{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:37:07Z","timestamp":1747183027889,"version":"3.40.5"},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,7,27]],"date-time":"2022-07-27T00:00:00Z","timestamp":1658880000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Fetal heart block (FHB) occurs in approximately 1:20\u2009000 births and is associated with significant morbidity and mortality. Vaginal delivery with intrapartum fetal scalp lactate monitoring is offered as an option at our centre for selected cases, in contrast with the published literature advocating caesarean birth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To review perinatal outcomes at delivery for FHB at a tertiary referral hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Ours was a retrospective cohort study from 1 January, 2007 to 30 June, 2020. The infant outcomes are summarised in three delivery groups: vaginal delivery, planned caesarean section (CS) and unplanned CS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 23 newborns in the study period, with a median gestation at birth of 37.2\u2009weeks and there was one antepartum fetal death in this cohort. Vaginal delivery was planned in 12 women: eight had normal births, three of these women progressed to an intrapartum (unplanned) CS and one woman had a planned CS. All live babies in the vaginal delivery cohort had an Apgar score greater than seven at five minutes. Of the 22 newborns, six required intubation, of which five had been delivered by a planned CS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our data suggest that planned vaginal delivery is a safe option for selected women carrying a fetus with FHB. Managing labour with serial fetal scalp lactates, and the involvement of senior clinicians are important factors in achieving a successful outcome.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13595","type":"journal-article","created":{"date-parts":[[2022,7,28]],"date-time":"2022-07-28T03:49:45Z","timestamp":1658980185000},"page":"212-218","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Fetal heart block: Vaginal delivery an option"],"prefix":"10.1111","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9606-9456","authenticated-orcid":false,"given":"Sarah Asmaa","family":"Gebara","sequence":"first","affiliation":[{"name":"Westmead Institute for Maternal &amp; Fetal Medicine, Department of Women's and Newborn Health Westmead Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7569-1016","authenticated-orcid":false,"given":"Sarah Jane","family":"Melov","sequence":"additional","affiliation":[{"name":"Westmead Institute for Maternal and Fetal Medicine, Department of Women and Newborn Westmead Hospital  Sydney New South Wales Australia"},{"name":"Reproduction and Perinatal Centre, Faculty of Medicine and Health University of Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thushari Indika","family":"Alahakoon","sequence":"additional","affiliation":[{"name":"Westmead Institute for Maternal and Fetal Medicine, Department of Women and Newborn Westmead Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gary","family":"Sholler","sequence":"additional","affiliation":[{"name":"The Heart Centre for Children, The Children's Hospital at Westmead The Sydney Children's Hospital Network  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0306-4160","authenticated-orcid":false,"given":"Roshini","family":"Nayyar","sequence":"additional","affiliation":[{"name":"Westmead Institute for Maternal &amp; Fetal Medicine, Department of Women's and Newborn Health Westmead Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,7,27]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.1918"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(01)01697-7"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(10)80148-2"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.1919"},{"key":"e_1_2_8_6_1","first-page":"8352320","article-title":"Facilitation of Vaginal Delivery in an Infant with Complete Heart Block Secondary to Maternal Anti\u2010Ro Antibodies","volume":"2017","author":"Thornton E","year":"2017","journal-title":"Case Rep Obstet Gynecol"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.4103\/0366-6999.219160"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951107000182"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.107.735118"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehr347"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsha.2011.01.008"},{"key":"e_1_2_8_12_1","unstructured":"Australian Bureau of Statistics.Births Australia2020;https:\/\/www.abs.gov.au\/statistics\/people\/population\/births\u2010australia\/2020#states\u2010and\u2010territories."},{"volume-title":"New South Wales Mothers and Babies 2019","year":"2021","author":"Centre for Epidemiology and Evidence","key":"e_1_2_8_13_1"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/0020-7292(95)80014-4"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0035-1552934"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12671"},{"key":"e_1_2_8_17_1","first-page":"11","article-title":"Maternity Clinical Risk Management Program Policy Directive. 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