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Chapter 20 - Is the Baby’s Heart Rate Supposed to Be Slower than Mine?

Published online by Cambridge University Press:  17 December 2021

By
Olga Van Der Woude  and
Shelley Riphagen
Edited by
Shelley Riphagen  and
Sam Fosker
Shelley Riphagen
Affiliation:
Evelina Children’s Hospital, London and South Thames Retrieval Service
Sam Fosker
Affiliation:
Evelina Children’s Hospital, London
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Summary

A baby boy with a tertiary centre diagnosis of complete heart block was delivered at 34 weeks of gestation via emergency caesarean section at the local hospital because of fetal bradycardia. The mother had been diagnosed with anti-Ro/La antibodies during the pregnancy. The antenatal scans at the tertiary referral centre were normal to date. The baby was born in good condition but developed an increased work of breathing 5 minutes after birth and was intubated after 20 minutes due to desaturations related to a bradycardia of 50 to 60 bpm. The baby was referred to the regional cardiac centre and the paediatric retrieval team for transfer.

Type
Chapter
Information
Cases in Paediatric Critical Care Transfer and Retrieval Medicine , pp. 105 - 108
Publisher: Cambridge University Press
Print publication year: 2022

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References

Further Reading

Di Mauro, A, Caroli Casavola, V, Favia Guarnieri, G, et al. Antenatal and postnatal combined therapy for autoantibody-related congenital atrioventricular block. BMC Pregnancy Childbirth 2013;13:220.CrossRefGoogle ScholarPubMed
Friedman, DM, Duncanson, LJ, Glickstein, J, Buyon, JP. A review of congenital heart block; Images Paediatr Cardiol. 2003;5(3):36–48.Google ScholarPubMed
Hiren, D, Lokare, S. Temporary neonatal atrial pacing through the umbilical venous route: A novel technique. Ann Pediatr Cardiol 2011;4(2):164–5.Google Scholar
Khanna, P, Arora, S, Aravindan, A et al; Anaesthetic management of a 2-day-old with complete congenital heart block. Saudi J Anaesth. 2014;8(1):134–7.CrossRefGoogle ScholarPubMed
Ng, O, Shahani, SJ. Anaesthetic management of a premature low-birth-weight neonate with congenital complete heart block for implantation of temporary epicardial pacing wires. Singapore Med J. 2014;55(1) e9–e11.Google Scholar
Wang, B, Hu, S, Shi, D et al. Arrhythmia and/or cardiomyopathy related to maternal autoantibodies: Descriptive analysis of a series of 16 cases from a single center. Fron Pediatr 2019;7:465.CrossRefGoogle ScholarPubMed

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