Pregnancy with Cardiac Pacemaker: A Multidisciplinary Approach to Rare Case Management

Abstract

Background:The prevalence of pregnant women arriving with pacemakers has increased due to advancements in pediatric cardiology and surgery. A multidisciplinary approach in the management of these patients leads to better maternal and perinatal outcomes. Case description: A 26 years term primigravida with labor pain since 3 hours presented to us. She has a history of permanent pacemaker in situ after ASD repair done 10 years back. She delivered a healthy child of 2.5 kg by LSCS and got discharged on 7th postoperative day in stable and satisfactory condition. Conclusion: Pregnant patient with pacemaker requires a multidisciplinary approach. A team of skilled obstetrician, cardiologist, and anesthesiologist is required. All patients with cardiovascular diseases need to be closely monitored during and after pregnancy and should return to their baseline cardiac status after postpartum.