title: Pregnancy With SLE and Fetal Congenital Heart Block: A Case Report.
abstract: Autoimmune AV block is usually seen in association with autoimmune antibodies in mother that cross the placenta and damage the AV node of fetus. A 24-year-old primigravida, diagnosed to have SLE, at 25 weeks period of gestation found to have fetal bradycardia. Her ANA was moderately positive, SS-A (Ro) antibodies and SS-B (La) antibodies were positive. Fetal ECHO showed no structural defect but heart rate was 55 - 60 beats per minute. She was put on dexamethasone (4 mg/day). She was lost on follow up and presented at term in emergency with labor pains and fetal bradycardia, underwent a lower segment caesarean section. Baby underwent a temporary cardiac pacing within 10 hours of birth followed by permanent pacing on day 3 of birth. Baby is doing well on follow up. Neonates with isolated congenital heart block who are monitored antenatally and delivered in a planned fashion at an institution capable of early pacing can have favorable outcomes.
authors.affiliation: Department of Obstetrics and Gynaecology, Dayanand Medical College and Hospital, Ludhiana, India.
authors.forename: Suman
authors.initials: S
authors.lastname: Puri
authors.affiliation: Department of Pediatrics, Dayanand Medical College and Hospital, Ludhiana, India.
authors.forename: Puneet
authors.initials: P
authors.lastname: Pooni
authors.affiliation: Department of Cardiology, Hero DMC Heart Centre - Dayanand Medical College and Hospital, Ludhiana, India.
authors.forename: Bishav
authors.initials: B
authors.lastname: Mohan
authors.affiliation: Department of Obstetrics and Gynaecology, Dayanand Medical College and Hospital, Ludhiana, India.
authors.forename: Vidushi
authors.initials: V
authors.lastname: Bindal
authors.affiliation: Dayanand Medical College and Hospital, Ludhiana, India.
authors.forename: Sugam
authors.initials: S
authors.lastname: Verma
authors.affiliation: Dayanand Medical College and Hospital, Ludhiana, India.
authors.forename: Sumati
authors.initials: S
authors.lastname: Verma
authors.affiliation: Department of Cardiovascular and Thoracic Surgery, Hero DMC Heart Centre - Dayanand Medical College and Hospital, Ludhiana, India.
authors.forename: Rajiv Kumar
authors.initials: RK
authors.lastname: Gupta
keywords: Fetal bradycardia; Fetal congenital heart block; SLE with pregnancy