Analgesia for normal labor and delivery Introduction: The experience of child birth ranges from agony to ecstasy. One of the most thrilling and gratifying experience in mother life will be the birth of her child. Labour pain rank among the most intense pain, as recorded on McGill pain questionnaire 1 and it is typically worse […]

Hypertensive disorder accounts for 10-15% of pregnancy. Pregnancy indused hypertension[PIH]- Preeclampsia and Eclamsia syndrome Chronic hypertension without protinuria Chronic HTN with superimposed preeclampsia / eclamsia Gestational HTN or transient HTN of third trimester Preeclampsia and Eclamsia syndrome: Classical triad- ☛ Hypertension  ,protinuria    and    generalized edema after 20 wks of gestation ☛ If superimposed […]

Physiological Changes During Pregnancy And Anaesthetic Implications  CNS i] MAC: progressive decrease during pregnancy decrease by 40% at term causes: increase progesterone level which is sedatind even given in normal doses increase beta endorphin levels during labour and delivery plays major role ii] Local anaesthetic sensitivity: Increase in pregnancy recent data doesn’t show increased sensitivity dose […]

☛ RHD is still major problem in india. ☛ Incidence is decresing due to better socioeconomic condition. ☛ MS is mostly associated  with MR , the morbidity is usually related to MS. Pathophysiology ⤋ MVA 4-6 cm2 ⤋ When there is stenosis ⤋ In La presence ⤋ In PAP ⤋ Pul. Congestion ⤋ Pul. Edema […]