Repeat pregnancy associated with cardiac pacemaker.
Two pregnancies in a patient with a fixed-rate pacemaker are reported. The first pregnancy was uneventful. The second had no maternal complications either. A moderate tachysystolia was detected during the second period. The newborn was delivered with forceps applied under spinal anesthesia. Newborn infant evolution presented no hazards, but umbilical cord analysis revealed a severe acidosis, in spite of a normal scalp analysis 45 min earlier. Epidural anesthesia is recommended for such patients.
Department of Obstetrics and Gynecology, Hospital de Cruces, Vizcaya, Spain.
R
R
Matorras
J
J
Diez
M
M
Saez
F
F
Montoya
G
G
Aranguren
F J
FJ
Rodríguez-Escudero
D000138:Acidosis / Q000175:diagnosis; D000328:Adult; D000773:Anesthesia, Obstetrical; D005260:Female; D005316:Fetal Distress / Q000209:etiology*; D005323:Fetal Monitoring; D006340:Heart Rate, Fetal / Q000502:physiology; D006801:Humans; D010138:Pacemaker, Artificial; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular