Journal of Nepal Medical Association (Aug 2020)

Pregnancy with Complete Heart Block-An Emergency Cesarean Section with Temporary Pacemaker: A Case Report

  • Anamika Das,
  • Pritha Basnet,
  • Ramesh Shrestha,
  • Abha Hada,
  • Bidhur Bhandari

DOI
https://doi.org/10.31729/jnma.5172
Journal volume & issue
Vol. 58, no. 228

Abstract

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Management of a pregnant woman with complete heart block presenting during pregnancy and without pacing remains debatable. To bear up against any hemodynamic variations in peripartum period, temporary pacemakers have been advocated by some authors. Herein, we report a case of successful management of a 24 year old, pregnant woman with CHB who had an uneventful emergency caesarean delivery under spinal anesthesia after temporary pacing. She was an unbooked patient detected with CHB first time during active stage of labour. She delivered a healthy male baby and was discharged from the hospital in a stable and satisfactory condition on seventh postoperative day.

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