Abstract
Background: Epidural nerve block is widely used for labor analgesia because of its effective pain relief, reduced maternal stress response, improved parturient satisfaction, and potential ability to provide anesthesia. The quality of analgesiais improved with the combined use of a local anesthetic and an opioid when combined with the use of either agent alone. An example of avcombination epidural therapy that provides excellent sensory block with relatively little motor block includes a co-administration of ropivacaine and fentanyl or tramadol. Materials and Methods: The study was carried out at the Department of Anaesthesiology, Katihar Medical College & Hospital, Katihar, Bihar, study was done for 1 Year, 100 individuals were enrolled, Group F (Fentanyl Group) with 50 patients received Ropivacaine and Fentanyl and Group T (Tramadol Group) with 50 patients received a Ropivacaine and Tramadol. Every variable was subjected to statistical analysis within the same individual and between 2 treatment categories using a suitable biostatistical methodology. Results: In the present study, mean age in group F (ropivacaine with fentanyl) was 23.54±2.5, mean age in group T (ropivacaine with tramadol) was 23.86±2.17, and weight in group F was 56.78±2.75 and group T was 56.68±2.58. Duration of labour in group F was 3.39±1.01 hrs and in group T was 3.42±0.70 hrs. There was no significant difference between the two groups at any time points for mean VAS score. There was no significant difference in the mean heart rate and arterial blood pressure among both the groups statistically (p>0.05). More side effects were seen in group F. Conclusions: Both fentanyl and tramadol in combination with ropivacaine provide similar analgesia with minimal motor block. Both have no adverse effects on cardiotocographic parameters. However side effects were relatively more common in fentanyl group. Thus tramadol is a safer alternative to fentanyl as an adjunct to epidural labour analgesia.
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