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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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A Compartive Study of Effectiveness of 0.125% Ropivacaine with Fentanyl 2mcg/ml Versus 0.125% Ropivacaine with Dexamethasone 0.25mg/ml in Epidural Labour Analgesia

Surapur Venkatesh, G. Udaya Rani, V. Balasubramanyam and Hassaan Muhammed
Page: 966-970 | Received 17 Oct 2024, Published online: 30 Dec 2024

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https://doi.org/makrjms.2024.12.966.970

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Abstract

Pain during labour is one of the most intense experiences a woman may endure, and providing safe, effective, and patient‐centred pain relief has remained a cornerstone of modern obstetric care. Among the available options, epidural analgesia stands out as the most dependable and controllable method, offering pain relief that can be tailored to every stage of labour. Beyond mere analgesia, the aim of epidural techniques is to ensure maternal cardiovascular stability, reduce motor blockade, maintain foetal well‐being, and improve the overall childbirth experience. This was a comparative, analytical, experimental study conducted in the Department of Anaesthesiology at PES Institute of Medical Sciences & Research (PESIMSR), Kuppam, Andhra Pradesh. The study was carried out over a period of 18 months, from May 2023 to October 2024. The study included pregnant women admitted for normal vaginal delivery who met the eligibility criteria. Participants were briefed about the procedure, and written informed consent was obtained in both English and the local language prior to enrolment. The onset of analgesia was significantly faster in the fentanyl group (8.0 ± 1.0 min) compared to the dexamethasone group (9.1 ± 1.2 min; p < 0.001), and the duration of analgesia was longer with fentanyl (149.3 ± 10.5 min vs 121.4 ± 9.8 min; p < 0.001), indicating superior analgesic longevity. This study establishes that ropivacaine combined with fentanyl offers a long duration of analgesia, better pain control, minimal motor impairment, and greater maternal satisfaction compared to the conventional dexamethasone combination.

How to cite this article:

Surapur Venkatesh, G. Udaya Rani, V. Balasubramanyam and Hassaan Muhammed. A Compartive Study of Effectiveness of 0.125% Ropivacaine with Fentanyl 2mcg/ml Versus 0.125% Ropivacaine with Dexamethasone 0.25mg/ml in Epidural Labour Analgesia.
DOI: https://doi.org/10.36478/makrjms.2024.12.966.970
URL: https://www.makhillpublications.co/view-article/1815-9346/makrjms.2024.12.966.970