Utilization of fetal scalp pH and direct fetal electrocardiogram in the intrapartum management of congenital complete heart block in an adolescent primigravida.

This case report documents the antepartum detection of congenital complete heart block in the fetus of an adolescent primigravida. Management utilizing direct fetal electrocardiogram and fetal scalp sampling is discussed. The report illustrates the appropriate management of a fetus in utero with congenital complete heart block and suggests procedures to be taken prior to delivery in the expectant management of a neonate with a congenital conduction defect.