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
Answer is B. 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.