Table of Contents

2017 Month : December Volume : 3 Issue : 2 Page : 1-3

CONGENITAL HEART BLOCK IN THE PREGNANT WOMAN WITH SUCCESSFUL OUTCOME- A CASE REPORT.

Kusuma Naik1, Seema Nadegodar2, Sreelatha S3

Corresponding Author:
Dr. Sreelatha S,
Professor,
Department of Obstetrics and Gynaecology,
ESIC MC/ PGIMSR,
Bangalore, Karnataka, India.

ABSTRACT

BACKGROUND

Congenital complete heart block without cardiac malformation is rare and potentially fatal. Occurrence of pregnancy in a women suffering from third-degree heart block is high-risk situation for both mother and foetus. A case is reported here who was unbooked, presented at 39 weeks of gestation with severe oligohydramnios. On examination, she had bradycardia and was confirmed by ECG as third-degree heart block. Echo showed no structural abnormalities other than trivial tricuspid regurgitation and trivial pulmonary regurgitation. And in view of severe oligohydramnios, decision was taken for caesarean section. Temporary cardiac pacing was done and she delivered a female baby of weight 2.6 kg by caesarean section under epidural anaesthesia. Maternal and foetal outcomes were good. She was discharged with advice regarding permanent cardiac pacing, follow-up and contraception.

KEYWORDS

Congenital Cardiac Heart Block, Bradycardia, Pacemaker, Oligohydramnios, Caesarean Section.

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