Facilitation of Vaginal Delivery in an Infant with Complete Heart Block Secondary to Maternal Anti-Ro Antibodies

Congenital heart block (CHB) is a rare disorder that may be associated with a high morbidity and even mortality, with a risk of death both in utero and during infancy. Women with serum titres of anti-Ro and/or anti-La antibodies carry a risk of CHB of 1-5% in their offspring, with a recurrence risk...

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Main Authors: E. Thornton (Author), L. Tripathi (Author), S. Shebani (Author), I. Bruce (Author), L. Byrd (Author)
Format: Book
Published: Hindawi Limited, 2017-01-01T00:00:00Z.
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042 |a dc 
100 1 0 |a E. Thornton  |e author 
700 1 0 |a L. Tripathi  |e author 
700 1 0 |a S. Shebani  |e author 
700 1 0 |a I. Bruce  |e author 
700 1 0 |a L. Byrd  |e author 
245 0 0 |a Facilitation of Vaginal Delivery in an Infant with Complete Heart Block Secondary to Maternal Anti-Ro Antibodies 
260 |b Hindawi Limited,   |c 2017-01-01T00:00:00Z. 
500 |a 2090-6684 
500 |a 2090-6692 
500 |a 10.1155/2017/8352320 
520 |a Congenital heart block (CHB) is a rare disorder that may be associated with a high morbidity and even mortality, with a risk of death both in utero and during infancy. Women with serum titres of anti-Ro and/or anti-La antibodies carry a risk of CHB of 1-5% in their offspring, with a recurrence risk of approximately 20%. We present a case of a 36-year-old female with a pregnancy complicated by congenital heart block. Autoimmune profiling at booking showed she was positive for lupus anticoagulant and anti-Ro antibodies. A fetal echocardiogram at 21 + 3 showed complete heart block. She was monitored throughout the remainder of her pregnancy with serial growth scans, cardiovascular profiling, and BPP scoring. She had a normal vaginal delivery at term to a female infant. 
546 |a EN 
690 |a Gynecology and obstetrics 
690 |a RG1-991 
655 7 |a article  |2 local 
786 0 |n Case Reports in Obstetrics and Gynecology, Vol 2017 (2017) 
787 0 |n http://dx.doi.org/10.1155/2017/8352320 
787 0 |n https://doaj.org/toc/2090-6684 
787 0 |n https://doaj.org/toc/2090-6692 
856 4 1 |u https://doaj.org/article/d1bd003e7b6e4a21a4e32b2f4dc6e1cb  |z Connect to this object online.