{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T13:21:04Z","timestamp":1783344064103,"version":"3.54.6"},"reference-count":19,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100015521","name":"Stanford Maternal and Child Health Research Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100015521","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jtcvsonline.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Thoracic and Cardiovascular Surgery"],"published-print":{"date-parts":[[2025,7]]},"DOI":"10.1016\/j.jtcvs.2024.07.018","type":"journal-article","created":{"date-parts":[[2024,7,14]],"date-time":"2024-07-14T05:39:18Z","timestamp":1720935558000},"page":"299-307.e1","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":5,"title":["Reproductive health among women of child-bearing age after surgery for rheumatic heart disease in Rwanda"],"prefix":"10.1016","volume":"170","author":[{"given":"Emmanuel","family":"Rusingiza","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Schulick","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patiente","family":"Umuganwa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Ntirushwa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent","family":"Dusingizimana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josee","family":"Uwamariya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leslie","family":"Kaze","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ceeya","family":"Bolman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JaBaris","family":"Swain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christiance","family":"Mwamikazi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Mucumbitsi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maurice","family":"Musoni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leopold","family":"Bitunguhari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evariste","family":"Ntaganda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"III","given":"Ralph","family":"Bolman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yihan","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"13","key":"10.1016\/j.jtcvs.2024.07.018_bib1","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.122.025284","article-title":"Rheumatic heart disease is a neglected disease relative to its burden worldwide: findings from global burden of disease 2019","volume":"11","author":"Ghamari","year":"2022","journal-title":"J Am Heart Assoc"},{"issue":"2","key":"10.1016\/j.jtcvs.2024.07.018_bib2","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1161\/CIRCULATIONAHA.115.015242","article-title":"Pregnancy in women with a mechanical heart valve: data of the European Society of Cardiology Registry of Pregnancy and Cardiac Disease (ROPAC)","volume":"132","author":"van Hagen","year":"2015","journal-title":"Circulation"},{"key":"10.1016\/j.jtcvs.2024.07.018_bib3","article-title":"Anticoagulation for the pregnant patient with a mechanical heart valve, no perfect therapy: review of guidelines for anticoagulation in the pregnant patient","volume":"2017","author":"Richardson","year":"2017","journal-title":"Case Rep Cardiol"},{"issue":"18","key":"10.1016\/j.jtcvs.2024.07.018_bib4","doi-asserted-by":"crossref","first-page":"1115","DOI":"10.1093\/eurheartj\/ehu449","article-title":"Characteristics, complications, and gaps in evidence-based interventions in rheumatic heart disease: the Global Rheumatic Heart Disease Registry (the REMEDY study)","volume":"36","author":"Z\u00fchlke","year":"2015","journal-title":"Eur Heart J"},{"issue":"34","key":"10.1016\/j.jtcvs.2024.07.018_bib5","doi-asserted-by":"crossref","first-page":"3165","DOI":"10.1093\/eurheartj\/ehy340","article-title":"2018 ESC Guidelines for the management of cardiovascular diseases during pregnancy","volume":"39","author":"Regitz-Zagrosek","year":"2018","journal-title":"Eur Heart J"},{"issue":"5","key":"10.1016\/j.jtcvs.2024.07.018_bib6","first-page":"e35","volume":"143","author":"Otto","year":"2021","journal-title":"Circulation"},{"key":"10.1016\/j.jtcvs.2024.07.018_bib7","series-title":"National Guidelines for Management of Non-communicable Diseases","year":"2016"},{"issue":"1","key":"10.1016\/j.jtcvs.2024.07.018_bib8","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1186\/s13075-022-02829-3","article-title":"Global burden of rheumatic heart disease: trends from 1990 to 2019","volume":"24","author":"Ou","year":"2022","journal-title":"Arthritis Res Ther"},{"issue":"6","key":"10.1016\/j.jtcvs.2024.07.018_bib9","doi-asserted-by":"crossref","first-page":"394","DOI":"10.5830\/CVJA-2018-044","article-title":"The Pan-African Society