ABSTRACT
Pregnancy complicated complete heart block is a high-risk situation. Maternal complete heart block [CHB], which manifests for the first time during pregnancy and peurperium, poses a challenge to treating physicians. Pace maker insertion is recommended early in case the patient is symptomatic or has a prolonged Q-T interval or left atrial enlargement on ECG. We are reporting a case of a pregnant woman G 2 para1+O with 31 weeks of pregnancy with complete heart block. She presented complains of sudden onset of localized epigastric pain which was accompanied with shortness of breath and non-projectile vomiting. Apart from these symptoms, she did not feel any palpitation. She was conscious and oriented with a pulse rate 44-bpm and BP 151/71mmHg. ECG confirmed the diagnosis of complete heart block. A permanent pacemaker was placed. She delivered at 37 weeks of gestation with an alive and healthy baby by. Caesarean section due to ruptured membranes. When a multidisciplinary approach is used, both maternal and neonatal outcomes are good