Key result
Heart disease complicating pregnancy in Sri Lanka was predominantly rheumatic (69.8%), resulting in 4 maternal deaths and a perinatal mortality rate of 18.1 per 1000 births among 166 patients.
Observational (n=166)
No
In a Sri Lankan cohort, rheumatic heart disease was the predominant cause of cardiac disease in pregnancy, which was associated with significant maternal and perinatal mortality.
RHD-associated pregnancy carries notable mortality in Sri Lanka; leaves open whether targeted interventions improve outcomes in similar cohorts.
SummaryThe outcome of 166 patients presenting with heart disease complicating pregnancy were studied at the Department of Obstetrics and Gynaecology, De Soysa Hospital for Women, Colombo, Sri Lanka. The incidence of cardiac disease complicating pregnancy was 1·46; per cent. In 116 (69·8 per cent) this was rheumatic in origin and 50 patients (30·2; per cent) had congenital heart disease. The complications seen during pregnancy included heart failure, atrial fibrillation, systemic embolism and rheumatic chorea. There were four maternal deaths. Two patients with Eisenmenger's syndrome, one with severe aortic stenosis and one with mixed rheumatic valvular disease died during the study period. The perinatal mortality rate was 18.1 per 1000 births.
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Kaluarachchi et al. (1995) conducted an observational in Heart disease complicating pregnancy (n=166). Heart disease was evaluated on Maternal and perinatal mortality. Heart disease complicating pregnancy in Sri Lanka was predominantly rheumatic (69.8%), resulting in 4 maternal deaths and a perinatal mortality rate of 18.1 per 1000 births among 166 patients.
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