1. Valvular heart disease

2. Valvular heart disease

3. Valvular heart disease and pregnancy

4. Valvular heart disease and pregnancy

5. Prediction of outcome

6. Deaths from valvular disease

7. 11 women who died

8. Morbidity study

9. Characteristics of women – morbidity study

10. Characteristics of women – morbidity study

11. What made the difference?

12. Key messages

13. Pre pregnancy care

14. Key Message

15. Multidisciplinary Care Planning*

16. Multidisciplinary care planning

17. Key Message

18. Anticoagulation*

19. Key Message

20. Consider valve thrombosis*

21. Key Message

22. Conclusions