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Title: | Factors Related to Maternal Adverse Outcomes in Pregnant Women with Cardiac Disease in Low-resource Settings |
Authors: | Poli, Philippe Amubuomombe Orang’o, Elkanah Omenge Mwangi, Ann Barasa, Felix Ayub |
Keywords: | Adverse outcomes Cardiac disease Pregnancy Cardiac events Obstetric events Therapeutic abortion |
Issue Date: | 14-Aug-2020 |
Publisher: | PMC |
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. |
URI: | http://ir.mu.ac.ke:8080/jspui/handle/123456789/6010 |
Appears in Collections: | School of Medicine |
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