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Recalls brainstorm 2016 1

2. Risk of congenital heart block if mother has SLE with both anti- Ro/La • The usual presentation is a fixed fetal bradycardia of 60–80 beats per minute on ultrasound scan. • 2–3% of fetuses of women with the anti-Ro/La antibody • there is a recurrence rate of 16% in subsequent pregnancies • women with anti-Ro/La antibodies who have had a previous pregnancy affected by fetal heart block are started on HCQ before 10 weeks of gestation • A fetal echo is offered at 18 weeks, and the fetal heart rate is monitored with a handheld Doppler at midwifery-led appointments every 2 weeks from 20 weeks. 3
3.Screening for TTTS should be started by? 4

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