Background: Neuraxial anaesthesia and analgesia techniques include spinal, epidural, and combined spinal-epidural.Neuraxial anesthesia (NA) is most commonly used for surgery of the lower abdomen and lower extremities.Neuraxial analgesia plays an important role in pregnant women.Neuraxial analgesia is recommended for childbirth to reduce sleep deprivation and stress and dehydration induced by labour pain.Methodology: A systematic review was carried out through various databases from January 2020 to October 2022; The search and selection of articles was carried out in indexed journals in English.Results: Due to the COVID-19 pandemic, interest in neuraxial anesthesia has increased considerably among pregnant women.Neuraxial anesthesia should be considered the preferred anaesthetic method in pregnant women because it helps to mitigate difficult intubation, presents fewer complications associated with general anesthesia, among other reasons. Conclusion:This review offers updated and detailed information on the current guidelines for neuraxial anesthesia in different clinical contexts, whether in the context of COVID-19, epilepsy and multiple sclerosis, among others, in order to provide better care and focus for pregnant women.