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Guardian www.guardian.co.tt Tuesday, May 5, 2015
91 Frederick Street,
NOTICE OF SPECIAL
Notice is hereby given that a Special General
Meeting of the Servol Credit Union
Cooperative Society Limited will be held at the
Servol Hi-Tech Centre, Caroni Savannah
Road, Chaguanas on Wednesday 20th May,
2015 at 2.30 p.m for the following purpose:
To amend Bye Laws Nos 5c, 40f and 46f.
BY ORDER OF THE BOARD OF DIRECTORS.
Karen Warner-Phillips (Mrs)
REPUBLIC OF TRINIDAD AND TOBAGO
IN THE SUPREME COURT
IN THE ESTATE OF
WINNIFRED VERONICA MARQUEZ
ALSO CALLED WINNIFRED MARQUEZ
late of 13 Americana Avenue, Glencoe,
who died on the 12th day of April, 2014
at Twilight Vila of Harmony
10 D'Andrade Street
NOTICE is hereby given that creditors and other persons
having claims against, or interest in the Estate of the above-
named Deceased should give notice in writing of same to
M.G Daly & Partners, of No, 115A Abercromby Street, Port-
of-Spain, who are Attorneys-at-Law for RBC TRUST
(TRINIDAD & TOBAGO) LIMITED (formerly RBTT Trust
Limited), the Executor and Trustee, not later than twenty-
eight (28) days from the date of this advertisement, after
which date the said RBC TRUST (TRINIDAD & TOBAGO)
LIMITED intends to distribute the Estate of the Deceased
among the parties entitled thereto having regard only to the
claims of which notice has been received by the said
M. G. DALY & PARTNERS
RBC TRUST (TRINIDAD & TOBAGO) LIMITED
the Executor and Trustee of the Estate of Winnifred
Veronica Marquez also called Winnifred Marquez
Over the past few weeks the
papers have carried two stories
of mothers dying in or just after
childbirth. "Is this a new thing?"
asked a friend of mine on Facebook.
Sadly, the answer is no.
T&T has an abysmal record in
maternal mortality and morbidity, as
anyone with passing interest in the
topic can tell you.
The maternal mortality rate repre-
sents the number of women who
die per 100,000 as a result of preg-
nancy, either during or within 42
days of the end of a pregnancy.
T&T s rate as recorded by the
World Bank is 84; an undated doc-
ument I found online on the UN s
Web site gave the figure as 90. Yet
Planning Minister Dr Bhoendratt
Tewarie, as quoted in a newspaper
article on April 19, 2015, gives it as
64.As I wrote in this space in 2013,
Dr Bharat Bassaw, consultant obste-
trician and gynaecologist at Mt
Hope, was quoted in an October
2012 article in the T&T Guardian as
saying, "If 100,000 women are
pregnant, we expect 60 or 70 to
die. This is very, very high. (In) the
United Kingdom you can expect
approximately one woman in
100,000 to die."
So there is no clear definitive rate
for T&T. However, I will use the
World Bank figure of 84 per
In contrast, the maternal mortality
rate in Canada is 11.
One might be tempted to say that
Canada is a developed country and
therefore it isn t surprising its
maternal mortality rate is so much
lower than ours. However, in fact,
although Canada is developed, some
of its people live in conditions
rivalling those found in a developing
In an article on the Web site
Canadian Center for Policy Alterna-
tives, the author noted that between
50-62 per cent of Canadian First
Nation children live in poverty. How
is it that, despite this, the Canadian
maternal mortality rate is so much
better than ours?
Even when one compares our
maternal mortality rate to what
appertains in such countries as
Jamaica (where it is 80) and Barba-
dos (where it is 52), it becomes clear
that T&T s rate is unacceptably
Barbados has a GDP per capita of
US$14,917; Jamaica s is US$5,464.
T&T s is US$17,523---again, according
to the World Bank. There s a clear
gap between the wealth of Jamaica
and the wealth of Barbados, which
could go some way towards explain-
ing the gap between their maternal
mortality figures. But what explains
T&T s gap with Barbados? There s
not that big of a difference between
our GDP per capita, yet Barbados
maternal mortality rate is consider-
ably lower than ours.
Minister of Health Fuad Khan said
in a news report last week that the
deaths of Keisha Ayers, 24, and
Sharlene Kowlessar, 35, were
unavoidable. Each died of a pul-
monary embolism, he said, "one of
the most common causes of sudden
death in individuals." It is also an
elevated risk in pregnancy and
childbirth---especially in women
I am no doctor, so I can t speak
to these particular deaths. But this
in no way means that I agree they
were unavoidable, contrary to what
the Minister s statement suggests.
Our women are dying at unac-
ceptably high rates due to pregnancy
and childbirth and there is no
excuse for this.
The first thing we need to do to
address our terrible problem with
maternal mortality is to acknowl-
edge that we have a problem that is
not merely lamentable but dire.
Minister Tewarie, in the news report
I referred to above, is quoted as
saying the rate he gave "means that
this is something that we did not
do well. And this is an issue of
Next I would ask both Dr Khan
and Dr Tewarie to produce up-to-
date and comprehensive figures on
the topic. One cannot create policy
based on guesswork.
What are our most pressing prob-
lems? Is it (as I suspect) gestational
diabetes at the core of our problem?
Is it preeclampsia, which is one of
the most prevalent causes of mater-
nal mortality worldwide? Or is it
that we have too many adolescents
giving birth---another factor heavily
influential in maternal mortality?
Finally, in my experience, we have
a fairly good culture of women
going to antenatal clinic and doctor
visits. What then is the relationship
between this and our high maternal
We are failing our mothers when
we give pat explanations of why so
many of them are dying every year
during pregnancy and childbirth. We
must---and can---do better.
C & '
A A A
LISA ALLEN AGOSTINI
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Where is the competition
for young writers?
Disturbing the peace with impunity
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