Latent structural heart disease accounts for a substantial proportion of adverse pregnancy outcomes in low-resource settings. In the NEPAL III trial, we investigate whether echocardiographic screening of expectant mothers in a region with an endemic pattern of rheumatic heart disease improves pregnancy outcomes.


B.P. Koirala Institute of Health Sciences, Dharan, Nepal
Bern University Hospital, Bern, Switzerland
Applied Health Research Centre, Li Ka Shing Knowledge Institute of St Michael's Hospital, Department of Medicine and Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Ontario, Canada