Twelve Caesarean section-associated maternal deaths were encountered o
ver a 15-year period. The major operative risk factors were pregnancy-
induced hypertension, obesity and general anaesthesia. Severe preeclam
psia was the forerunner to postoperative cardiac failure, consumptive
coagulopathy and difficult airway manipulation. We conclude that pregn
ancy-induced hypertension and its ramifications pose the greatest thre
at to maternal survival from a Caesarean section.