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Our results are comparable to the huge variation in available literature. We note the higher revision rate following modified Chongchet technique. Both techniques had a low and acceptable rate of post-operative analgesia and antiemetic requirement. We are considering either otoplasty technique as a day surgery procedure within our unit with the provision of adequate patient support as a safe and economical advance.

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Summary. In singleton births, maternal and fetal survival were poorest among primigravidae aged ≤15 years and also in the highly parous women aged ≥30 years. The young teenage girls constituted 6% of the survey population and 30% of the 174 maternal deaths, while the highly parous older women made up 10% of the survey population and 20% of the maternal deaths. The perinatal death rates per 1000 singleton deliveries were 180 for the young teenage girls, 150 for the highly parous groups had under 100 for the others. The major obstetric problems were dystocia due chiefly to contracted pelvis, anaemia, eclampsia, haemorrhage and infections. Emphasis is laid on the fact that the problems of these high‐risk groups have their roots in the prevailing social attitudes which universal formal education stands the best chance of changing.