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Am J Perinatol 1998; 15(12): 669-673
DOI: 10.1055/s-2007-999300
ORIGINAL ARTICLE

© 1999 by Thieme Medical Publishers, Inc.

Perinatal Monitoring of Fetal Well-Being in the Presence of Congenital Heart Block

Deborah M. Friedman1 , Ioannis Zervoudakis2 , Jill P. Buyon3
  • 1Division of Pediatric Cardiology, New York Hospital Cornell Medical Center, New York, New York
  • 2Division of Obstetrics, New York Hospital Cornell Medical Center, New York, New York
  • 3Department of Rheumatology, Hospital for Joint Disease/New York University School of Medicine, New York, New York
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Publication History

Publication Date:
04 March 2008 (online)

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ABSTRACT

We present a case of congenital complete heart block associated with maternal autoantibodies in which a normal labor and delivery could safely be allowed to proceed despite the absence of the usual tool of electronic fetal heart rate monitoring for fetal distress, by the technique of rupturing membranes and using a fetal scalp electrode electrocardiographic tracing to assess the fetal atrial rate.

Keywords

Fetal monitoring - congenital heart block - neonatal lupus erythematosis - fetal well-being