أثناء المخاض، متى يُعطى المسكن فوق الجافية (Epidural) بأمان مع مراقبة؟

When can epidural analgesia be given safely in labour with monitoring?

1. With an infection at the lower back injection site
2. When there is severe thrombocytopenia
3. Only after the baby is completely delivered
4. After excluding contraindications, with BP checks

Answer: D) After excluding contraindications, with BP checks. Epidurals are given after excluding contraindications (low platelets, anticoagulants, infection). The main side effect is hypotension, so mother and fetus are monitored.