Continuous Epidural Analgesia in Pain less Labour at a Tertiary Post Graduate Institute-- A Randomized Study

Prof (Dr) Rabindra Nath Behera; Dr Ramakanta sahoo; Dr Pruthiraj Behera; Dr Avilas Das

Volume : IX, Issue : III, March - 2019

Continuous Epidural Analgesia in Pain less Labour at a Tertiary Post Graduate Institute-- A Randomized Study

Prof Dr Rabindra Nath Behera, Dr Ramakanta Sahoo, Dr Pruthiraj Behera, Dr Avilas Das

Abstract :

Aim: To evaluate the efficacy of Bupivacaine 0.0625% with Fentanyl 0.0002% and Bupivacaine 0.125%, in epidural analgesia for painless labour in relation to onset and duration of motor blockade, duration of analgesia, hemodynamic parameters. Materials and Methods: After approval of our institutional ethical committee of Hi–Tech Medical College Post Graduate Institute Obst & Gynaecology unit and informed written consent from parturients, a randomized study was conducted from 1st Jan 2018 to 31st Dec 2018 ( one year period) – over 60 parturients admitted to the labour room were selected to give epidural anaesthesia for labour pain included in the study. The study included 60 parturient patients, aged 18–35 years, in spontaneous 1st stage of labour with no obvious cephalopelvic disproportion, randomly distributed into two groups Group A (n=30)– Parturient in this group received 0.0625% bupivacaine with 0.0002% fentanyl for initiation and maintenance of lumbar epidural anaesthesia Group B (n=30) Parturient in this group received 0.125% bupivacaine for initiation and maintenance of lumbar epidural anaesthesia. Inclusion criteria were parturients with age above 18 years with ASA grade I & II. Exclusion criteria were patients not willing for epidural anesthesia, pre– existing neurological disorders, coagulopathies and infection at the site of puncture, spinal abnormalities and grand multiparas. Results: The success rate of both groups were comparable inrelation to onset and duration of motor blockade, duration of analgesia & hemodynamic parameters. But the group B has higher incidence of motor paresis than group A. Conclusion: 0.0625% bupivacaine with 2µg/ml fentanyl emerged as a better than 0.125% bupivacaine alone