Comparison of 0.25% Bupivacaine with Tramadol Versus 0.125% Bupivacaine with Tramadol in Epidural B Analgesia for Labor Pain

Abstract

Objective: To compare the analgesic effects and effectiveness of 0.25% bupivacaine and % and 0.125% bupivacaine with tramadol in labor patients.

Study Design: A randomized comparative and double blind trial study

Place and Duration of Study: This study was conducted at the Anaesthesiology department, Divisional Headquarters teaching Hospital Mirpur from May 2020 to October 2020.

Materials and Methods: Patients who were undergoing for labor pain was given epidural analgesia and seventy females were divided into two groups (A and B). Patients of group A were given 0.25% bupivacaine with tramadol for epidural block. while patients of group B were given 0.125% bupivacaine with tramadol. Hemodynamic changes and pain score were recorded and then data was analyzed.

Results: Less pain was observed in group A then to group B. Blood pressure also dropped significantly in group A patients (6537%) (p-value <0.001) as compared to patients of group B (17.1%).

Conclusion: 0.25% bupivacaine showed better results and showed greater efficacy than 0.125% bupivacaine with tramadol in the treatment and prevention of painful delivery. This also prevents bradycardia and hypotension in epidurally induced labor.