The best option is to perform a rachi-anestesia is the less dangerous also

Go for Subarachnoid block, simply.

Naser,

I’m not sure if this question is “settled”. When I performed a considerable amount OB anesthesia, my department standard supported Epidural anesthesia for labor (In this case). Although, if the patient was nearing 8cm dilation, a SAB (1ml 0.25% bupivacaine and 20 mcg fentanyl) would usually get the patient to delivery. Today we have an option to place bilateral erector spinae catheters, which should provide adequate comfort during the early stages of labor. Although I do not participate in OB anesthesia on a regular basis.

Regards,

Christopher

Bilateral erector spinae plane catheterization would be a good option for this case. Epidural catheter placement could be done also.

Hello Naser Al-Husban

your aim is to maintain the hepatic blood perfusion and avoid hypotension either through intrathecal or epidural anesthesia, and both are safe .

Epidural anesthesia is prefered, because of gradual decrease in blood pressure, and also it is a good choice postoperative analgesia.

I just recommend to do a rachi-aneshesia and that is enough sure and effective in this indicación