Key result
A multidisciplinary approach and evidence-based anaesthesia techniques are essential for reducing peripartum mortality and morbidity in pregnant patients with rheumatic mitral stenosis.
This review highlights the importance of a multidisciplinary approach and evidence-based anesthetic techniques to reduce peripartum mortality and morbidity in pregnant women with rheumatic mitral stenosis.
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Supports multidisciplinary peripartum care in rheumatic mitral stenosis; hypothesis-generating and requires prospective trials before practice change.
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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M Kannan (2010) conducted a review in Rheumatic mitral stenosis in pregnancy. Anaesthetic management and multidisciplinary approach was evaluated. A multidisciplinary approach and evidence-based anaesthesia techniques are essential for reducing peripartum mortality and morbidity in pregnant patients with rheumatic mitral stenosis.
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