1. Rheumatic heart disease in pregnancy: Profile of women admitted to a Western Australian tertiary obstetric hospital.
- Author
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Ongzalima, Chris O., Greenland, Melanie, Vaughan, Geraldine, Ng, Andre, Fitz‐Gerald, Jordan A., Sanfilippo, Frank M., Dickinson, Jan E., Hung, Joe, and Katzenellenbogen, Judith M.
- Subjects
ABORIGINAL Australians ,CHI-squared test ,ECHOCARDIOGRAPHY ,FISHER exact test ,HEART diseases ,HEART failure ,HEMORRHAGE ,MATERNAL health services ,RESEARCH methodology ,MEDICAL records ,MATERNAL mortality ,HEALTH outcome assessment ,PREGNANCY complications ,PRENATAL care ,PUERPERAL disorders ,RESEARCH funding ,RHEUMATIC heart disease ,RURAL conditions ,SOCIAL case work ,T-test (Statistics) ,RETROSPECTIVE studies ,SEVERITY of illness index ,REPRODUCTIVE history ,DATA analysis software ,ANTIBIOTIC prophylaxis ,TERTIARY care ,MANN Whitney U Test - 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. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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