Abstract

Labour is a painful process. Since all the parturients suffer with substantial pain of moderate to severe intensity, it is considered as major concern for obstetricians. In previous studies, the efficacies of epidural analgesia for labour with Bupivacaine and Ropivacaine have been reviewed, outcomes were similar, very few studies are based on same properties, actions, doses etc. Therefore, the study was undertaken to compare the efficacy and safety of bupivacaine 0.125% and fentanyl 2mcg/ml in comparison with ropivacaine 0.15% and fentanyl 2mcg/ml in intermittent doses for labour epidural analgesia. Methodology-The study was undertaken at Department of Anaesthesiology and Department Obstetrics and Gynaecology at tertiary care centre. Total 78 patients were included in the study which were further divided two equal groups of 39 patients in each group. Group BF received Bupivacaine with Fentanyl and Group RF received Ropivacaine with Fentanyl. Patient was explained about the procedure and was made familiar with 10-point Visual Analogue Scale. Data was recorded and analyzed. Result- The onset of action in the RF group was earlier as compared to BF group. Among both the groups, the hemodynamic parameters were more stable in group RF as compared to BF. The VAS score indicated that group RF had more pain relief in patients when compared with BF. Patient’s satisfaction with pain control was higher with ropivacaine with fentanyl than with bupivacaine with fentanyl. Conclusion- Ropivacaine 0.15% and Fentanyl 2mcg/ml in comparison to Bupivacaine 0.125% and Fentanyl 2mcg/ml intermittent doses for labour epidural analgesia produced excellent results.

Description