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Objective: to study a case of successful pregnancy and delivery in a patient with congenital heart disorder. Key Points. The article describes a case report of successful pregnancy and delivery in a patient with Fallot's tetrad; special attention is paid to labour pain relief with inhalational sedoanalgesia with sevoflurane. Sedoanalgesia method is described, and its impact on the maternity patient’s cardiovascular system, anaesthesia efficiency as well as on the newborn’s condition after delivery and during early neonatal adaptation is assessed. Conclusion. This case report confirms potential use of the proposed method of inhalational sedoanalgesia with sevoflurane for efficient pain relief in maternity patients with cardiovascular pathologies during first and second stages of labour. Inhalational sedoanalgesia with sevoflurane may be a good alternative in case of any contraindications to invasive labour pain relief methods.

Successful Spontaneous Delivery in a patient with Fallot's Tetrad with Inhalational Sedoanalgesia with Sevoflurane (Case Study)