Results: All those with PPH were terminated at 35 weeks POG by elective lower segment caesarean section and sterilized (3 under local anesthesia and 2 under epidural anaesthesia). Three of these women succumbed within 48 hour of delivery.

Of those with Eisenmenger’s Syndrome, 3 underwent elective caesarean section at 36 weeks of whom one succumbed at 3 weeks post partum. One had a death-in-utero at 32 weeks. Two were terminated at mid-trimester by hysterotomy due to cardiac decompensation and succumbed 24 hours po § t delivery. Of those with Cor Pulmonale one had respiratory arrest with the onset of labour at 33 weeks. The other needed termination at 29 weeks and died 36 hours post delivery. The patient with Obesity-Hypoventilation was terminated at 26 weeks and survived upto 5 months post partum when she died of secondary respiratory failure. The eight maternal deaths described …