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39 weeks pregnant with sick sinus syndromeFrom: Nikki Macfarlane (macfar@pacific.net.sg)Thu Jul 11 09:53:09 2002
I currently have a client who is due in the next week. She has only just contcated us and advised she has Sick Sinus Syndrome. Has had a pacemaker (not totally dependent on pacemaker) for the past 18 years. Feels very well physically, fit and healthy. Moderately low bp (105/65 during pregnancy) but otherwise all considered normal by her ob. She is planning for a drug free birth. Question is has anyone seen this condition before in pregnancy and is there anything to be aware of. She has said that if she lies on her back she passes out but otherwise fine. What would be the possible consequences if she has an epidural or opoids during labour for pain relief? Obviously the epidural has the potential to reduce BP even fuirther. Could this cause a problem for mother or baby. Is an epidural contraindicated in a cardiac condition such as this? Thanks for your help,
-- Nikki Macfarlane Student Nurse & labour supporter
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