Key result
A patient with complete heart block managed without a pacemaker successfully underwent seven pregnancies without significant changes in haemodynamic status during labour and delivery.
Case Report (n=1)
Managing pregnancy without pacing may be an appropriate and safe alternative for women with complete heart block who do not have any other underlying cardiac disorders.
May support pacemaker-free management in select uncomplicated complete heart block pregnancies; leaves open need for prospective confirmation.
Obstetric management of a woman with a permanent pacemaker in situ is well reported in the literature; but those who present without pacing are still debatable. The necessity for setting the optimal timing or rate of temporary artificial pacing, specifically for labour, has not been objectively assessed. Temporary pacing in most cases reported in the literature might be to withstand the variations in haemodynamic status during delivery and labour. We report a case of a patient with complete heart block without any pacing who had seven pregnancies without any significant changes in haemodynamic status during labour and delivery. Managing a pregnancy without pacing might be an appropriate alternative for women without any underlying cardiac disorder, as it will not lead to significant changes in the haemodynamic system.
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Keepanasseril et al. (2015) conducted a case report in Complete atrioventricular block in pregnancy (n=1). Pregnancy without pacing was evaluated on Haemodynamic status during labour and delivery. A patient with complete heart block managed without a pacemaker successfully underwent seven pregnancies without significant changes in haemodynamic status during labour and delivery.
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