Key result
Pre-existing maternal heart disease, predominantly rheumatic, carried an 88.6% attributable risk for maternal mortality in the exposed population.
Population
3,506 pregnant women attending antenatal care in three Ugandan health centres
Design
Cohort
Follow-up
6 weeks post partum
Authors
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Supports screening for occult rheumatic heart disease in low-resource maternity settings; leaves open whether detection improves maternal outcomes.
Cohort (n=3,506)
Yes
Effect estimate: Attributable risk 88.6% (exposed population)
Occult maternal heart disease, predominantly rheumatic heart disease, is prevalent in low-resource settings and contributes substantially to maternal and neonatal mortality.
Beaton et al. (2018) conducted a cohort in Maternal heart disease in pregnancy (n=3,506). Pre-existing heart disease vs. No heart disease was evaluated on Maternal mortality (Attributable risk 88.6% (exposed population)). Pre-existing maternal heart disease, predominantly rheumatic, carried an 88.6% attributable risk for maternal mortality in the exposed population.
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