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Rheumatic heart disease in pregnancy: Profile of women admitted to a Western Australian tertiary obstetric hospital
journal contribution
posted on 2021-03-18, 04:11 authored by Chris O Ongzalima, Melanie Greenland, Geraldine VaughanGeraldine Vaughan, Andre Ng, Jordan A Fitzgerald, Frank M Sanfilippo, Jan E Dickinson, Joe Hung, Judith M KatzenellenbogenThis retrospective study assessed maternal and perinatal outcomes for women with rheumatic heart disease (RHD) admitted to the largest tertiary obstetric hospital in Western Australia from 2009 to 2016. Of 54 women identified, 75.9% were Indigenous, 59.3% lived in rural areas and 40.7% had severe RHD. Heart failure developed in 10% who gave birth. Indigenous women were younger, had higher gravidity (P = 0.0305), were more likely to receive secondary prophylaxis (P = 0.0041) and have sub‐optimal antenatal clinic attendance (P = 0.0078). There were no maternal deaths and two perinatal deaths (4.0%), reflecting vigilance in the obstetric management of women with RHD in Western Australia.
Funding
Category 1 - Australian Competitive Grants (this includes ARC, NHMRC)
History
Volume
60Issue
2Start Page
302End Page
308Number of Pages
7eISSN
1479-828XISSN
0004-8666Location
AustraliaPublisher
WileyPublisher DOI
Language
engPeer Reviewed
YesOpen Access
NoAcceptance Date
2019-10-16External Author Affiliations
The University of Western AustraliaEra Eligible
YesMedium
Print-ElectronicJournal
Australian and New Zealand Journal of Obstetrics and GynaecologyUsage metrics
Categories
Keywords
ObstetricsOutcomesPregnancyRheumatic heart diseaseWestern AustraliaAdultFemaleHospitals, MaternityHumansIndigenous PeoplesOceanic Ancestry GroupPregnancy Complications, CardiovascularPregnancy OutcomeRetrospective StudiesTertiary Care CentersObstetrics & Reproductive MedicineCardiology (incl. Cardiovascular Diseases)Obstetrics and GynaecologyAboriginal and Torres Strait Islander Health