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REVIEW ARTICLE
Year : 2010  |  Volume : 54  |  Issue : 5  |  Page : 439-444

Mitral stenosis and pregnancy: Current concepts in anaesthetic practice


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

Correspondence Address:
M Kannan
Department of Anaesthesia and Critical Care, Tirunelveli Medical College, Under Government of Tamilnadu, Tirunelveli, Tamil Nadu - 627 011
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5049.71043

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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.


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