Lady wth MS + MR with full term gestation, obstetrician planning to conduct normal delivery, what would be anesthesia of choice?

Pain relief is important for heart disease patients as pain can cause tachycardia, which in turn can cause cardiac failure. Epidural and spinal techniques are the most effective means of providing pain relief for labor. These are also known as regional techniques because pain relief is limited to a specific anatomical region. These modalities are also known as neuraxial techniques, since both the approaches involve administration of drugs that exert their effects in the axial portion of the CNS