Title: A Comparative Study of The Efficacy of 0.2% Ropivacaine and 0.125% Bupivacaine in Pain Relief Normal Labour

Authors: Akhileshwar, Raja Avinash, Rajesh Kumar

 DOI: https://dx.doi.org/10.18535/jmscr/v7i2.115

Abstract

Background: Most of the women do not require pain relief during labour. There are many methods which help the women to relax and make manage the pain. Non-medical methods such as water immersion, relaxation methods and acupuncture relief pain. There are many medical and pharmaceutical methods are available to relief labour pain, out of these epidural analgesia is commonly used.

Material & Methods: The present study was conducted in the department anaesthesia, Darbhanga Medical College and Hospital, Bihar between June 2013 to September 2014 after approval from ethical committee.

Results: Mean time of onset of analgesia in Ropivacaine and Bupivacaine were 4.9±1.4 and 8.1±1.2 min, while time of onset of peak analgesia were 9.8±1.8 and 14.1±1.5 min respectively. Mode of delivery in ropivacaine and Bupivacaine were instrumental, operational & normal in 20%, 3.3%, 76.3% and 10%, 10%, 80% cases respectively.

Conclusion: Both ropivacaine and bupivacaine provide excellent labor analgesia for most obstetrical patients. There is no significant difference between the two drugs in the incidence of spontaneous vaginal delivery or any other obstetrical outcome.

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