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Rheumatic heart disease in pregnancy: Profile of women admitted to a Western Australian tertiary obstetric hospital

journal contribution
posted on 18.03.2021, 04:11 by Chris O Ongzalima, Melanie Greenland, Geraldine VaughanGeraldine Vaughan, Andre Ng, Jordan A Fitzgerald, Frank M Sanfilippo, Jan E Dickinson, Joe Hung, Judith M Katzenellenbogen
This 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

60

Issue

2

Start Page

302

End Page

308

Number of Pages

7

eISSN

1479-828X

ISSN

0004-8666

Location

Australia

Publisher

Wiley

Language

eng

Peer Reviewed

Yes

Open Access

No

Acceptance Date

16/10/2019

External Author Affiliations

The University of Western Australia

Era Eligible

Yes

Medium

Print-Electronic

Journal

Australian and New Zealand Journal of Obstetrics and Gynaecology