Das, AnamikaBasnet, PrithaShrestha, RameshHada, AbhaBhandari, Bidhur2026-08-062026-08-062020https://hdl.handle.net/20.500.14572/7142Anamika Das Department of Obstetrics and Gynecology, B.P. Koirala Institute of Health Sciences, Dharan, Nepal Pritha Basnet Department of Obstetrics and Gynecology, B.P. Koirala Institute of Health Sciences, Dharan, Nepal Ramesh Shrestha Department of Obstetrics and Gynecology, B.P. Koirala Institute of Health Sciences, Dharan, Nepal Abha Hada Department of Obstetrics and Gynecology, B.P. Koirala Institute of Health Sciences, Dharan, Nepal Bidhur Bhandari Department of Obstetrics and Gynecology, B.P. Koirala Institute of Health Sciences, Dharan, NepalAbstract Management of a pregnant woman with complete heart block presenting during pregnancy and without pacing remains debatable. To bear up against any hemodynamic variations in peripartum period, temporary pacemakers have been advocated by some authors. Herein, we report a case of successful management of a 24 year old, pregnant woman with CHB who had an uneventful emergency caesarean delivery under spinal anesthesia after temporary pacing. She was an unbooked patient detected with CHB first time during active stage of labour. She delivered a healthy male baby and was discharged from the hospital in a stable and satisfactory condition on seventh postoperative day. Keywords: heart block; pacemaker; pregnancyen-USheart blockpacemakerpregnancyArticle