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Year : 2019  |  Volume : 5  |  Issue : 2  |  Page : 45-49

Ambulatory labor analgesia with patient-controlled analgesia pump: An observational study

1 Department of Anaesthesiology, Pandit Dindayal Upadhyay Medical College and Hospital, Rajkot, Gujarat, India
2 Department of Anaesthesiology, GCS Medical College and Research Hospital, Ahmedabad, Gujarat, India

Correspondence Address:
Hitesh K Chellani
Department of Anaesthesiology, GCS Medical College and Research Hospital, Ahmedabad, Gujarat
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Source of Support: None, Conflict of Interest: None

DOI: 10.5005/jp-journals-10046-0137

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Aim: Providing labor analgesia has always been a challenge, more so because of controversies and myths associated with labor. This study was done to observe the effect of patient-controlled epidural labor analgesia on incidence of conversion to cesarean section, maternal satisfaction, maternal complication and neonatal outcomes. Materials and methods: A total of 25 consenting ASA grade I–II parturients in active labor with a cervical dilatation of 3–5 cm were randomly selected for the study. The labor analgesia was given after putting epidural catheter in L2/L3 intervertebral space and then parturient were put on continuous infusion of ropivacaine 0.1% with PCA pump after bolus dose of ropivacaine 0.2% with 25 μg fentanyl. The parturients were observed for the incidence of instrumental delivery and incidence of conversion to cesarean section along with duration of labor, maternal satisfaction score and fetal outcome. Results: The rate of cesarean sections was 8.3% in labor analgesia parturients. Only one forceps delivery was done in labor analgesia parturients. No neonatal deaths were noted in labor analgesia parturients. No major maternal complications like hypotension or bradycardia were encountered. The mean satisfaction score was 3.88/5 in study group. Conclusion: Patient-controlled labor analgesia with low dose ropivacaine infusion with PCA pump provides excellent maternal satisfaction for patients undergoing normal vaginal delivery along with decrease in cesarean section rate and good fetal outcome. Clinical significance: Patient-controlled labor analgesia using PCA pump is a novel technique and it provides nearly painless vaginal delivery to the parturient along with excellent fetal outcome and with minimal maternal side-effects.

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