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the other was the result o f a congenital heart d i sease an d
a n ot h e r t wo infa nts beca me i ll from neglect (2 4 6J .
summar )' :
In concludi ng this review of the l iterature , a few
comments a r e worth not ing. Fi r s t l y. there is a genera l pauc ity
o f i n f orm a t ion o n puerpe r a l mor biditi e s i n develop J ng
countr i e s. Secon dly, it i s e v i dent f rom the f ew s t udies
a vai l a b l e that the v i cious cyc l es of igno rance, pove rty and
disease contribute s ignificantly t o t he occu rrences and
severity of mos t puerpe ra l disorders. The t rue ex tent o f
morbidity i s s t ill unkn own in mos t ccvna r I e s , and many more
7 8
studies are urgent l " needed i f we are t o take an i nitia l s t e p
t o s o l v i ng the tragedy of mat e r na l i l l - he a lth .