of Cardiology position paper on reproductive healthcare for women with rheumatic heart disease","volume":"29","author":"Mocumbi","year":"2018","journal-title":"Cardiovasc J Afr"},{"issue":"3","key":"10.1016\/j.jtcvs.2024.07.018_bib10","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0194030","article-title":"Motivations of women in Uganda living with rheumatic heart disease: a mixed methods study of experiences in stigma, childbearing, anticoagulation, and contraception","volume":"13","author":"Chang","year":"2018","journal-title":"PLoS One"},{"issue":"12","key":"10.1016\/j.jtcvs.2024.07.018_bib11","first-page":"2045","article-title":"Managing rheumatic heart disease in pregnancy: a practical evidence-based multidisciplinary approach","volume":"37","author":"Cupido","year":"2021","journal-title":"Can J Cardiol"},{"key":"10.1016\/j.jtcvs.2024.07.018_bib12","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1016\/j.ijcard.2020.05.051","article-title":"Reproductive health professional's reported knowledge on diagnosis and management of rheumatic heart disease in pregnant women in Maputo, Mozambique","volume":"317","author":"Jamal","year":"2020","journal-title":"Int J Cardiol"},{"issue":"1","key":"10.1016\/j.jtcvs.2024.07.018_bib13","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1186\/s12978-021-01135-6","article-title":"An examination of the barriers to and benefits from collaborative couple contraceptive use in Rwanda","volume":"18","author":"Schwandt","year":"2021","journal-title":"Reprod Health"},{"key":"10.1016\/j.jtcvs.2024.07.018_bib14","first-page":"223","article-title":"Knowledge, attitude and practice of preconception care among Sudanese women in reproductive age about rheumatic heart disease","volume":"3","author":"Ahmed","year":"2015","journal-title":"Int J Public Health Res"},{"issue":"6","key":"10.1016\/j.jtcvs.2024.07.018_bib15","doi-asserted-by":"crossref","first-page":"797","DOI":"10.1093\/icvts\/ivu009","article-title":"Limited dose warfarin throughout pregnancy in patients with mechanical heart valve prosthesis: a meta-analysis","volume":"18","author":"Hassouna","year":"2014","journal-title":"Interact Cardiovasc Thorac Surg"},{"issue":"6","key":"10.1016\/j.jtcvs.2024.07.018_bib16","doi-asserted-by":"crossref","first-page":"322","DOI":"10.5830\/CVJA-2022-028","article-title":"A clinical conundrum: review of anticoagulation in pregnant women with mechanical prosthetic heart valves","volume":"33","author":"Jenneker","year":"2022","journal-title":"Cardiovasc J Afr"},{"issue":"9","key":"10.1016\/j.jtcvs.2024.07.018_bib17","doi-asserted-by":"crossref","first-page":"1168","DOI":"10.1002\/pd.5764","article-title":"An update on maternal medication-related embryopathies","volume":"40","author":"Gheysen","year":"2020","journal-title":"Prenat Diagn"},{"issue":"3","key":"10.1016\/j.jtcvs.2024.07.018_bib18","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1016\/S1028-4559(08)60124-2","article-title":"Syndromes, disorders and maternal risk factors associated with neural tube defects (VII)","volume":"47","author":"Chen","year":"2008","journal-title":"Taiwan J Obstet Gynecol"},{"issue":"20","key":"10.1016\/j.jtcvs.2024.07.018_bib19","doi-asserted-by":"crossref","first-page":"1707","DOI":"10.1136\/heartjnl-2017-312644","article-title":"Outcomes for patients with rheumatic heart disease after cardiac surgery followed at rural district hospitals in Rwanda","volume":"104","author":"Rusingiza","year":"2018","journal-title":"Heart"}],"container-title":["The Journal of Thoracic and Cardiovascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022522324006184?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022522324006184?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T13:02:46Z","timestamp":1783342966000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022522324006184"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":19,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["S0022522324006184"],"URL":"https:\/\/doi.org\/10.1016\/j.jtcvs.2024.07.018","relation":{},"ISSN":["0022-5223"],"issn-type":[{"value":"0022-5223","type":"print"}],"subject":[],"published":{"date-parts":[[2025,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Reproductive health among women of child-bearing age after surgery for rheumatic heart disease in Rwanda","name":"articletitle","label":"Article Title"},{"value":"The Journal of Thoracic and Cardiovascular Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jtcvs.2024.07.018","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2024 by The American Association for Thoracic Surgery","name":"copyright","label":"Copyright"}]}}