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.

Step 1: Understand Naegele's Rule and its adjustment for cycle length. 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: $Adjusted EDD = EDD (28-day cycle) + (Actual Cycle Length - 28 days)$

Step 2: Calculate EDD for Mrs. Ako.

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

First, apply Naegele's Rule for a 28-day cycle: $July 8, 2025 + 9 months + 7 days = April 15, 2026$ Next, adjust for Mrs. Ako's 35-day cycle: $Adjustment = 35 days - 28 days = +7 days$ Add the adjustment to the EDD: $April 15, 2026 + 7 days = April 22, 2026$ The EDD for Mrs. Ako is April 22, 2026.

Step 3: Calculate EDD for Mrs. Idris.

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

First, apply Naegele's Rule for a 28-day cycle: $July 8, 2025 + 9 months + 7 days = April 15, 2026$ Next, adjust for Mrs. Idris's 26-day cycle: $Adjustment = 26 days - 28 days = -2 days$ Subtract the adjustment from the EDD: $April 15, 2026 - 2 days = April 13, 2026$ The EDD for Mrs. Idris is April 13, 2026.

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