title: Twin pregnancy in a patient with complete heart block. A case report.
abstract: A 22 year old primigravida with previously undiagnosed congenital complete heart block and a twin gestation is described. Early diagnosis of both problems and cardiac consultation allowed a temporary pacemaker to be inserted early in the third trimester. The patient was delivered by caesarean section at 36 weeks following spontaneous rupture of membranes. Maternal and fetal outcomes were excellent.
authors.affiliation: Department of Obstetrics and Gynaecology, University of the West Indies, Mt. Hope Women's Hospital, Trinidad.
authors.forename: S
authors.initials: S
authors.lastname: Ramsewak
authors.forename: P
authors.initials: P
authors.lastname: Persad
authors.forename: S
authors.initials: S
authors.lastname: Perkins
authors.forename: G
authors.initials: G
authors.lastname: Narayansingh
mesh_terms: D000328:Adult; D002585:Cesarean Section; D005260:Female; D006327:Heart Block / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D010138:Pacemaker, Artificial; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000503:physiopathology / Q000628:therapy*; D011263:Pregnancy Trimester, Third; D011272:Pregnancy, Multiple; D012422:Rupture, Spontaneous; D014427:Twins