Abstract

Clinically significant motor block may occur after repeated bolus doses or continuous infusion of local anaesthetic for a long time into epidural space. Extensive motor blockade may impair maternal expulsive efforts during the second stage of labour and increase the likelihood of instrumental delivery. Patients were randomized into two groups using computer generated random numbers: Group A: Received 0.1% Ropivacaine with fentanyl 2µg/ml in 10 ml total volume. Group B: Received 0.1% Ropivacaine with fentanyl 2µg/ml and neostigmine 500µg in 10 ml total volume. The APGAR score of newborn at 1 min in both group A and group B was statistically significant (p value 0.044), while the APGAR score of newborn at 5min in both groups A and B was statistically insignificant (p value 0.136).4% patients in group A and 20% patients in group B had an excellent satisfaction with regard to their experience of birth process and labour analgesia, which was statistically significant (p value 0.012).

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