RANDOMIZED DOUBLE BLIND STUDY ON OBSTERTIC AND FETAL OUTCOME WITH TWO DIFFERENT DOSES OF EPIDURALLY ADMINISTERED BUPIVACAINE IN COMBINED SPINAL EPIDURAL LABOUR ANALGESIA

DR.J.AROCKIA MICHAEL RAJA; Dr. N.R.KARTHIC KUMAR

Volume : VIII, Issue : II, February - 2018

RANDOMIZED DOUBLE BLIND STUDY ON OBSTERTIC AND FETAL OUTCOME WITH TWO DIFFERENT DOSES OF EPIDURALLY ADMINISTERED BUPIVACAINE IN COMBINED SPINAL EPIDURAL LABOUR ANALGESIA

Dr. J. Arockia Michael Raja, Dr. N. R. Karthic Kumar

Abstract :

Prospective randomized double blind study of combined spinal epidural labour analgesia for vaginal delivery with intrathecal fentanyl 25 µg +epidural 0.0625% bupivacaine 10 ml with 2µg of fentanyl/ml versus intra thecal fentanyl 25µg+epidural 0.1% bupivacaine 10 ml with 2µg of fentanyl/ml was planned to compare duration and progression of different stages labor and mode of delivery in both the techniques and Intra partum fetal heart rate monitoring and newborn evaluation with APGAR score to study the effect of them on obstetric and fetal outcome. Sixty patients were selected and divided into two groups Group I: received intrathecal fentanyl 25µg+epidural 0.1% bupivacaine 10 ml with 2µg of fentanyl/ml Group II: received intrathecal fentanyl 25 µg +epidural 0.0625% bupivacaine 10 ml with 2µg of fentanyl/ml. Partogram, fetal tocography and APGAR score was recorded in both groups . Duration of labour was not prolonged by combined spinal epidural analgesia, but actually it decreases the duration of labour All babies were delivered by normal vaginal delivery except one in group I which was delivered by forceps delivery. No parturients in both the groups underwent caesarean delivery. No babies required resuscitation and neonatal intensive care unit admission