Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 16 , ISSUE 3 ( May-June, 2024 ) > List of Articles


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

Jalormy Joshi, Amardeep Tembhare

Keywords : Case report, Multidisciplinary approach, Pacemaker, Pregnancy

Citation Information : Joshi J, Tembhare A. Pregnancy with Cardiac Pacemaker: A Multidisciplinary Approach to Rare Case Management. J South Asian Feder Obs Gynae 2024; 16 (3):315-318.

DOI: 10.5005/jp-journals-10006-2375

License: CC BY-NC 4.0

Published Online: 29-04-2024

Copyright Statement:  Copyright © 2024; The Author(s).


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.

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  1. Coolen J, Turnelp R, Vonder Muhll I, et al. Permanent pacemakers in pregnancy. Clin Exp Obstet Gynecol 2011;38(3):297–298. PMID: 21995172.
  2. Kafka H, Johnson MR, Gatzoulis MA. The team approach to pregnancy and congenital heart disease. Cardiol Clin 2006;24(4):587–605, vi. DOI: 10.1016/j.ccl.2006.08.009.
  3. Jaffe R, Gruber A, Fejgin M, et al. Pregnancy with an artificial pacemaker. Obstet Gynecol Surv 1987;42(3):137–139. PMID: 3550552.
  4. Grover S, Sheth P, Haines DE, et al. Management of cardiac pacemakers in a pregnant patient. J Obstet Gyn 2015;5(1):60–69. DOI: 10.4236/ojog.2015.51009.
  5. Sanghavi M, Rutherford JD. Cardiovascular physiology of pregnancy. Circulation 2014;130(12):1003–1008. DOI: 10.1161/CIRCULATIONAHA.114.009029.
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