{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:46:17Z","timestamp":1747183577481,"version":"3.40.5"},"reference-count":94,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,5,31]],"date-time":"2019-05-31T00:00:00Z","timestamp":1559260800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001775","name":"University of Technology Sydney","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001775","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["11332944"],"award-info":[{"award-number":["11332944"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001801","name":"University of Western Australia","doi-asserted-by":"publisher","award":["1080401"],"award-info":[{"award-number":["1080401"]}],"id":[{"id":"10.13039\/501100001801","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Birth"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Rheumatic heart disease (RHD) is a preventable cardiac condition that escalates risk in pregnancy. Models of care informed by evidence\u2010based clinical guidelines are essential to optimal health outcomes. There are no published reviews that systematically explore approaches to care provision for pregnant women with RHD and examine reported measures. The review objective was to improve understanding of how attributes of care for these women are reported and how they align with guidelines.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A search of 13 databases was supported by hand\u2010searching. Papers that met inclusion criteria were appraised using CASP\/JBI checklists. A content analysis of extracted data from the findings sections of included papers was undertaken, informed by attributes of quality care identified previously from existing guidelines.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The 43 included studies were predominantly conducted in tertiary care centers of low\u2010income and middle\u2010income countries. Cardiac guidelines were referred to in 25 of 43 studies. Poorer outcomes were associated with higher risk scores (detailed in 36 of 41 quantitative studies). Indicators associated with increased risk include anticoagulation during pregnancy (28 of 41 reported) and late booking (gestation documented in 15 of 41 studies). Limited access to cardiac interventions was discussed (19 of 43) in the context of poorer outcomes. Conversely, early assessment and access to regular multidisciplinary care were emphasized in promoting optimal outcomes for women and their babies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Despite often complex care requirements in challenging environments, pregnancy provides an opportunity to strengthen health system responses and address whole\u2010of\u2010life health for women with RHD. A standard set of core indicators is proposed to more accurately benchmark care pathways, outcomes, and burden.<\/jats:p><\/jats:sec>","DOI":"10.1111\/birt.12435","type":"journal-article","created":{"date-parts":[[2019,5,31]],"date-time":"2019-05-31T12:43:28Z","timestamp":1559306608000},"page":"560-573","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Standardizing clinical care measures of rheumatic heart disease in pregnancy: A qualitative synthesis"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0132-9946","authenticated-orcid":false,"given":"Geraldine","family":"Vaughan","sequence":"first","affiliation":[{"name":"Faculty of Health, Australian Centre for Public and Population Health Research (ACPPHR) University of Technology Sydney Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0926-2202","authenticated-orcid":false,"given":"Angela","family":"Dawson","sequence":"additional","affiliation":[{"name":"Faculty of Health, Australian Centre for Public and Population Health Research (ACPPHR) University of Technology Sydney Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6055-5129","authenticated-orcid":false,"given":"Michael J.","family":"Peek","sequence":"additional","affiliation":[{"name":"The Australian National University and Centenary Hospital for Women and Children, The Canberra Hospital Canberra Australian Capital Territory Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1182-9792","authenticated-orcid":false,"given":"Jonathan R.","family":"Carapetis","sequence":"additional","affiliation":[{"name":"Telethon Kids Institute, University of Western Australia Nedlands Western Australia Australia"},{"name":"Perth Children\u2019s Hospital Nedlands Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8718-2753","authenticated-orcid":false,"given":"Elizabeth A.","family":"Sullivan","sequence":"additional","affiliation":[{"name":"Faculty of Health, Australian Centre for Public and Population Health Research (ACPPHR) University of Technology Sydney Sydney New South Wales Australia"},{"name":"Faculty of Health and Medicine University of Newcastle Callaghan New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,5,31]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"1","article-title":"Time to tackle rheumatic heart disease: data needed to drive global policy dialogues","volume":"14","author":"Abouzeid M","year":"2018","journal-title":"Glob Public Health"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gheart.2013.08.008"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.116.024769"},{"key":"e_1_2_6_5_1","unstructured":"RHDAustralia (ARF\/RHD writing group) National Heart Foundation of Australia Cardiac Society of Australia and New Zealand.Australian guideline for prevention diagnosis and management of acute rheumatic fever and rheumatic heart disease 2nd edn.2012. 978\u20100\u20109587722\u20109\u20107 (paperback); 978\u20100\u20109587722\u20105\u20109 (online)."},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acvd.2011.04.001"},{"key":"e_1_2_6_7_1","unstructured":"AMHMAC.Aboriginal and Torres Strait Islander Health Performance Framework 2017 Report. Canberra 2017."},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/inthealth\/ihy048"},{"key":"e_1_2_6_9_1","first-page":"271","article-title":"Rheumatic heart disease in pregnancy: a prospective New Zealand cohort: ep13. 44","volume":"122","author":"Farquhar C","year":"2015","journal-title":"BJOG"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/ofid\/ofw243"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11936-017-0513-y"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2007.11.084"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0412.2011.01140.x"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2261-12-23"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehy340"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehx391"},{"key":"e_1_2_6_17_1","doi-asserted-by":"crossref","unstructured":"NishimuraR OttoC BonowRO et al.2017 AHA\/ACC Focused Update of the 2014 AHA\/ACC Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology\/American Heart Association Task Force on Clinical Practice Guidelines. 2017(1524\u20134539 (Electronic)).","DOI":"10.1161\/CIR.0000000000000503"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2014.05.014"},{"key":"e_1_2_6_19_1","unstructured":"D\u2019SouzaR SilversidesC SermerM et al.COSCarP study (Core outcome sets for studies on cardiac disease in pregnancy).2018.http:\/\/www.comet-initiative.org\/studies\/details\/834"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.14694"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.12406"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2014.09.021"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305276687"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6947-7-16"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1000097"},{"key":"e_1_2_6_26_1","unstructured":"Critical Appraisal Skills Programme (CASP).CASP Appraisal Checklists.2014;https:\/\/casp-uk.net\/casp-tools-checklists\/"},{"key":"e_1_2_6_27_1","unstructured":"Johanna Briggs Institute.Critical Appraisal Checklists.2017;http:\/\/joannabriggs.org\/research\/critical-appraisal-tools.html"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0194030"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12744"},{"issue":"4","key":"e_1_2_6_30_1","first-page":"175","article-title":"Foetomaternal outcome of pregnancy with cardiac disease","volume":"58","author":"Wasim T","year":"2008","journal-title":"J Pak Med Assn"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2018-313810"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehu507"},{"key":"e_1_2_6_33_1","unstructured":"SchoonM.Severe morbidity and mortality associated with cardiac disease during pregnancy in the Free State Public Health Service. PhD UoFS.2001."