Complete Heart Block with Pacemaker in Pregnancy

Rupal Sipani (1) , Jayarakkini A (2) , Shanthi E (3)
(1) Department of Obstetrics and Gynecology, Saveetha Medical College and Hospital, Chennai – 602105, Tamil Nadu, India, India ,
(2) Department of Obstetrics and Gynecology, Saveetha Medical College and Hospital, Chennai – 602105, Tamil Nadu, India, India ,
(3) Department of Obstetrics and Gynecology, Saveetha Medical College and Hospital, Chennai – 602105, Tamil Nadu, India, India

Abstract

Nowadays many women with pacemakers in heart are contemplating and undergoing pregnancy. Complete heart block is an important obstetric complication. Pregnancy with complete heart block is rare and it requires a multidisciplinary approach involving the obstetrician, cardiologist, anaesthesiologist and neonatologist. Though data on such patients where the cardiac association with obstetrics is limited. We present a case of a pregnant woman with congenital complete heart block with permanent pacemaker insitu. 21 year old primigravida at 36 weeks of gestation with congenital complete heart block and pacemaker in situ came to OPD with complaints of pain abdomen. The patient was asymptomatic throughout the pregnancy. The patient was admitted & on evaluation was found to have threatened preterm labour & underwent emergency LSCS & delivered a girl child with a good Apgar score of 8/10,9/10. Intra op & post-op mother & baby was doing good & stable throughout the hospital stay.

Full text article

Generated from XML file

References

Population Division. Population Challenges and Development Goals. Department of Economic and Social Affairs, pages 1–70, 2005.

A Srivastav, M S Khan, and C R Chauhan. Knowledge, attitude and practices about contraceptive among married reproductive females. International Journal of Scientific Study, 1(5):2–4, 2014.

H Tuladhar and R Marahatta. Awareness and practice of family planning methods in women attending gyne OPD at Nepal Medical College Teaching Hospital. Nepal Med Coll J, 10(3):184–191, 2008.

J Bongaarts. The KAP-Gap and the Unmet Need for Contraception. Population and Development Review, 17(2):293–313, 1991.

R A Gaikwad, S N Gadappa, and S S Deshpande. Awareness of contraception in post-partum women in a tertiary care centre. Contraception, Obstetrics and Gynecology, 6(9):3850, 2017.

A Conde-Agudelo, A Rosas-Bermúdez, and A C Kafury-Goeta. Birth spacing and risk of adverse perinatal outcomes: a meta-analysis. JAMA, 295(15):16622143, 2006.

Singh Kaushalendra, Verma Shruti, and Tanti Shilpi. Contraceptive use among postpartum women in India. Asian Population Studies, 10(1):23–39, 2013.

J Stover and J Ross. How increased contraceptive use has reduced maternal mortality. Matern Child Health J, 14(5):687–695, 2010.

S O Rutstein. Effects of preceding birth intervals on neonatal, infant and under-five years mortality and nutritional status in developing countries: evidence from the demographic and health surveys. International Journal of Gynecology and Obstetrics, 89(1):7–24, 2005.

S Thapa, A Rani, and C Mishra. Knowledge, attitude and belief about contraception in post-partum and post aborted women in a tertiary care centre. Contraception, Obstetrics and Gynecology, 3(3):533–539, 2014.

J J Upadhye and J V Upadhye. Contraceptive awareness and practices in women of urban India. International Journal of Reproduction, 6(4), 2017.

B K Patro, S Kant, N Baridalyne, and A K Goswami. Contraceptive practice among married women in a resettlement colony of Delhi. Health Popul Perspect Issues, 28(1):9–16, 2005.

H Hayat, P S Khan, B Imtiyaz, G Hayat, and R Hayat. Knowledge, Attitude and Practice of Contraception in Rural Kashmir. The Journal of Obstetrics and Gynecology of India, 63(6):410– 414, 2013.

S K Kaushal, S C Saxena, V K Srivastava, S C Gupta, and S Nigam. KAP study on contraceptive methods in Kanpur district of UP. Indian J Community Health, 22(1):33–41, 2010.

K K Mitkari, S Haralkar, P Sancheti, and R Gokhale. Study of contraceptive use in married women of reproductive age group in urban slum area of western Maharashtra. International Journal of Community Medicine and Public Health, 6(10):4499, 2019.

K G Makade, M Padhyegurjar, S B Padhyegurjar, and R N Kulkarni. Study of contraceptive use among married women in a slum in Mumbai. National J Comm Med, 3(1):40–43, 2012.

A Mozumdar, V Gautam, A Gautam, A Dey, Uttamacharya, R Saith, P Achyut, A Kumar, K Aruldas, A Chakraverty, D Agarwal, R Verma, P Nanda, S Krishnan, and N Saggurti. Choice of contraceptive methods in public and private facilities in rural India. BMC Health Services Research, 19(1):421, 2019.

Authors

Rupal Sipani
drupals2012@gmail.com (Primary Contact)
Jayarakkini A
Shanthi E
Rupal Sipani, Jayarakkini A, & Shanthi E. (2023). Complete Heart Block with Pacemaker in Pregnancy. International Journal of Research in Pharmaceutical Sciences, 14(1), 21–25. https://doi.org/10.26452/ijrps.v14i1.4178

Article Details

No Related Submission Found