Cesarean delivery in congenital heart block and need of temporary pacing: A case report

Soni, Sumit; Hazarika, Amarjyoti

doi:10.4103/sja.sja_757_18

Cited by 1 publication

(1 citation statement)

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“…Some patients may require temporary pacing during labor, introducing considerations for the optimal delivery route. The debate surrounding the most suitable mode of delivery for individuals with CHB remains ongoing, with the multidisciplinary team weighing the risks and benefits associated with both vaginal delivery and cesarean section based on individualized patient factors [ 36 ].…”

Section: Reviewmentioning

confidence: 99%

Navigating the Complexity: A Comprehensive Review of Managing Pregnancy in Complete Heart Block Cases

Agarwal,

Murkey,

Pandit

et al. 2023

Cureus

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This review explores the comprehensive management of pregnancy in cases of complete heart block, a cardiac condition characterized by the dissociation between atrial and ventricular conduction. The review begins with a thorough examination of preconception counseling, emphasizing the assessment of maternal health, the evaluation of cardiac function, and the identification of potential risks. Subsequently, the medical management section delves into using beta-blockers, pacemakers, and antiarrhythmic drugs to monitor cardiac function during pregnancy and adjust medication regimens. Obstetric considerations highlight the importance of antenatal care, fetal monitoring, and thoughtful delivery planning, including the choice between vaginal delivery and cesarean section. The section on complications underscores the risks of arrhythmias, heart failure, premature birth, and neonatal cardiac issues. Looking ahead, the future directions and research section explores ongoing studies in genetics, pharmacology, and technological innovations, envisioning potential advancements in pacing technology and personalized medicine approaches. The conclusion synthesizes key findings, offering recommendations for clinical practice and reflecting on the challenges and opportunities inherent in managing pregnancy in complete heart block cases. The multidisciplinary approach emerges as paramount, with collaborative efforts paving the way for improved patient outcomes and advancements in the field.

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Section: Reviewmentioning

confidence: 99%