Background: This study is done to assess the efficacy of 0.1% Ropivacaine and 0.1% Levobupivacaine with 2microgram/ml Fentanyl in epidural labour analgesia on maternal and fetal outcome.
Materials and Methods: This comparitive study was conducted at the Department of O&G at RMMCH in 2019-2021 after ethical committee approval. Study was conducted in 60 patients in active phase of labour and they were divided into two equal groups. Group A received 0.1% Levobupivacaine and 2microgram/ml Fentanyl. Group B received 0.1% Ropivacaine and 2microgram/ml Fentanyl as epidural analgesia. The duration of 1st stage, 2nd stage of labour, mode of delivery, neonatal outcome and complications were observed. Statistical analysis is done by Independent‘t’ test and Chi-square test. Probability value less than 0.05 was considered statistically significant.
Results: Both the demographic and the obstetric parameters were comparable in both groups. Groups A & B were comparable with respect to mode of delivery, duration of 1st and 2nd stage, APGAR score at 1st minute. The APGAR score at 5th minute was better in Group B. Both groups provide equal analgesia without any significant maternal or fetal side effects.
Conclusion: The effect of 0.1% Ropivacaine and 0.1% Levobupivacaine with 2microgram/ml fentanyl in epidural Labour analgesia are similar in terms of duration of labour, mode of delivery and neonatal outcome.