RESUMEN
Twelve Caesarean section-associated maternal deaths were encountered over a 15-year period. The major operative risk factors were pregnancy-induced hypertension, obesity and general anaesthesia. Severe pre-eclampsia was the forerunner to postoperative cardiac failure, consumptive coagulopathy and difficult airway manipulation. We conclude that pregnancy-induced hypertension and its ramifications pose the greatest threat to maternal survival from Caesarean section.
Asunto(s)
Humanos , Femenino , Embarazo , Adulto , Cesárea/mortalidad , Mortalidad Materna , Trinidad y Tobago , Factores de Riesgo , Resultado Fatal , Hipertensión/complicaciones , Hipertensión/mortalidad , Complicaciones del Trabajo de PartoRESUMEN
An evaluation of the characteristics of 425 womwn on whom surgical sterilization were performed revealed that 40% were 35 years or older and 48% had 5 or more children. Thirty-five per cent were Roman Catholics, and there was an equal incidence among the two major ethnic groups of Trinidad. Parental desire was the chief indications for tubal ligation. Complications were few, regardless of the procedure. A plea is made for intensifying efforts in promoting postpartum sterilizations following vaginal delivery, particularly for mothers whose life circumstances would prohibit them from returning for interval sterilization