Vatche A Minassian1, Allahyar Jazayeri. 1. Department of Obstetrics and Gynecology, Texas Tech University Health Sciences Center, Lubbock, Texas, USA.
Abstract
BACKGROUND: Pregnancies complicated by congenital heart block usually have a poor prognosis when there is severe fetal bradycardia. CASE: We present a pregnancy with fetal heart rate of 40 beats per minute. She previously delivered a child with third-degree heart block by cesarean at 28 weeks. This pregnancy was complicated by a high ribonucleoprotein antibody anti-Ro/SSA titer and fetal bradycardia. The patient was treated with steroids and beta-mimetics. The fetus continued to grow normally with reassuring biophysical profiles. After fetal lung maturity documentation at 34 weeks, she delivered by repeat cesarean a healthy 2349-g infant who required a permanent pacemaker. CONCLUSION: Reassuring antepartum testing and normal growth in pregnant women with anti-Ro/SSA antibodies and congenital heart block may allow expectant management until fetal maturity.
BACKGROUND: Pregnancies complicated by congenital heart block usually have a poor prognosis when there is severe fetal bradycardia. CASE: We present a pregnancy with fetal heart rate of 40 beats per minute. She previously delivered a child with third-degree heart block by cesarean at 28 weeks. This pregnancy was complicated by a high ribonucleoprotein antibody anti-Ro/SSA titer and fetal bradycardia. The patient was treated with steroids and beta-mimetics. The fetus continued to grow normally with reassuring biophysical profiles. After fetal lung maturity documentation at 34 weeks, she delivered by repeat cesarean a healthy 2349-g infant who required a permanent pacemaker. CONCLUSION: Reassuring antepartum testing and normal growth in pregnant women with anti-Ro/SSA antibodies and congenital heart block may allow expectant management until fetal maturity.
Authors: Y Maeno; W Himeno; A Saito; S Hiraishi; O Hirose; M Ikuma; N Inamura; M Kawataki; A Mizukami; M Ota; H Shiraishi; G Satomi; H Kato Journal: Heart Date: 2005-08 Impact factor: 5.994