<prompt> A 25 year old primigravide with mitral stenosis and mitral regurgitation is under labor. She wants normal delivery which would be the best way to provide analgesia in this ladyInhalational analgesiaIntravenous opioidsSpinal anesthesiaNeuraxialblockde analgesia  <response>: D i.e. Neuraxialblockde analgesia Epidural neuraxial analgesia is the most effective and least depressant method of intrapaum pain relief and is often viewed as technique choice for relief of labor painQ. It blunts the hemodynamic effects of contractions and associated pain response, which is desirable for patients with hypeensive disorders, asthma, diabetes, and cardiac and intracardiac neurovascular diseaseQ 