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wester n co un t ries; p r ev i ously. l ower i ncidences had bee n
r e p orted in this g roup o f pa t ient s [141- 144] .
Al though obesity may not b e as p r eva l e nt in t he
developing world as i n t he devel oped wor l d , all the other risk
fac t ors exist. High parity '...omen be a r c hildren into older
ages , and puerperal sepsis is frequ ent. The risk for
develop ing p uerperal thro mboph l ebitis is h i ghe r in developing
countries when we consider t h e prevalence of the noted risk
factors . I t is t h e r e f o r e ve ry likely that as the sophist icated
facilit ies for its accurate diagnosis become available i n the
developing world hospitals, h ighe r i nc idence rates wil l be
r eporte d .
3:2 .2 NON-INFECTIOUS PUERPERAL MORBI DI TI ES
52
J ust as i n pregnancy, many non-in f e ct i ve disease
conditions ca n complicate a nd/or be aggra vated by the
puerperium. There is a long l i s t of sucn diseases, but with
t he exception of a few , most do no t occur frequently . This
r eview wi l l therefore f ocus on t he f ew common disorders such
as anaemia , hyp ertension , peri-partum cardiac fail u r e and
psychos is tha t a re important causes of pue rperal morbidity,
part icularly in the- develop in g world .