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WPW in laborFrom: Elrod Darryl G MAJ 48 MDOS/SGOBO (Darryl.elrod@LAKENHEATH.AF.MIL)Wed Mar 23 05:16:13 2005
I have a 25 yo lady at 39 wks admitted with PROM. Several years ago, during a routine physical that included an EKG she was diagnosed with Wolff Parkinson White. She was subsequently seen by cardiology and they opted not to ablate her as she had no symptoms. She has continued to be asymptomatic during her pregnancy and other than her previous workup hasn't had anything else done for workup. I can't say that I've seen WPW during labor. (I vaguely remember it being something I saw on the medicine service during med school) I would assume that her risk would be of developing another arrhythmia during labor. Does anyone know what that risk might be? Would you do cardiac monitoring during labor? Should she be at a level 1 center without a functioning ICU? Thanks, Glen
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