Complete Heart Block with Pacemaker in Pregnancy
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Pacemaker, Arrthymias, ECG, Ceserean Delivery, Bipolar Cautery, Preconceptional Counselling
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.
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