Abstract
Background: Analgesia during labour provides painless delivery and reduces the stress response due to labour pain. Bupivacaine is commonly used local anaesthetic for labour analgesia, but it can produce motor blockade, ropivacaine provides ambulatory analgesia, opioids added to the local anaesthetic provides increased duration of analgesia, enhanced intensity of analgesia and decreases the dose of local anaesthetic.
Method: After approval from ethical committee at RIMS 60 ASA grade I/II primi parturients with singleton pregnancy, term gestation, cephalic presentation, in active first stage of labour, aged 18-35 years were included in the study. Patients were randomly allocated into two groups Group B (n = 30) & Group R (n = 30). Epidural technique was standardised and efficacy was compared between the groups.
Results: Bupivacaine and Ropivacaine provide equivalent labour analgesia. Motor blockade produced was minimal with ropivacaine when compared to bupivacaine.
Keywords: Epidural analgesia, Bupivacaine, Ropivacaine, Fentanyl.
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Corresponding Author
Dr Praveen Kumar Tiwari
Associate Professor, Department of Anaesthesiology, Rajendra Institute of Medical Sciences, Ranchi
DOI: https://dx.doi.org/10.18535/jmscr/v8i3.88
