Rheumatic Heart Disease Complicating Pregnancy

Mk, O'driscoll; Cf, Coyle; Mi, Drury

doi:10.1136/bmj.2.5307.767

Cited by 4 publications

(1 citation statement)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…From the 1930s, similar studies in London and Dublin found that, with adequate collaborative cardiac-obstetric care the need for medically advised terminations of pregnancy was reduced significantly and outcomes improved [ 17 18 ]. McIlroy (the first UK female obstetrician and medical professor), in recognising the overwhelming burden of RHD in cardiac pathology, detailed the mutual benefits of obstetric-cardiac collaboration, including earlier diagnosis of cases [ 17 ].…”

Section: ‘ the Cramping Effects Of Too-rigid Specialism ’: Care Across Disciplinesmentioning

confidence: 99%

Rheumatic Heart Disease in Pregnancy: New Strategies for an Old Disease?

et al. 2021

View full text Add to dashboard Cite

RHD in pregnancy (RHD-P) is associated with an increased burden of maternal and perinatal morbidity and mortality. A sequellae of rheumatic fever resulting in heart valve damage if untreated, RHD is twice as common in women. In providing an historical overview, this commentary provides context for prevention and treatment in the 21 st century.Four underlying themes inform much of the literature on RHD-P: its association with inequities; often-complex care requirements; demands for integrated care models, and a life-course approach. While there have been some gains particularly in awareness, strengthened policies and funding strategies are required to sustain improvements in the RHD landscape and consequently improve outcomes.As the principal heart disease seen in pregnant women in endemic regions, it is unlikely that the Sustainable Development Goal 3 target of reduced global maternal mortality ratio can be met by 2030 if RHD is not better addressed for women and girls.

show abstract

Section: ‘ the Cramping Effects Of Too-rigid Specialism ’: Care Across Disciplinesmentioning

confidence: 99%