Key result
Rheumatic heart disease in pregnancy was associated with heart failure in 10% of women who gave birth, with no maternal deaths and a 4.0% perinatal death rate.
Cohort (n=54)
No
Pregnant women with rheumatic heart disease managed at a tertiary center had a 10% incidence of heart failure but no maternal mortality, reflecting the importance of vigilant obstetric management.
RHD pregnancies warrant monitoring for heart failure; leaves open optimal strategies for Indigenous and rural women.
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.
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Ongzalima et al. (2019) conducted a cohort in Rheumatic heart disease in pregnancy (n=54). Rheumatic heart disease was evaluated on Maternal and perinatal outcomes. Rheumatic heart disease in pregnancy was associated with heart failure in 10% of women who gave birth, with no maternal deaths and a 4.0% perinatal death rate.
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