Cardiac implantable electronic devices in pregnancy: A position statement

BJOG. 2024 Dec;131(13):1739-1746. doi: 10.1111/1471-0528.17918. Epub 2024 Jul 31.

Abstract

The aim of this document is to provide guidance for the management of women and birthing people with a permanent pacemaker (PPM) or implantable cardioverter defibrillator (ICD). Cardiac devices are becoming more common in obstetric practice and a reference document for contemporary evidence-based practice is required. Where evidence is limited, expert consensus has established recommendations. The purpose is to improve safety and reduce the risk of adverse events relating to implanted cardiac devices during pregnancy, birth and the postnatal period.

Keywords: anaesthesia: obstetric; maternal mortality; maternal physiology; medical disorders in pregnancy.

Publication types

  • Practice Guideline

MeSH terms

  • Defibrillators, Implantable* / standards
  • Female
  • Humans
  • Pacemaker, Artificial*
  • Pregnancy
  • Pregnancy Complications, Cardiovascular* / therapy