Table 4.
Details of adverse maternal and neonatal mortality
No heart disease (n=3448) | Heart disease (n=56) | |
---|---|---|
| ||
Maternal (up to 6 weeks PP) | 7 maternal deaths | 1 maternal death |
Haemorrhage | 3 | 0 |
Hypertensive diseases | 1 | 0 |
Sepsis/infection | 1 | 0 |
Obstructed labour | 1 | 0 |
Embolism | 1 | 0 |
Heart failure | 0 | 1* |
Neonatal (up to 6 weeks PP) | 35 neonatal deaths | 3 neonatal deaths |
Birth asphyxia | 10 | 0 |
Sepsis/infection | 4 | 0 |
Preterm delivery <35 weeks’ gestation) | 8 | 3 |
Congenital malformation | 2 | 0 |
Other | 4 | 0 |
Unknown | 7 | 0 |
Thirty-eight years old, 11 prior children, baseline diagnosis dilated cardiomyopathy with moderate mitral regurgitation and severely decreased left ventricular function. Delivery was recommended for a regional referral hospital, but the mother chose to deliver at home against medical advice, and died 4 days post partum with severe, complicated heart failure that worsened with pregnancy and after delivery, which was also complicated by protracted haemorrhage and possible sepsis (indicated by reported fever in the last day prior to death.
PP, postpartum.