2020, Vol. 3, Issue 3, Part A

A variety of pregnancy-associated cardiovascular changes often exacerbate the signs and symptoms of valvular lesions. This importance arises from the fact that drugs used for preventing or relieving pain during labor and delivery exert a major influence – for better or for worse – on the prognosis of the mother and newborn. Properly administered anesthesia and analgesia can contribute to the reduction of maternal and neonatal mortality and morbidity. In this case we examine 38yr old female, G3P2L2 with 43 weeks gestation (covid 19 suspect), previous two normal home deliveries presenting with eclampsia. Caesarian section was done under general anesthesia and patient recovered. Patient was subsequently found to have rheumatic heart disease with mitral stenosis.