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Case Reports in Obstetrics and Gynecology
Volume 2017, Article ID 8352320, 4 pages
https://doi.org/10.1155/2017/8352320
Case Report

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

1ST1 Obstetrics and Gynaecology, Royal Bolton Hospital, Bolton, UK
2North Manchester General Hospital, Manchester, UK
3Glenfield Hospital, Leicester, UK
4Department of Rheumatology, Manchester Royal Infirmary, Manchester, UK
5St Mary’s Hospital, Manchester, UK

Correspondence should be addressed to E. Thornton; ku.gro.srotcod@notnrohtamme

Received 11 July 2017; Accepted 17 October 2017; Published 21 November 2017

Academic Editor: Irene Hoesli

Copyright © 2017 E. Thornton et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.