Hypervolemia and physiology changes in triplet pregnancy in a mother with permanent pacemakers due to bradicardia resulting from sinus node dysfunction due to AV block with secondary infertility for 19 years

Ali Sungkar (Department of Obstetrics and Gynecology Faculty of Medicine, University of Indonesia, General Hospital Cipto Mangunkusumo, Jakarta)
Fita Maulina (Department of Obstetrics and Gynecology Faculty of Medicine, University of Indonesia, General Hospital Cipto Mangunkusumo, Jakarta)
M Adya F Dilmy (Department of Obstetrics and Gynecology Faculty of Medicine, University of Indonesia, General Hospital Cipto Mangunkusumo, Jakarta)

Majalah Obstetri dan Ginekologi
Vol. 28 No. 3 (2020): December

The well-known hypervolemia associated with normal pregnancy averages 40 to 45 percent above blood volume in non-pregnant women after 32 to 34 weeks. The case was on Mrs. FN, 40 years old, a patient reffered due to sinus bradycardia before the insertion of permanent pacemaker. After 6 month-use of the permanent pacemaker, she became pregnant with triplet pregnancy. This case report evaluated the patient's condition from her hypervolemic condition to her cardiac function.