Perinatal monitoring of fetal well-being in the presence of congenital heart block.
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.
Friedman
D M
DM
Division of Pediatric Cardiology, New York Hospital Cornell Medical Center, New York 10021, USA.
Zervoudakis
I
I
Buyon
J P
JP
D018619:Echocardiography, Doppler, Pulsed; D005260:Female; D005315:Fetal Diseases / Q000000981:diagnostic imaging*; D005323:Fetal Monitoring / Q000379:methods; D005500:Follow-Up Studies; D005865:Gestational Age; D006327:Heart Block / Q000151:congenital* / Q000000981:diagnostic imaging* / Q000628:therapy; D006340:Heart Rate, Fetal; D006801:Humans; D007231:Infant, Newborn; D010138:Pacemaker, Artificial; D011247:Pregnancy; D011256:Pregnancy Outcome; D016216:Ultrasonography, Prenatal