A 26-year-old pregnant woman at 20 weeks with known rheumatic mitral stenosis (NYHA II) presents for antenatal care. What is the most important aspect...

Question

A 26-year-old pregnant woman at 20 weeks with known rheumatic mitral stenosis (NYHA II) presents for antenatal care. What is the most important aspect of her management?

Accepted Answer

Multidisciplinary care involving cardiology, obstetrics and anaesthetics with close monitoring throughout pregnancy and delivery

Answer

Routine antenatal care only

Answer

Avoid cardiology review unless symptomatic deterioration occurs

Answer

Elective termination is mandatory

Answer

High-dose ACE inhibitors should be commenced

au-racp MCQ (SBA): RHD in pregnancy management

A 26-year-old pregnant woman at 20 weeks with known rheumatic mitral stenosis (NYHA II) presents for antenatal care. What is the most important aspect of her management?