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Mitral stenosis and pregnancy: Current concepts in anaesthetic practice

M Kannan1, G Vijayanand

  • 1Department of Anaesthesia and Critical Care, Tirunelveli Medical College, Under Government of Tamilnadu, Tamil Nadu - 627 011, India.

Indian Journal of Anaesthesia
|December 31, 2010
PubMed

The incidence of rheumatic mitral stenosis is grossly reduced in India. Still, among heart disease complicating pregnancy, rheumatic mitral stenosis occupies a greater segment. The unique physiological changes in pregnancy and the pathological impact of mitral stenosis over pregnancy and labour are discussed in detail. A multidisciplinary approach in the diagnosis and management reduces the mortality and morbidity during peripartum. The labour analgesia technique and the evidence-based regional and general anaesthesia techniques are discussed at length in this article.

Keywords:
Labour analgesia and caesarean sectionmitral stenosispregnancy

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