},{"key":"e_1_2_6_34_1","doi-asserted-by":"publisher","DOI":"10.1002\/clc.4960260308"},{"key":"e_1_2_6_35_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0066-782X2000000900003"},{"key":"e_1_2_6_36_1","doi-asserted-by":"publisher","DOI":"10.1136\/heartasia-2013-010396"},{"issue":"7","key":"e_1_2_6_37_1","first-page":"730","article-title":"Predictors for complications in pregnant women with heart disease, a retrospective study","volume":"97","author":"Chumpathong S","year":"2014","journal-title":"J Med Assoc Thai"},{"key":"e_1_2_6_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2015.03.040"},{"key":"e_1_2_6_39_1","doi-asserted-by":"publisher","DOI":"10.3109\/01443615.2011.603064"},{"issue":"1","key":"e_1_2_6_40_1","first-page":"7","article-title":"Maternal heart disease and pregnancy outcomes","volume":"15","author":"Puri S","year":"2013","journal-title":"JK Sci"},{"key":"e_1_2_6_41_1","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2014-306199"},{"issue":"7","key":"e_1_2_6_42_1","first-page":"553","article-title":"Cardiac disease in pregnancy: a 4\u2010year audit at Pretoria Academic Hospital","volume":"98","author":"Soma\u2010Pillay P","year":"2008","journal-title":"S Afr Med J"},{"key":"e_1_2_6_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejheart.2008.07.017"},{"key":"e_1_2_6_44_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.117.032561"},{"issue":"10","key":"e_1_2_6_45_1","first-page":"416","article-title":"Evaluation and outcome of pregnancy complicated by heart disease","volume":"55","author":"Asghar F","year":"2005","journal-title":"J Pak Med Assn"},{"key":"e_1_2_6_46_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13224-012-0220-2"},{"key":"e_1_2_6_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7292(03)00317-5"},{"issue":"3","key":"e_1_2_6_48_1","first-page":"145","article-title":"Cardiac disease in pregnancy","volume":"19","author":"Nqayana T","year":"2008","journal-title":"Cardiovasc J Afr"},{"issue":"3","key":"e_1_2_6_49_1","first-page":"643","article-title":"Fetomaternal outcome of pregnancy with mitral stenosis","volume":"31","author":"Ahmed N","year":"2015","journal-title":"Pak J Med Sci"},{"key":"e_1_2_6_50_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2000.tb10395.x"},{"issue":"10","key":"e_1_2_6_51_1","first-page":"1098","article-title":"Pregnancy and valvular heart disease","volume":"24","author":"Faiz S","year":"2003","journal-title":"Saudi Med J"},{"issue":"1","key":"e_1_2_6_52_1","first-page":"C19","article-title":"Cardiac disease during pregnancy \u2013 a free state perspective on maternal morbidity and mortality","volume":"87","author":"Schoon M","year":"1997","journal-title":"Cardiovasc J Afr"},{"key":"e_1_2_6_53_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acvd.2011.06.001"},{"issue":"1","key":"e_1_2_6_54_1","first-page":"41","article-title":"Pregnancy outcome in chronic rheumatic heart disease","volume":"59","author":"Pratibha D","year":"2009","journal-title":"J Obstet Gynecol India"},{"issue":"4","key":"e_1_2_6_55_1","first-page":"289","article-title":"Risk prediction of cardiovascular complications in pregnant women with heart disease","volume":"106","author":"Martins L","year":"2016","journal-title":"Arq Bras Cardiol"},{"key":"e_1_2_6_56_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7292(02)00029-2"},{"key":"e_1_2_6_57_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7292(03)00159-0"},{"key":"e_1_2_6_58_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2005.03.008"},{"key":"e_1_2_6_59_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-5994.2012.02725.x"},{"issue":"10","key":"e_1_2_6_60_1","first-page":"1159","article-title":"Outcomes of pregnancy complicated by heart disease at Maharaj Nakorn Chiang Mai Hospital","volume":"94","author":"Jatavan T","year":"2011","journal-title":"J Med Assoc Thai"},{"issue":"11","key":"e_1_2_6_61_1","first-page":"2253","article-title":"Outcome of pregnancy among parturients complicated with heart disease in Rajavithi Hospital","volume":"90","author":"Kovavisarach E","year":"2007","journal-title":"J Med Assoc Thai"},{"key":"e_1_2_6_62_1","doi-asserted-by":"publisher","DOI":"10.1080\/01443610050009520"},{"key":"e_1_2_6_63_1","first-page":"253","volume-title":"Nomenclature and Criteria for Diagnosis of Diseases of the Heart and Great Vessels","author":"The Criteria Committee of the New York Heart Association (NYHA)","year":"1994"},{"key":"e_1_2_6_64_1","doi-asserted-by":"publisher","DOI":"10.1161\/hc3001.093437"},{"key":"e_1_2_6_65_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehr218"},{"issue":"9","key":"e_1_2_6_66_1","first-page":"407","article-title":"Pregnancy following cardiac surgery","volume":"53","author":"Bhutta S","year":"2003","journal-title":"J Pak Med Assn"},{"key":"e_1_2_6_67_1","doi-asserted-by":"publisher","DOI":"10.3109\/01443619509007722"},{"issue":"1","key":"e_1_2_6_68_1","first-page":"QC20","article-title":"Heart disease in pregnancy\u2010evaluation of spectrum, association of predictors with obstetric outcome and need for comprehensive medical care","volume":"12","author":"Kanwar