Abstract
We report the cases of two patients who experienced anaphylactic shock during Caesarean section over a five-year period in Guadeloupe (French West Indies). Outcome was good in both cases after adequate resuscitation and postevent analysis showed latex responsibility as causal agent. Consistently with others findings, these cases suggest a high incidence and severity of latex anaphylactic reactions during caesarean section. Moreover, in West Indies, latex sensitization may occur more frequently due to contact with the Hevea brasiliensis tree or tropical fruits. Further epidemiological studies focusing on tropical overseas territories and on gyneco-obstetrical procedures are needed to confirm these trends. Such data are needed to evaluate the need and cost-effectiveness of primary prevention strategies such as latex withdrawal from maternity wards.
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