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Fetal congenital complete heart block: prophylaxis with intravenous gammaglobulin and treatment with dexamethasone
Author(s) -
Wong Judy PL,
Kwek Kenneth YC,
Tan Jackie YL,
Yeo George SH
Publication year - 2001
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.2001.tb01243.x
Subject(s) - medicine , gestation , dexamethasone , fetus , pregnancy , heart block , obstetrics , surgery , electrocardiography , genetics , biology
Summary: We report a case of complete fetal heart block in a 35‐year‐old Chinese woman known to be positive for anti‐SSA/Ro and anti‐SSB/La antibodies. She had fetal hydrops leading to intrauterine death in her first pregnancy. Prophylactic intravenous immunoglobulin, given at 14 and 18 weeks' gestation, as well as oral dexamethasone, commenced at 24 weeks' gestation, allowed continuation of the pregnancy until 34 completed weeks of gestation. An external pacemaker was inserted in the baby on the first day of life. Two‐and‐a‐half months later, a permanent pacemaker was inserted.