Question
A 25 year old primigravida with a medical condition as shown in the picture below is under labor. She wants normal delivery which would be the best way to provide analgesia in this lady ?
| A. |
Inhalational analgesia.
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| B. |
Intravenous opioids.
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| C. |
Spinal anesthesia.
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| D. |
Neuraxial blockade analgesia.
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Show Answer
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Correct Answer � D
Explanation
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The medical condition shown in the picture above represents Mitral stenosis.
Mitral stenosis is a valvular heart disease characterized by the narrowing of the orifice of the mitral valve of the heart.
Epidural (neuraxial) analgesia is the most effective and least depressant method of intrapartum pain relief and is often viewed as technique choice for relief of labor pain. It blunts the hemodynamic effects of contractions and associated pain response, which is desirable for patients with hypertensive disorders, asthma, diabetes, and cardiac and intracardiac neurovascular disease.
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