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Maternal mortality due to cardiac disease in Sri Lanka.

Haththotuwa, Hasanthi R and Attygalle, Deepika and Jayatilleka, Anoma C and Karunaratna, Vineetha and Thorne, Sara A (2009) Maternal mortality due to cardiac disease in Sri Lanka. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 104 (3). pp. 194-8. ISSN 1879-3479. This article is accessible to all HEFT staff and students via NHS Evidence www.evidence.nhs.uk by using their HEFT Athens login IDs

Full text not available from this repository.
Official URL: http://www.ijgo.org/article/S0020-7292(08)00498-0/...

Abstract

OBJECTIVE

To investigate Sri Lankan maternal deaths due to heart disease and to consider low-cost interventions to reduce these deaths.

METHODS

A qualitative study based on retrospective audit of all maternal deaths and late maternal deaths in Sri Lanka caused by cardiac disease in 2004.

RESULTS

A total of 145 maternal deaths were recorded in 2004, for a maternal mortality rate of 38 per 100,000. There were 42 indirect deaths, 25 of which were due to cardiac disease; 23 deaths had a specific cardiac cause listed. Standard care was identified in prepregnancy counseling, contraception, and prenatal community and specialist care.

CONCLUSION

Cardiac disease is a major cause of maternal mortality in Sri Lanka, second only to postpartum hemorrhage. Rheumatic mitral valve disease is responsible for more than a third of maternal deaths from cardiac disease. Substandard care was identified in all cases; strategies to improve care could allow a reduction in maternal cardiac deaths.

Item Type: Article
Additional Information: This article is accessible to all HEFT staff and students via NHS Evidence www.evidence.nhs.uk by using their HEFT Athens login IDs
Subjects: WG Cardiovascular system. Cardiology
WQ Obstetrics. Midwifery
Divisions: Emergency Services > Cardiology
Womens and Childrens > Obstetrics
Related URLs:
Depositing User: Sophie Rollason
Date Deposited: 05 Jun 2014 10:47
Last Modified: 05 Jun 2014 10:47
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/161

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