Case Report on Management of Kyphoscoliotic Parturient with Twin Pregnancy Posted for Emergency LSCS in a Secondary Health Care Institute

Anesthetic care for cesarean section is itself challenging, which may further increase due to any disease or deformity associated with spine namely kyphoscoliosis. This also increases the potential risks both for mother and fetus due to complicated maternal pulmonary physiology and associated pathological changes seen with kyphoscoliosis. The anesthetic management plan chosen should have a favorable outcome both for mother and fetus specially when complicated by twin pregnancy. We report a case of a 26 year old female, full-term primigravida with kyphoscoliosis and twin pregnancy who was posted for emergency cesarean section in a secondary level healthcare institute. The anesthetic management of this unusual patient is presented here.