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consider the high r ates o f this r isk factor in t his study
sample one is inclined to believe t hat pelvic thrombophlebi tis
occurred to a much higher frequency than vas detected.
Al t hough t he small numbe r of cases identified in the
stud y did not permit extensi ve SUb-analysis, it is worth
noting t hat tw o o f t he t hree cases diagnosed with thrombotic
mor bidity h ad some evidence of pelvic i nfection bu t i n o nly
one was florid clinical signs at" pelvic thrombophlebitis also
present .
I t will certainly be a while before facilities fo r
efficient diagnosis of thrombotic vascular disease become
available to most cou ntries of t he developing world. The
r esults of thi s study indicate that t he condition is nat rare,
a nd may probably even occur with greater frequency than oc cu rs
i n the de veloped world. I t therefore reminds us t hat women in
their early puerperal period in Kumasi and in developing
c ommun i ties must be monito r ed for t h i s postpartum morbidity.
The e a rly de tection and treatment offered will t hen alleviate
i t s effects a nd p revent loss of l i f e .
Peri-partum c ardiac f ailure:
Only cn e SUbj ect i n thi s s tud'! was diagnose d with
peripartum cardiac failure t h i s g ivin.:;