Abstract
The finding of a high-degree Atrio-Ventricular (AV) block in pregnancy or post-partum is rare Congenital heart block are often
undiscovered till adulthood and may therefore be present during pregnancy or postpartum. As pregnancy is a state which
requires significant augmentation of cardiac output, hence complete AV block is of particular concern where heart rate cannot
increase, and cardiac output becomes solely dependent on stroke volume [1,2]. This concern regarding the changes in
haemodynamic status during delivery and labour, often prompts the physicians to consider temporary pacing even in
asymptomatic women.