Medical disease as a cause of maternal mortality : the pre-imminence of cardiovascular pathology

Show simple item record Mocumbi, A.O. Soma-Pillay, Priya Sliwa, K. 2016-06-06T12:05:03Z 2016-06-06T12:05:03Z 2016-03
dc.description.abstract Maternal mortality ratio in low- to middle-income countries (LMIC) is 14 times higher than in high-income countries. This is partially due to lack of antenatal care, unmet needs for family planning and education, as well as low rates of birth managed by skilled attendants. While direct causes of maternal death such as complications of hypertension, obstetric haemorrhage and sepsis remain the largest cause of maternal death in LMICs, cardiovascular disease emerges as an important contributor to maternal mortality in both developing countries and the developed world, hampering the achievement of the millennium development goal 5, which aimed at reducing by three-quarters the maternal mortality ratio until the end of 2015. Systematic search for cardiac disease is usually not performed during pregnancy in LMICs despite hypertensive disease, rheumatic heart disease and cardiomyopathies being recognised as major health problems in these settings. New concern has been rising due to both the HIV/AIDS epidemic and the introduction of highly active antiretroviral therapy. Undetected or untreated congenital heart defects, undiagnosed pulmonary hypertension, uncontrolled heart failure and complications of sickle cell disease may also be important challenges. This article discusses issues related to the role of cardiovascular disease in determining a substantial portion of maternal morbidity and mortality. It also presents an algorhitm to be used for suspected and previously known cardiac disease in pregnancy in the context of LIMCs. en_ZA
dc.description.department Obstetrics and Gynaecology en_ZA
dc.description.librarian am2016 en_ZA
dc.description.uri en_ZA
dc.identifier.citation Mocumbi, AO, Sliwa, K & Soma-Pillay, P 2016, 'Medical disease as a cause of maternal mortality : the pre-imminence of cardiovascular pathology', Cardiovascular Journal of Africa, vol. 27, no. 2, pp. 84-88. en_ZA
dc.identifier.issn 1995-1892 (print)
dc.identifier.issn 1680-0745 (online)
dc.identifier.other 10.5830/CVJA-2016-018
dc.language.iso en en_ZA
dc.publisher Clinics Cardive en_ZA
dc.rights © Clinics Cardive Publishing (Pty) Ltd. en_ZA
dc.subject Antenatal care (ANC) en_ZA
dc.subject Maternal mortality en_ZA
dc.subject Maternal death en_ZA
dc.subject Hypertension en_ZA
dc.subject Low- and middle-income countries (LMICs) en_ZA
dc.title Medical disease as a cause of maternal mortality : the pre-imminence of cardiovascular pathology en_ZA
dc.type Article en_ZA

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