Comparison of efficacy of painless delivery with epidural analgesia with Bupivacain and Rupivacain in womwn candidating Analgesia labor

Reducing the pain and suffering of labor, which encourages more mothers to deliver normal labor and reduce the stress of labor pain.

This study is a randomized clinical trial (Randomized clinical trial) that is done in double blinds for all pregnant women referred to Taleghani hospital in Arak who are candidates for normal delivery. In this study, 112 patients with normal delivery were randomly divided into two equal groups of epidural delivery with bupivacaine and rupivacaine.

For both groups of pregnant women, a questionnaire asking for demographic information, cesarean section and mean delivery phases is completed.

Entry requirements: single pregnant mothers and vaginal delivery candidates, mothers with grade 1 and grade 2 ASA, mothers between the weeks 42-37 who are perfectly graduated and have an epidural analgesic satisfaction Conditions of failure to enter:failure in the epidural analgesia and pregnant mothers who are candidates for cesarean section for emergency reasons

After obtaining informed consent, 112 pregnant women will be subjected to natural epidural analgesia (epidural analgesia) with bupivacaine or ropivacaine. After receiving 3-5 cc / kg of crystalloid fluid and placing the required monitoring in Sitting from L3-L4 or L4-L5 space using gage20 needle under epidural analgesia with bupivacaine or rupivacaine, then an epidural catheter is fixed. Patients use a 4-6 cc marcaine, 125.0% and 5 μg fentanyl as single dose block epidermis. For preservative dosage, the combination of marcaine is 125% and fentanyl% 002/0 is used at 6-10 cc / h.

Mean of motor blocker, mean of Apgar score of 1 and 5 neonates, mean of use of labor aid tools, mean satisfaction of patients, mean cesarean section, mean duration of second stage of labor, average active period of labor

Using random numbers table, patients randomly divided into two groups of painless epidural delivery with bupivacaine and rupivacaine.

In this study, only the anesthetist responsible for the study is aware of the type of study and the studied groups, while the patients are under the epiderdal analgesia and are not aware of the type of injectable drug.َAlso intern is responsible for the plan that is responsible for filling the questionnaire. It is not aware of the type of groups in terms of injectable drugs, and only knows the groups based on A and B, and completes questionnaires on the basis of it.