Factors Related to Maternal Adverse Outcomes in Pregnant Women with Cardiac Disease in Low-resource Settings
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...
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| Format: | Article |
| Language: | English |
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Radcliffe Medical Media
2020-11-01
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| Series: | European Cardiology Review |
| Online Access: | https://www.ecrjournal.com/articles/factors-related-to-maternal-adverse-outcomes |
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| author | Philippe Amubuomombe Poli Elkanah Omenge Orang’o Ann Mwangi Felix Ayub Barasa |
| author_facet | Philippe Amubuomombe Poli Elkanah Omenge Orang’o Ann Mwangi Felix Ayub Barasa |
| author_sort | Philippe Amubuomombe Poli |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-45920526794848e4947e831441e22b01 |
| institution | OA Journals |
| issn | 1758-3756 1758-3764 |
| language | English |
| publishDate | 2020-11-01 |
| publisher | Radcliffe Medical Media |
| record_format | Article |
| series | European Cardiology Review |
| spelling | doaj-art-45920526794848e4947e831441e22b012025-08-20T02:37:48ZengRadcliffe Medical MediaEuropean Cardiology Review1758-37561758-37642020-11-011510.15420/ecr.2020.04Factors Related to Maternal Adverse Outcomes in Pregnant Women with Cardiac Disease in Low-resource SettingsPhilippe Amubuomombe Poli0Elkanah Omenge Orang’o1Ann Mwangi2Felix Ayub Barasa3Department of Reproductive Health, Moi University School of Medicine, Eldoret, KenyaDepartment of Reproductive Health, Moi University School of Medicine, Eldoret, KenyaDepartment of Behavioural Sciences, Moi University School of Medicine, Eldoret, KenyaDepartment of Cardiology, Moi Teaching and Referral Hospital, Eldoret, KenyaBackground: 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.https://www.ecrjournal.com/articles/factors-related-to-maternal-adverse-outcomes |
| spellingShingle | Philippe Amubuomombe Poli Elkanah Omenge Orang’o Ann Mwangi Felix Ayub Barasa Factors Related to Maternal Adverse Outcomes in Pregnant Women with Cardiac Disease in Low-resource Settings European Cardiology Review |
| title | Factors Related to Maternal Adverse Outcomes in Pregnant Women with Cardiac Disease in Low-resource Settings |
| title_full | Factors Related to Maternal Adverse Outcomes in Pregnant Women with Cardiac Disease in Low-resource Settings |
| title_fullStr | Factors Related to Maternal Adverse Outcomes in Pregnant Women with Cardiac Disease in Low-resource Settings |
| title_full_unstemmed | Factors Related to Maternal Adverse Outcomes in Pregnant Women with Cardiac Disease in Low-resource Settings |
| title_short | Factors Related to Maternal Adverse Outcomes in Pregnant Women with Cardiac Disease in Low-resource Settings |
| title_sort | factors related to maternal adverse outcomes in pregnant women with cardiac disease in low resource settings |
| url | https://www.ecrjournal.com/articles/factors-related-to-maternal-adverse-outcomes |
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