Article Text

other Versions

PDF
Letter
Unexpected heart block in the delivery room: the utility of ECG monitoring
  1. Birju A Shah,
  2. Edgardo Szyld,
  3. Anne G Wlodaver
  1. Neonatal-Perinatal Medicine, Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA
  1. Correspondence to Dr Birju A Shah, Neonatal-Perinatal Medicine, Pediatrics, University of Oklahoma Health Sciences, Oklahoma City, OK 73104, USA; birju-shah{at}ouhsc.edu

Statistics from Altmetric.com

A woman, who had not received adequate prenatal care, arrived in labour at 38 weeks’ gestation and rapidly delivered a 3 kg baby boy via repeat caesarean section. At the time of arrival, the head was engaged in the pelvis, and a vaginal hand was used during the delivery. Fetal heart rate patterns were unknown prior to delivery, due to scant fetal monitoring. She reported a history of depression and tobacco use during pregnancy.

Soon after birth, at about 3 minutes, the advanced neonatal resuscitation team was called. The infant was floppy and without heart beats detectable by pulse oximetry, despite initial standard neonatal resuscitation efforts. He was receiving …

View Full Text

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.