Which anaesthesia general or spinal is better for c-section in a pt with heart disease?

For most : Non-emergent c sections, regional anesthesia has a significantly lower risk profile for mom and baby as compared to general. The type of heart disease may alter the risk profile and favor the choice of general. Discuss with the OB anesthesiologist in advance.

Depends: Usually, spinal anesthetic is better for C-section because a full term woman has airway risks when trying to place a breathing tube for general anesthesia. Both spinal and general can drop blood pressure and put stress on the heart. If the heart disease involves a large hole (like vsd), you would need a thorough cardiac medical eval. Good luck. Hopefully all turns up well.

Depends: Its depends on your heart condition. However epidural anesthesia is generally safer than spinal anesthesia for patients with heart disease as the effects on blood pressure are more gradual. General anesthesia may be necessary however for certain heart conditions. A full cardiac work up should be performed in order to develop the best anesthetic plan for you and your baby.

Epidural or Spinal: Regional anesthesia is the preferred anesthetic for c-sections. However, a complicated cardiac patient should get a meeting with an anesthesiologist before the operation so that both parties can arrange the safest plan.

Spinal : I believed spinal anesthesia it's safe for c-sections in most pregnant ladies with heart diseases. If patient did good during pregnancy probably will tolerate the spinal well. The use of anticoagulant drugs will be a contraindication. Valvular heart diseases might be a contraindication too.

Varies: The answer is often neither, but a slowly dosed epidural. This will limit the degree of blood pressure changes that you have with anesthesia more than the two options you mention.