A 28-year-old woman with hypertrophic obstructive cardiomyopathy (HOCM) presented to obstetrician health center for labor and delivery. She was initially managed with intravenous meperidine but becomes progressively more uncomfortable. The anesthesiologist is then consulted for further management. What are the special considerations for anesthetic management of labor and delivery in a patient with HOCM?

*This case is from Docplexus editorial team for educative purpose only. Source: Clinical Cases in Anesthesia. The correct answer posted in the comment section. (Click here).