{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T04:25:53Z","timestamp":1775017553296,"version":"3.50.1"},"reference-count":10,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2008,12,10]],"date-time":"2008-12-10T00:00:00Z","timestamp":1228867200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2009,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate Sri Lankan maternal deaths due to heart disease and to consider low\u2010cost interventions to reduce these deaths.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A qualitative study based on retrospective audit of all maternal deaths and late maternal deaths in Sri Lanka caused by cardiac disease in 2004.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 145 maternal deaths were recorded in 2004, for a maternal mortality rate of 38 per 100 000. There were 42 indirect deaths, 25 of which were due to cardiac disease; 23 deaths had a specific cardiac cause listed. Standard care was identified in prepregnancy counseling, contraception, and prenatal community and specialist care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Cardiac disease is a major cause of maternal mortality in Sri Lanka, second only to postpartum hemorrhage. Rheumatic mitral valve disease is responsible for more than a third of maternal deaths from cardiac disease. Substandard care was identified in all cases; strategies to improve care could allow a reduction in maternal cardiac deaths.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2008.10.031","type":"journal-article","created":{"date-parts":[[2008,12,11]],"date-time":"2008-12-11T09:57:06Z","timestamp":1228989426000},"page":"194-198","source":"Crossref","is-referenced-by-count":27,"title":["Maternal mortality due to cardiac disease in Sri Lanka"],"prefix":"10.1002","volume":"104","author":[{"given":"Hasanthi R.","family":"Haththotuwa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deepika","family":"Attygalle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anoma C.","family":"Jayatilleka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vineetha","family":"Karunaratna","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara A.","family":"Thorne","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2008,12,10]]},"reference":[{"key":"e_1_2_6_2_2","unstructured":"Regional fact sheet from the world development indicators 2007 South Asia World Bank. Available at:http:\/\/www.unfpa.org\/mothers\/statistics.htm. Accessed September 2008."},{"key":"e_1_2_6_3_2","volume-title":"Annual Health Bulletin 2003","author":"Department of Health Services","year":"2003"},{"key":"e_1_2_6_4_2","volume-title":"Maternal mortality update 2004. Delivering into good hands","author":"UNFPA","year":"2004"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1093\/bmb\/ldg008"},{"key":"e_1_2_6_6_2","volume-title":"Saving Mothers' Lives: Reviewing maternal deaths to make motherhood safer \u2013 2003\u20132005","author":"Confidential Enquiry into Maternal and Child Health","year":"2007"},{"key":"e_1_2_6_7_2","unstructured":"National Committee for the Confidential Enquiry into Maternal Deaths.Interim Report on the Confidential Enquiry into Maternal Deaths in South Africa. March1998 Available at:http:\/\/www.doh.gov.za\/docs\/reports\/1998\/mat_deaths.html"},{"issue":"1","key":"e_1_2_6_8_2","first-page":"17","article-title":"Maternal deaths due to pre\u2010existing cardiac disease","volume":"13","author":"Naidoo D.P.","year":"2002","journal-title":"Cardiovasc J S Afr"},{"issue":"3","key":"e_1_2_6_9_2","first-page":"145","article-title":"Cardiac disease in pregnancy","volume":"19","author":"Nqayana T.","year":"2008","journal-title":"Cardiovasc J Afr"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2003.027888"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1136\/heart.85.6.710"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S0020729208004980?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S0020729208004980?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.ijgo.2008.10.031","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.ijgo.2008.10.031","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.ijgo.2008.10.031","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T04:36:18Z","timestamp":1696394178000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1016\/j.ijgo.2008.10.031"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,12,10]]},"references-count":10,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2009,3]]}},"alternative-id":["10.1016\/j.ijgo.2008.10.031"],"URL":"https:\/\/doi.org\/10.1016\/j.ijgo.2008.10.031","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,12,10]]}}}