Implementation of multidisciplinary care reduces maternal mortality in women with sickle cell disease living in low-resource setting.

ABSTRACT: Sickle cell disease (SCD) is associated with adverse pregnancy outcome. In women with SCD living in low-resource settings, pregnancy is associated with significantly increased maternal and perinatal mortality rates. We tested the hypothesis that implementing a multidisciplinary obstetric and hematology care team in a low-resource setting would significantly reduce maternal and perinatal mortality rates. We conducted a before-and-after study, at the Korle-Bu Teaching Hospital in Accra, Ghana, to evaluate the effect of a multidisciplinary obstetric-hematology care team for women with SCD in a combined SCD-Obstetric Clinic. The pre-intervention period was assessed through a retrospective chart review to identify every death and the post-intervention period was assessed prospectively. Interven

SUBMITTER: Asare EV 

PROVIDER: S-EPMC7725481 | biostudies-literature | 2017 Sep

REPOSITORIES: biostudies-literature