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Haththotuwa, Hasanthi R, Attygalle, Deepika, Jayatilleka, Anoma C, 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.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: | Users 7 not found. |
| Date Deposited: | 05 Jun 2014 10:47 |
| Last Modified: | 05 Jun 2014 10:47 |
| URI: | http://www.repository.uhblibrary.co.uk/id/eprint/161 |
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