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Journal of Obstrectic Anaesthesia and Critical Care
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Year : 2023  |  Volume : 13  |  Issue : 1  |  Page : 45-50

Walking epidural in labor analgesia: A comparative study of ropivacaine with fentanyl and without fentanyl

1 Department of Anaesthesia, GCS Medical College, Hospital and Research Centre, Ahmedabad, Gujarat, India
2 Department of Obstetrics and Gyanecology, GCS Medical College, Hospital and Research Centre, Ahmedabad, Gujarat, India

Correspondence Address:
Dr. Heena Chhanwal
B-103, First Floor, Shreedhar Nest, Opp. Sangath Banquet Hall, Nr. Chitvan Flat, Koteshwar Bhat Road, Motera, Ahmedabad - 380 005, Gujarat
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/JOACC.JOACC_32_22

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Background: Labor pain and child birth entail a number of physiological consequences that may lead to deleterious effects on the mother and fetus. Implication of a neuraxial technique is being appreciated in labor. Fetal prognosis and maternal consent and its satisfaction are key to labor analgesia. Method: The primary objectives were to determine the visual analog scale (VAS), total duration of labor analgesia, patient-controlled analgesia demand, sensory and motor block, and hemodynamics. The secondary objectives were to determine obstetrics parameters such as maternal satisfaction, cervical dilation, membrane, APGAR score, and complications such as hypotension, bradycardia, and vomiting. A randomized prospective comparative, interventional study including 50 parturients was conducted, where they were divided into two equal groups of 25 each, and epidural analgesia was given by 0.2% ropivacaine with 2 mcg/ml fentanyl and 0.2% ropivacaine without fentanyl. Observation and Results: Analgesia was more in the RF group compared to the R group. The maternal satisfaction was more in the RF group than in the R group. Clinical hemodyamics, VAS score, Bromage score, and APGAR score were appreciable in the RF group as compared to the R group. Conclusion: We concluded that 0.2% ropivacine with fentanyl gives more analgesia and maternal satisfaction than ropivacine alone.

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