The importance of cardiovascular pathology contributing to maternal death: Confidential Enquiry into Maternal Deaths in South Africa, 2011-2013

Journal article


Soma-Pillay, Priya, Seabe, Joseph and Sliwa, Karen 2016. The importance of cardiovascular pathology contributing to maternal death: Confidential Enquiry into Maternal Deaths in South Africa, 2011-2013. Cardiovascular Journal of Africa. 27 (2), pp. 60 - 65. https://doi.org/10.5830/CVJA-2016-008
AuthorsSoma-Pillay, Priya, Seabe, Joseph and Sliwa, Karen
Abstract

Aims: Cardiac disease is emerging as an important contributor to maternal deaths in both lower-to-middle and higher income countries. There has been a steady increase in the overall institutional maternal mortality rate in South Africa over the last decade. The objectives of this study were to determine the cardiovascular causes and contributing factors of maternal death in South Africa, and identify avoidable factors, and thus improve the quality of care provided. Methods: Data collected via the South African National Confidential Enquiry into Maternal Deaths (NCCEMD) for the period 2011–2013 for cardiovascular disease (CVD) reported as the primary pathology was analysed. Only data for maternal deaths within 42 days post-delivery were recorded, as per statutory requirement. One hundred and sixty-nine cases were reported for this period, with 118 complete hospital case files available for assessment and data analysis. Results: Peripartum cardiomyopathy (PPCM) (34%) and complications of rheumatic heart disease (RHD) (25.3%) were the most important causes of maternal death. Hypertensive disorders of pregnancy, HIV disease infection and anaemia

Keywordscardiac disease in pregnancy; valve disease; valve thrombosis; rheumatic heart disease; cardiomyopathy; peripartum cardiomyopathy
Year2016
JournalCardiovascular Journal of Africa
Journal citation27 (2), pp. 60 - 65
PublisherClinics - Cardive Publishing Co.
ISSN1995-1892
Digital Object Identifier (DOI)https://doi.org/10.5830/CVJA-2016-008
Scopus EID2-s2.0-84969994462
Page range60 - 65
Research GroupMary MacKillop Institute for Health Research
Place of publicationSouth Africa
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https://acuresearchbank.acu.edu.au/item/8q48z/the-importance-of-cardiovascular-pathology-contributing-to-maternal-death-confidential-enquiry-into-maternal-deaths-in-south-africa-2011-2013

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