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Unknown General 95016c0b

A 26-year-old primigravida diagnosed with severe rheumatic heart disease (Mitral stenosis with mitral regurgitation) is in early labour. The obstetrician wants to try a normal labour. Which of the following is the best labour analgesia for this patient?

A
Parenteral opioids
B
Neuraxial analgesia
C
Inhalational anesthesia
D
Spinal anesthesia
High-Yield Explanation
Ans- B Neuraxial analgesia Neuraxial analgesia reduces preload and afterload and reduces catecholamine surge and reduces heart rate. It also gives perineal analgesia and removes the urge to push.

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