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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.

Original publication

DOI

10.1111/ajo.13102

Type

Journal article

Journal

Aust N Z J Obstet Gynaecol

Publication Date

04/2020

Volume

60

Pages

302 - 308

Keywords

Western Australia, obstetrics, outcomes, pregnancy, rheumatic heart disease, Adult, Female, Hospitals, Maternity, Humans, Indigenous Peoples, Native Hawaiian or Other Pacific Islander, Pregnancy, Pregnancy Complications, Cardiovascular, Pregnancy Outcome, Retrospective Studies, Rheumatic Heart Disease, Tertiary Care Centers, Western Australia