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oa Cardiovascular Journal of Africa - Cardiac disease during pregnancy - a Free State perspective on maternal morbidity and mortality

 

Abstract

Aim. Description of maternal outcome of pregnancies complicated by cardiac disease. Setting. Pelonomi Hospital, Bloemfontein. Population. Black African women of low socio-economic background who presented with cardiac disease during pregnancy. Sample. All patients who delivered from 1 January 1990 to 1 January 1995. Design. Descriptive retrospective study. Results. Cardiac disease complicated 0.6% of pregnancies. Rheumatic valvular disease dominated in this population. The maternal mortality rate was 9.5 % while the maternal morbidity rate ranged from 50% to 100% for the various lesions. Conclusions. Cardiac disease in pregnancy has high maternal mortality and morbidity rates. Hypertension, anticoagulation therapy, late referrals and inadequate counselling were important contributing factors. A high priority should be given to meticulous contraceptive counselling in patients with cardiac disease. Collaboration between obstetricians, physicians and cardiothoracic surgeons is imperative.

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/content/cardio1/8/1/AJA10159657_586
1997-02-01
2016-12-08
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