Obstetric Anaesthesia for UPSC CMS: Labour Analgesia, GA for C-Section and Complications

Labour Analgesia#

Epidural analgesia: Gold standard. Bupivacaine + Fentanyl via epidural catheter. Reduces maternal stress, improves fetal outcome.

GA for Emergency C-Section#

Rapid sequence induction (RSI): Pre-oxygenate -> Thiopentone/Propofol + Succinylcholine -> Cricoid pressure -> Intubate.

Aspiration Risk (Mendelson Syndrome)#

Pregnant women at risk from 2nd trimester. Empty stomach, antacid pre-medication, RSI, left lateral tilt.

Pre-eclampsia#

Avoid spinal hypotension: pre-load with crystalloid. Epidural preferred over spinal for labour.