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

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Abstract

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 languageEnglish
Pages (from-to)302-308
Number of pages7
JournalThe Australian & New Zealand Journal of Obstetrics & Gynaecology
Volume60
Issue number2
Early online date28 Nov 2019
DOIs
Publication statusPublished - Apr 2020

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

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