This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Anaesthesia
[{'content': 'A 25 year old primigravide with mitral stenosis and mitral regurgitation is under labor. She wants normal delivery which would be the best way to provide analgesia in this lady \nSelect and explain. \nA. Inhalational analgesia, B. Intravenous opioids, C. Spinal anesthesia, D. Neuraxialblockde analgesia', 'role': 'user'}, {'content': 'Answer: D \nExplanation: D i.e. Neuraxialblockde analgesia Epidural (neuraxial) analgesia is the most effective and least depressant method of intrapaum pain relief and is often viewed as technique choice for relief of labor painQ. It blunts the hemodynamic effects of contractions and associated pain response, which is desirable for patients with hypeensive disorders, asthma, diabetes, and cardiac and intracardiac neurovascular diseaseQ', 'role': 'assistant'}]