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Related Experiment Videos

Repeat pregnancy associated with cardiac pacemaker.

R Matorras1, J Diez, M Saez

  • 1Department of Obstetrics and Gynecology, Hospital de Cruces, Vizcaya, Spain.

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|December 1, 1991
PubMed
Summary
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Pregnancy with a fixed-rate pacemaker can be successful, but requires careful monitoring. Epidural anesthesia is recommended for delivery to manage potential complications like fetal acidosis.

Area of Science:

  • Obstetrics and Gynecology
  • Cardiology
  • Neonatology

Background:

  • Management of pregnancy in women with implanted cardiac pacemakers presents unique challenges.
  • Fixed-rate pacemakers require careful consideration during obstetric management due to potential impacts on maternal and fetal well-being.

Observation:

  • Two pregnancies in a patient with a fixed-rate pacemaker were analyzed.
  • The first pregnancy was uneventful; the second involved moderate uterine tachysystolia during labor.
  • Delivery was complicated by forceps application under spinal anesthesia.

Findings:

  • Despite no maternal complications, the second newborn exhibited severe umbilical cord acidosis.
  • Neonatal scalp analysis 45 minutes prior to delivery was normal, highlighting a rapid change.

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  • The newborn's subsequent clinical course showed no immediate hazards.

    • Implications:

    • Epidural anesthesia is recommended for patients with fixed-rate pacemakers undergoing labor and delivery.
    • Close fetal monitoring is crucial, especially in the presence of uterine tachysystolia.
    • This case underscores the importance of considering anesthesia choices to mitigate risks in pacemaker patients.