A 30-year-old pregnant Aboriginal woman at 20 weeks gestation is being seen in a remote community clinic. She had acute rheumatic fever in childhood a...

Question

A 30-year-old pregnant Aboriginal woman at 20 weeks gestation is being seen in a remote community clinic. She had acute rheumatic fever in childhood and mild rheumatic mitral regurgitation. According to RHD guidelines, which management principle is most important during her pregnancy?

Accepted Answer

Continue regular benzathine penicillin prophylaxis throughout pregnancy

Answer

Cease benzathine penicillin prophylaxis because of pregnancy

Answer

Substitute oral penicillin for intramuscular injections

Answer

Delay all dental procedures until after delivery without prophylaxis

Answer

Routine anticoagulation with Warfarin

au-amc MCQ (SBA): Rheumatic heart disease in pregnancy

A 30-year-old pregnant Aboriginal woman at 20 weeks gestation is being seen in a remote community clinic. She had acute rheumatic fever in childhood and mild rheumatic mitral regurgitation. According to RHD guidelines, which management principle is most important during her pregnancy?