Extremely high ratios of over 1000 per 100,000 live births are found in Eastern and Western Africa, where the UN have estimated that up to one of seven women die from pregnancy-related causes. The most common causes of death during pregnancy include haemorrhage, abortion, sepsis and obstructed labour. Caesarean section is one of the commonest emergency operations and anaesthetists have a major role in the care of the obstetric patient in both theatre and the labour suite. We also include two basic science articles, including a self assessment section and a review of some recent publications from international anaesthesia journals. We are aware that our readership is very varied and we always appreciate feedback on Update.
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