Transient Foetal Bradycardia in primary care: a diagnostic dilemma and navigating decision

Che' Man, Mohamad and Khamis@Roslee, Norhayaty Sharman and AH, Nur Hafizah Ainaa (2024) Transient Foetal Bradycardia in primary care: a diagnostic dilemma and navigating decision. Asian Journal of Medicine and Health Sciences. E-ISSN 2637-0603

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Abstract

Transient foetal bradycardia is a rare occurrence during pregnancy, characterised by brief episodes of bradycardia followed by spontaneous resolution. Nevertheless, it is essential to exclude other causes, including sinus bradycardia, atrioventricular block, or auto-immune disease-related conditions. We report a case involving the incidental finding of transient foetal bradycardia in a 37-year-old woman at 20 weeks of gestation. A brief episode of foetal bradycardia was observed during a routine transabdominal ultrasound, with a heart rate of 82 beats per minute (bpm). After a short period of observation, foetal bradycardia recurred. The case was referred to a Maternal Foetal Medicine Specialist (MFM) in the obstetrics and gynecology department, where foetal echocardiography was conducted. The conclusion was that transient foetal bradycardia was likely secondary to prematurity. Repeated transabdominal ultrasound at 28 weeks of gestation revealed spontaneous resolution of foetal bradycardia. This case report highlights the importance of foetal cardiac surveillance during routine antenatal visits. The lack of access to foetal echocardiography makes it challenging to verify the diagnosis in primary care; hence, collaboration with a tertiary centre is essential.

Item Type:	Article (Abstract)
Uncontrolled Keywords:	foetal echocardiography; primary care; transient foetal bradycardia.
Subjects:	R Medicine > RA Public aspects of medicine
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Family Medicine (Effective: 1st January 2011)
Depositing User:	SR NUR FARHANA LATFI
Date Deposited:	27 May 2024 17:18
Last Modified:	27 May 2024 17:41
URI:	http://irep.iium.edu.my/id/eprint/112308

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