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?
Parenteral opioids
Neuraxial analgesia
Inhalational anesthesia
Spinal anesthesia
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.