Spinal anaesthesia in a patient on combination of aspirin and ginkgo biloba

We report a caesarean section [CS] that was safely performed under spinal anaesthesia in a patient on aspirin and ginkgo biloba [herbal medicine] therapy. Both of these medicines have anti-platelet activities with effects on the coagulation profile and their concurrent administration with aspirin has been said to be associated with increased risk of bleeding. Our patient was offered the choice of either general or regional anaesthesia and she opted for the later. An emphasis is laid on full documentation of all communication to the patient or attendants