All three questions are answered comprehensively. Here is a quick navigation guide for your exam revision:

Q1 - Eclampsia Periop Plan (10 marks) The answer covers all 6 domains examiners expect: Assessment (history + investigations + airway), Pre-op stabilisation (MgSO4 + antihypertensives + fluid restriction), Anaesthesia choice (regional preferred - spinal/epidural/CSE, and when to use GA with RSI + laryngoscopy attenuation), Intra-op care (continue MgSO4, limit fluids, oxytocin infusion after delivery), Analgesia (intrathecal morphine, paracetamol, NSAIDs with caution), and Post-op monitoring (ICU/HDU, pulmonary oedema watch, platelet trend for epidural removal).

Q2 - Labour Analgesia + Pain Pathways Key points: First stage pain travels with sympathetic afferents at T10-L1 (visceral, uterine/cervical); Second stage pain travels via pudendal nerve S2-S4 (somatic, perineal). Epidural is gold standard - bupivacaine 0.1% + fentanyl 2 mcg/mL. Remifentanil PCA is the best systemic option. Non-pharmacological methods and pudendal block for 2nd stage are exam-worthy additions.

Q3 - Recent PPH Management The MOTIVE Bundle (WHO/FIGO 2025) is the current standard: Massage, Oxytocics, Tranexamic acid, IV fluids, Vaginal exam, Escalation. Critical new updates: TXA is now firmly recommended for treatment (not prevention), new threshold of 300 mL + abnormal vitals triggers treatment, and 1:1:1 blood product ratio for massive PPH.