COMPARISON OF ANALGESIC EFFICACY AND EVALUATION OF 0.0625% BUPIVACAINE + 25MG TRAMADOL AND 0.1% ROPIVACAINE +25MG TRAMADOL ON LABOUR ANALGESIA

Background: The objective is to compare the analgesic efficacy and evaluation of 0.0625% bupivacaine + 25mg tramadol and 0.1% ropivacaine + 25mg tramadol on labour analgesia. Materials and Methods: This is a prospective randomized study conducted at Saheed Laxman Nayak Medical College and Hospital, Odisha, Institutional Ethics committee approval [project no - EC4(11)] from 3 rd September 2020 to 3 rd March 2022. Result: There were no statistically significant variation in the demographic profiles among the two groups. The maternal pulse rate and systolic blood pressure showed no significant difference among the two groups throughout the observation period. This trend indicates that both Ropivacaine + Tramadol and Bupivacaine + Tramadol is safe for labour analgesia at the concentrations and doses used in our study. Fetal heart rates were comparable between the two studied group at all the time and there was no statistically significant difference. Conclusion: Both ropivacaine and bupivacaine can provide comparable labor analgesia with high maternal satisfaction in the clinically used doses.

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