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Complete atrioventricular block in pregnancy: report of seven pregnancies in a patient without pacemaker
  1. Anish Keepanasseril1,
  2. Dilip Kumar Maurya1,
  3. Yavana Suriya J1,
  4. Raja Selvaraj2
  1. 1Department of Obstetrics & Gynecology, Jawaharlal Institute of Postgraduate Medical Education & Research, Pondicherry, India
  2. 2Department of Cardiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India
  1. Correspondence to Dr Anish Keepanasseril, keepan_r{at}


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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