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Indian J Anaesth. 2010 Sep;54(5):439-44. doi: 10.4103/0019-5049.71043.

Mitral stenosis and pregnancy: Current concepts in anaesthetic practice.

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


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.


Labour analgesia and caesarean section; mitral stenosis; pregnancy

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