Epidw-al analgesia for labour has been accepted in most obstetric centers because of its effectiveness and safety. Minimizing the degree of motor blockade, decreases the incidence of instrumental deliveries without decreasing analgesic quality and can be achieved by adriirug an opioid to the local anesthetic. 60 primigravid partw-ients ASA physical status 1 in stablished labour were classified into 4 groups, in group I we used ropivacairte 0.2%, in group II ropivacairte 0.1%, in group III ropivacaine 0.1% plus sufentanil 10 ug and in group IV ropivacairte 0.1% plus. 20 tug sw fentartil. The severity of pain was measured using visual analogue scale "VAS" also sensory level and degree of motor blockade, onset and duration of analgesia, satisfaction of analgesia, duration of 2nd stage, instrumental deliveries, incidence of cesarean section, as well as side effects were also assessed. Visual analogue scale (VAS) shows significant decrease in groups (I & IV) compared to groups (II & III) also VAS in group III significantly decrease when compared to group II. Duration of analgesia was prolonged in group IV compared to other groups. Motor power affection was significant in group 1 compared to other groups. Satisfaction of analgesia significantly increased in group IV. It can be concluded that addition of sufentartil to ropivacain for epidural analgesia during labour improves quality of analgesia and gives more satisfaction with prolonged duration and less affection of motor power. |
