“…In contrast, ICD shocks are a concern for the safety of the fetus, although the amount of energy transferred to the uterus is very small and the fetal heart has a high fibrillatory threshold. 28,31) In a few studies, no arrhythmias or ICD discharges were precipitated during delivery. 28,29) As the status of the ICD during delivery appears to have no effect on the overall outcome, in fact, leaving the device "on" during vaginal delivery is recommended, whereas it should be "off" in the case of caesarean section, because electrocautery is involved.…”