Table 4. Description of maternal deaths.
Patient | Age (years) | Diagnosis | Parity | Gestational age at 1st visit (weeks) | PAP (mmHg) | Complications | Gestational age at delivery (weeks) | Delivery | Foetal state | Time of maternal death | Cause of death | Additional information |
1 | 26 | Mitral stenosis (MVA: 0.58 cm²) diagnosed in pregnancy | G1P0 | 19 | 115 | Cardiac failure | 30 | Emergency C/S for foetal compromise | Alive | Day 1 post C/S | Cardiac failure | Decompensated intra-op post delivery - died day 1 post delivery in ICU |
2 | 39 | Asthma/ obesity/ peripartum cardiomyopathy X 4 | G5P4 | 31 | 51 | Septicaemia/ cellulitis/ renal failure | 34 | NVD | Alive | Day 3 post NVD | Cardiac failure | Cardiac failure secondary to cardiomyopathy - died in ICU, was on ionotropic support |
3 | 22 | MMVD (MVA: 1.24 cm2) diagnosed in pregnancy | GIPO | 27 | 52 | Developed cardiac failure/ severe anaemia post delivery | 37 | Elective C/S for cardiac disease | Alive | Day 30 post C/S | Cardiac failure | |
4 | 28 | TB pericarditis (treated 4 years prior to pregnancy) | G3P1 | 20 | 110 | Cardiac failure/sepsis | 37 | Emergency C/S for worsening cardiac failure | Alive | Day 2 post C/S | Cardiac failure | Developed cardio- respiratory failure and sepsis peri- delivery |
5 | 30 | Severe tricuspid regurgitation (diagnosed in pregnancy) | G2P1 | 37 | 91 | Cardiac failure | 37 | Emergency C/S for worsening cardiac failure | Alive | Day 2 post C/S | Cardiac failure | Transferred to ICU from peripheral hospital with cardiac failure and newly diagnosed severe tricuspid regurgitation with pulmonary hypertension |
MVA, mitral valve AREA; MMVD, mixed mitral valve disease; C/S, caesarean section; G, gravidity; P, parity; ICU, intensive care unit.