{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T23:31:34Z","timestamp":1778196694382,"version":"3.51.4"},"reference-count":42,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2019,6,17]],"date-time":"2019-06-17T00:00:00Z","timestamp":1560729600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Obstet Med"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:p> Peripartum cardiomyopathy is a syndrome of maternal heart failure with decreased left ventricular ejection fraction affecting maternal and fetal well-being. We analysed clinical profiles and outcomes in women with peripartum cardiomyopathy enrolled retrospectively from a tertiary care centre in southern India (1 January 2008\u201331 December 2014). The incidence of peripartum cardiomyopathy was one case per 1541 live births. Fifty-four women with a mean age of 25.5 years and mean gestational age of 35.4 weeks were recruited; 35 were primigravidae. Maternal and fetal deaths occurred in 9.3% and 24.1% of subjects, respectively. Mild-to-moderate maternal anaemia (80\u2013110 g\/L) was associated with fetal mortality (p\u2009=\u20090.02). Reduced left ventricular ejection fraction (&lt;30%, p\u2009=\u20090.04) and cardiogenic shock (p\u2009=\u20090.01) were significantly associated with adverse maternal outcomes. Forty per cent of women were followed up after 24.2\u2009\u00b1\u200917.7 months, and in these women a significant increase in left ventricular ejection fraction was seen (mean 16.4%, p\u2009&lt;\u20090.01); all were asymptomatic. Peripartum cardiomyopathy with poor left ventricular ejection fraction and shock is associated with adverse maternal outcomes, while non-severe maternal anaemia predisposes to adverse fetal outcomes. Significant left ventricular ejection fraction recovery occurred on follow-up. <\/jats:p>","DOI":"10.1177\/1753495x19851397","type":"journal-article","created":{"date-parts":[[2019,6,18]],"date-time":"2019-06-18T06:48:24Z","timestamp":1560840504000},"page":"179-184","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Peripartum cardiomyopathy: An analysis of clinical profiles and outcomes from a tertiary care centre in southern India"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6644-657X","authenticated-orcid":false,"given":"Aditya John","family":"Binu","sequence":"first","affiliation":[{"name":"Department of General Medicine, Unit \u2013 III (Obstetric Medicine), Christian Medical College, Vellore, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sudha Jasmine","family":"Rajan","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Unit \u2013 III (Obstetric Medicine), Christian Medical College, Vellore, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Swati","family":"Rathore","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Christian Medical College, Vellore, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manisha","family":"Beck","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Christian Medical College, Vellore, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annie","family":"Regi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Christian Medical College, Vellore, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Viji Samuel","family":"Thomson","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Christian Medical College, Vellore, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sowmya","family":"Sathyendra","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Unit \u2013 III (Obstetric Medicine), Christian Medical College, Vellore, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,6,17]]},"reference":[{"key":"bibr1-1753495X19851397","doi-asserted-by":"publisher","DOI":"10.1093\/eurjhf\/hfq120"},{"key":"bibr2-1753495X19851397","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.9.1183"},{"key":"bibr3-1753495X19851397","doi-asserted-by":"publisher","DOI":"10.4065\/80.12.1602"},{"key":"bibr4-1753495X19851397","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2007.02.092"},{"key":"bibr5-1753495X19851397","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2006.01.039"},{"key":"bibr6-1753495X19851397","doi-asserted-by":"publisher","DOI":"10.1007\/s00395-013-0366-9"},{"key":"bibr7-1753495X19851397","doi-asserted-by":"publisher","DOI":"10.1001\/jamacardio.2017.3574"},{"key":"bibr8-1753495X19851397","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2005.05.004"},{"key":"bibr9-1753495X19851397","doi-asserted-by":"publisher","DOI":"10.1002\/ejhf.882"},{"key":"bibr10-1753495X19851397","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181c4ee8c"},{"key":"bibr11-1753495X19851397","doi-asserted-by":"publisher","DOI":"10.1253\/circj.CJ-10-1214"},{"key":"bibr12-1753495X19851397","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCHEARTFAILURE.117.004134"},{"key":"bibr13-1753495X19851397","doi-asserted-by":"publisher","DOI":"10.1186\/1756-0500-6-495"},{"key":"bibr14-1753495X19851397","doi-asserted-by":"crossref","unstructured":"Biteker M, Ilhan E, Biteker G, et al. 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