A 23-year-old Aboriginal woman from a remote community has moderate rheumatic mitral regurgitation and recurrent episodes of acute rheumatic fever des...

Question

A 23-year-old Aboriginal woman from a remote community has moderate rheumatic mitral regurgitation and recurrent episodes of acute rheumatic fever despite prophylaxis. She is planning pregnancy. What is the most appropriate preconception management strategy?

Accepted Answer

Optimise secondary prophylaxis and arrange pre-pregnancy cardiology review

Answer

Advise pregnancy is contraindicated in all women with RHD

Answer

Stop benzathine benzylpenicillin to reduce injection burden

Answer

Switch to direct oral anticoagulant for valvular disease

Answer

No specific actions required before pregnancy

au-racp MCQ (SBA): Rheumatic heart disease preconception care

A 23-year-old Aboriginal woman from a remote community has moderate rheumatic mitral regurgitation and recurrent episodes of acute rheumatic fever despite prophylaxis. She is planning pregnancy. What is the most appropriate preconception management strategy?