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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 (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.0305), were more likely to receive secondary prophylaxis (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.0041) and have sub\u2010optimal antenatal clinic attendance (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.0078). 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