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Am J Perinatol 1997; 14(6): 317-320
DOI: 10.1055/s-2007-994152
ORIGINAL ARTICLE

© 1997 by Thieme Medical Publishers, Inc.

Isolated Persistent Fetal Bradycardia in Complete A-V Block: A Conservative Approach is Appropriate. A Case Report and A Review of the Literature

David Rabinerson1 , Arieh Gruber1 , Boris Kaplan1 , Samuel Lurie2 , Yoav Peled1 , Alexander Neri1
  • 1Department of Obstetrics and Gynecology, Rabin Medical Center-Beilinson Campus, Petah Tiqva, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
  • 2Department of Obstetrics and Gynecology, Kaplan Hospital, Rehovot, Israel
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Publication Date:
04 March 2008 (online)

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ABSTRACT

Persistent fetal bradycardia is rarely encountered during pregnancy. When it is associated with a complete atrio-ventricular (A-V) block, it may prove dangerous to the fetus or newborn. The prenatal diagnosis is vital because it necessitates close follow-up during pregnancy to detect fetal compromise and proper preparation for delivery. We describe a woman who was found to be suffering from systemic lupus ery-thematosus during pregnancy. The fetus was diagnosed as having persistent fetal bradycardia due to complete A-V block at 28 weeks of gestation and was delivered at term with conservative management. The problems entailed in managing pregnancy and delivery of such fetuses are discussed.

Keywords

Fetal bradycardia - intrapartum - fetal A-V block - SLE