The personal and clinical impact of screen-detected maternal rheumatic heart disease in Uganda: a prospective follow up study.

ABSTRACT:

Background

Pre-existing maternal cardiac disease is a significant contributor to adverse maternal, fetal, and neonatal outcomes. In 2015-2017, our team conducted the first community-based study of maternal rheumatic heart disease (RHD) in sub-Saharan Africa and identified RHD in 88% of those with pre-existing heart disease. Here we conducted a follow up investigation of women previously identified with RHD, describing clinical and echocardiographic outcomes, identifying barriers to medical adherence and evaluating the personal impact of RHD.

Methods

A 2 week prospective follow up was completed at sites in Central and Eastern Uganda. Participants underwent a three-step mixed methods study comprising of 1) direct structured interview targeting clinical history and medication a

SUBMITTER: Voleti S 

PROVIDER: S-EPMC7547429 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature