Document Type
Article
Department
Obstetrics and Gynaecology (East Africa)
Abstract
Background: Cardiac disease is an important life-threatening complication during pregnancy. It is frequently seen in pregnant women living in resource-limited areas and often results in premature death.
Aim: The aim of this hospital-based longitudinal study was to identify factors related to adverse maternal and neonatal outcomes in pregnant women with cardiac disease in low-resource settings.
Methods: The study enrolled 91 pregnant women with congenital or acquired cardiac disease over a period of 2 years in Kenya.
Results: Maternal and early neonatal deaths occurred in 12.2% and 12.6% of cases, respectively. The risk of adverse outcomes was significantly increased in those with pulmonary oedema (OR 11, 95% CI [2.3–52]; p=0.002) and arrhythmias (OR 16.9, 95% CI [2.5–113]; p=0.004). Limited access to care was significantly associated with adverse maternal outcomes (p≤0.001).
Conclusion: Many factors contribute to adverse maternal and neonatal outcomes in pregnant women with cardiac disease. Access to comprehensive specialised care may help reduce cardiac-related complications during pregnancy.
Publication (Name of Journal)
European Cardiology Review
DOI
https://doi.org/10.15420/ecr.2020.04
Recommended Citation
Poli, P. A.,
Omenge, E.,
Mwangi, A.,
Barasa, F. A.
(2020). Factors related to maternal adverse outcomes in pregnant women with cardiac disease in low-resource settings. European Cardiology Review.
Available at:
https://ecommons.aku.edu/eastafrica_fhs_mc_obstet_gynaecol/667
Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
Comments
This work was published before the author joined Aga Khan University.