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: Unknown
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? 
Select and explain. 
A. Parenteral opioids, B. Neuraxial analgesia, C. Inhalational anesthesia, D. Spinal anesthesia
B: Neuraxial analgesia
Answer: B: Neuraxial analgesia 
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.