.

The hospital has several vital departments, including a caesarean section, an intensive care unit and a neonatal department equipped with about 140 incubators, making it the largest in Sudan.

Rising costs and logistical nightmares

Maternity costs vary significantly depending on the facility. At government hospitals, a natural birth typically costs about 130,000 Sudanese pounds ($216), while C-sections cost around 400,000 pounds ($666). In private hospitals, the cost of a natural birth shoots up to approximately 500,000 pounds ($813) and C-sections range between 600-800,000 pounds ($999-1,322), depending on the service level.

Despite the reopening of wards in Khartoum, Omdurman and Bahri, large challenges remain with patients from distant regions such as Al Jazirah and Kordofan facing exhausting journeys and exorbitant transport costs.

In the hospitals, there is a shortage of basic medicines and emergency rooms often operate beyond their capacity. In addition, the wartime exodus of doctors and nurses has left a critical gap in qualified staff, while essential medical equipment needs regular maintenance to keep up with demand.

Amira Othman Abdel Majeed, an infection control officer at Bahri Hospital, described the war as the most challenging period for the health sector, marred by severe shortages of supplies, electricity and water. That has imposed psychological pressure on medical staff who feared losing mothers and children during treatment.

However, she said the “liberation of Khartoum” and the resumption of maternity services have dramatically changed the landscape. Staff emerged stronger and more resilient, with the ongoing medical care serving as a prime symbol of the capital’s recovering health sector.

Gary and Sarah Andrews’s daughter Wynter died 23 minutes after she was delivered by Caesarean section at the Queen’s Medical Centre on 15 September 2019 after repeated warning signs of her being in distress had been missed.

Wynter died from a loss of oxygen flow to the brain – which an inquest found could have been prevented had staff delivered her earlier.

Sarah, 41, had been admitted to hospital on 14 September, six days after initially experiencing contractions.

The inquest heard the maternity unit was “busy” when she arrived, with information on the patient’s history not properly handed over to other staff at shift changes.

The inquest found Wynter may have survived if “multiple missed opportunities” had been spotted.

In what would become a recurring theme about warning signs being missed, the coroner cited a 2018 letter from midwives to bosses at the trust, outlining concerns over staffing levels as “the cause of a potential disaster”.

“The grim predictions… were indeed realised some 10 months later when Wynter died as a result of the unsafe practices warned about,” coroner Laurinda Bower said.

The Care Quality Commission (CQC) prosecuted NUH over her death in January 2023, with the trust pleading guilty to care failures.

The criminal prosecution resulted in NUH being fined £800,000.

A rotating crew, which could include President Donald Trump and Vice President JD Vance, will fill in for White House Press Secretary Karoline Leavitt when she takes maternity leave after her daughter is born. Photo by Samuel Corum/UPI | License Photo

April 24 (UPI) — White House Press Secretary Karoline Leavitt held her last press gaggle on Friday before starting maternity leave, as she is expected to give birth to her daughter some time next week.

Leavitt is due in early May, though she noted that she will be at the White House Press Correspondents Association Dinner on Saturday evening in Washington., USA Today reported.

The White House told NewsNation that it will not formally replace Leavitt during her leave, but rather will have a variety of administration officials handle her official press briefings.

“This will likely be my last gaggle for some time,” Leavitt told reporters.

“As you can see, I’m about to have a baby any minute, so I will see you guys very soon,” she said.

Leavitt announced in December that she and her husband, Nicholas Riccio, were pregnant with a daughter, and said after Christmas that she is “so excited to be a girl mom!”

There has been no indication how long of a leave Leavitt, 28, will take, but The Hill reported that federal employees across the government earn 12 weeks of paid parental leave.

Among those expected to show up in the briefing room are likely to be members of President Donald Trump‘s Cabinet, Vice President JD Vance and possibly Trump.

“I know you’ll be in very good hands with my team here at the White House, and I know all of you have the president’s phone number personally,” Leavitt said to reporters on Friday, joking about how many reporters have Trump’s phone number.