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Rheumatic heart disease in pregnancy: Profile of women admitted to a Western Australian tertiary obstetric hospital
Author(s) -
Ongzalima Chris O.,
Greenland Melanie,
Vaughan Geraldine,
Ng Andre,
FitzGerald Jordan A.,
Sanfilippo Frank M.,
Dickinson Jan E.,
Hung Joe,
Katzenellenbogen Judith M.
Publication year - 2020
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/ajo.13102
Subject(s) - medicine , attendance , heart disease , tertiary care , pregnancy , obstetric history , pediatrics , retrospective cohort study , indigenous , obstetrics , gestation , emergency medicine , surgery , ecology , biology , economics , genetics , economic growth
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.