No abstract

occurred during this period. In only one case was the pregnancy interrupted, and the reason given was "hypertensive disease." One patient died suddenly, 24 hours after refusing hospitalization and medical care. The other 11 survived the infarction, pregnancy, labor, and delivery with few serious complications. Thus, the decision as to whether or not to allow the pregnancy to continue must be based on factors other than the infarction.The labor and delivery of the 13 patients in this series were handled in a variety of ways. (Six patients did not progress to labor or delivery.) One had a cesarían section because of a previous section for placenta previa, and 3 others had elective cesarían sections. Five went into spontaneous labor and had low forceps delivery. Four had spontaneous labor and delivery without instrumentation.The patients in this series received a variety of anesthetic agents and methods-some local, some spinal, and some general. There were no complica-tions attributable to anesthesia in this series. The main precautions taken in the use of spinal and general anesthetics were the avoidance of hypotension and anoxia, because of their known deleterious effects on coronary circulation.