R","year":"2018","journal-title":"J Clin Diagn Res"},{"key":"e_1_2_6_69_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-009-1050-z"},{"key":"e_1_2_6_70_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2017.1319932"},{"key":"e_1_2_6_71_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-013-2730-2"},{"key":"e_1_2_6_72_1","doi-asserted-by":"publisher","DOI":"10.3109\/14767050903410698"},{"key":"e_1_2_6_73_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(03)00339-4"},{"key":"e_1_2_6_74_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.108.792952"},{"key":"e_1_2_6_75_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1603693"},{"key":"e_1_2_6_76_1","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2015-308237"},{"key":"e_1_2_6_77_1","unstructured":"ColquhounS.Global epidemiology prevention and control of rheumatic heart disease with a focus on the Pacific Islands region Darwin Australia: Global Health Division Menzies School of Health Research Charles Darwin University;2015."},{"key":"e_1_2_6_78_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja17.00666"},{"issue":"2","key":"e_1_2_6_79_1","first-page":"1","article-title":"Perinatal outcomes of women with rheumatic heart disease","volume":"52","author":"Sullivan E","year":"2016","journal-title":"J Paediatr Child Health"},{"issue":"3","key":"e_1_2_6_80_1","first-page":"210","article-title":"Rheumatic heart disease screening by \u201cpoint\u2010of\u2010care\u201d echocardiography: an acceptable alternative in resource limited settings?","volume":"4","author":"Saxena A","year":"2015","journal-title":"Transl Pediatr"},{"key":"e_1_2_6_81_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gheart.2016.03.259"},{"key":"e_1_2_6_82_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrcardio.2012.7"},{"key":"e_1_2_6_83_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2017.03.605"},{"key":"e_1_2_6_84_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2019.01.054"},{"key":"e_1_2_6_85_1","doi-asserted-by":"publisher","DOI":"10.7196\/SAMJ.2018.v108i9.13102"},{"key":"e_1_2_6_86_1","doi-asserted-by":"publisher","DOI":"10.1186\/1478-4491-6-21"},{"key":"e_1_2_6_87_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyy046"},{"key":"e_1_2_6_88_1","unstructured":"KnightM NairM TuffnellD et al.Saving lives improving mothers\u2019 care\u2014surveillance of maternal deaths in the UK 2012\u201014 and lessons learned to inform maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2009\u201014. National Perinatal Epidemiology Unit University of Oxford;2016."},{"key":"e_1_2_6_89_1","unstructured":"HameedA MortonC MooreA.Improving health care response to cardiovascular disease in pregnancy and postpartum. Developed under contract #11\u201010006 with the California Department of Public Health Maternal Child and Adolescent Health Division.2017."},{"key":"e_1_2_6_90_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2018.07.140"},{"key":"e_1_2_6_91_1","doi-asserted-by":"publisher","DOI":"10.5830\/CVJA-2016-017"},{"key":"e_1_2_6_92_1","unstructured":"RHDAustralia.Australian guideline for prevention diagnosis and management of acute rheumatic fever and rheumatic heart disease (3rd edition) (Under development).2019."},{"key":"e_1_2_6_93_1","doi-asserted-by":"publisher","DOI":"10.1111\/birt.12361"},{"key":"e_1_2_6_94_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.2003.02537.x"},{"key":"e_1_2_6_95_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0020476"}],"container-title":["Birth"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fbirt.12435","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/birt.12435","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/birt.12435","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/birt.12435","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T20:24:10Z","timestamp":1694204650000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/birt.12435"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5,31]]},"references-count":94,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2019,12]]}},"alternative-id":["10.1111\/birt.12435"],"URL":"https:\/\/doi.org\/10.1111\/birt.12435","archive":["Portico"],"relation":{},"ISSN":["0730-7659","1523-536X"],"issn-type":[{"type":"print","value":"0730-7659"},{"type":"electronic","value":"1523-536X"}],"subject":[],"published":{"date-parts":[[2019,5,31]]},"assertion":[{"value":"2019-01-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-04-25","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-05-31","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}