Section B-Essay-Attempt ALL Questions. 1. (a) Outline eight major causes of maternal mortality-4marks. (b) Enumerate six (6) predisposing factors to maternal mortality and morbidity-3marks. (c) List six (6) roles of the community in safe motherhood-3 marks.

Naegele's Rule calculates the Estimated Date of Delivery (EDD) by adding 9 months and 7 days to the Last Normal Menstrual Period (LMP), assuming a 28-day menstrual cycle.
For cycles longer or shorter than 28 days, an adjustment is made:

$$\text{Adjusted EDD} = \text{EDD (28-day cycle)} + (\text{Actual Cycle Length} - 28 \text{ days})$$

Ako.

• LMP: 8th July 2025
• Cycle length: 35 days

First, apply Naegele's Rule for a 28-day cycle:

$$\text{July 8, 2025} + 9 \text{ months} + 7 \text{ days} = \text{April 15, 2026}$$

Next, adjust for Mrs. Ako's 35-day cycle:

$$\text{Adjustment} = 35 \text{ days} - 28 \text{ days} = +7 \text{ days}$$

Add the adjustment to the EDD:

$$\text{April 15, 2026} + 7 \text{ days} = \text{April 22, 2026}$$

The EDD for Mrs. Ako is April 22, 2026.

Idris.

• LMP: 8th July 2025
• Cycle length: 26 days

First, apply Naegele's Rule for a 28-day cycle:

$$\text{July 8, 2025} + 9 \text{ months} + 7 \text{ days} = \text{April 15, 2026}$$

Next, adjust for Mrs. Idris's 26-day cycle:

$$\text{Adjustment} = 26 \text{ days} - 28 \text{ days} = -2 \text{ days}$$

Subtract the adjustment from the EDD:

$$\text{April 15, 2026} - 2 \text{ days} = \text{April 13, 2026}$$

The EDD for Mrs. Idris is April 13, 2026.

The expected date of delivery for Mrs. Ako is $\boxed{\text{April 22, 2026}}$.
The expected date of delivery for Mrs. Idris is $\boxed{\text{April 13, 2026}}$.