L. I. Tudor * , O. C. Mungiu **
* Lazăr Ioan Tudor — asistent universitar, medic specialist obstetrică ginecologie, Clinica I Obstetrică Ginecologie, Universitatea de Mediciniă şi Farmacie „Gr. T. Popa” Iaşi
** Ostin C Mungiu — profesor, şef disciplina de Farmacologie şi Toxicologie, Universitatea de Medicină şi Farmacie „Gr. T. Popa” laşi
Abstract
The aim of the study was to compare the two epidural working protocols for labor analgesia with bupivacaine and ropivacaine. In the study were included 140 healthy pregnant patients who delivered between 2003 and 2005 in 1st Clinic of Obstetrics and Gynaecology on ,,Cuza Voda” Hospital, lasi. For labor analgesia we used two protocols: one with ropivacaine and another with bupivacaine and fentanyl in intermitent boluses on patients request. In the study were recorded: the progress of labor, time for every stage of labor mechanism, type of the delivery, incidence of C section and quality of analgesia. Epidural analgesia with bupivacaine and ropivacaine decrease the duration of first stage of labor, increase the duration of expul sion of the baby and did not influence the expulsion of the placenta. Ropivacaine 0,2% is easier to manipulate providing a better analgesia in the first stage of labor. The quality of analgesia in the second stage of labor is equivalent and poorest then in the first stage. Incidence of instrumental delivery and C section is higher in patients receiving analgesia. The Apgar score of the new born was not influence by the epidural technique.