Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
Journal of Obstrectic Anaesthesia and Critical Care
Search articles
Home Print this page Email this page Small font size Default font size Increase font size Users Online: 477
ORIGINAL ARTICLE
Year : 2020  |  Volume : 10  |  Issue : 1  |  Page : 10-15

Evaluation of the efficacy of MgSO4 as an adjunct to ropivacaine and fentanyl for labour analgesia


1 Department of Anaesthesia, AIIMS, Rishikesh, Uttarakhand, India
2 Department of Anaesthesia, RNT Medical College, Udaipur, Rajasthan, India
3 Department of Surgery, SGRR Medical College, Dehradun, India

Correspondence Address:
Dr. Indira Kumari
Department of Anaesthesiology, RNT Medical College, Udaipur, Rajasthan
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/joacc.JOACC_54_19

Rights and Permissions

Background and Objective: Epidural analgesia is the most commonly practiced method for labor analgesia. It provides effective pain relief, less maternal stress response, better parturient satisfaction and the ability to provide anesthesia when required. We conducted this study to evaluate the efficacy of Magnesium Sulphate as an adjunct to ropivacaine and fentanyl for labor analgesia. Materials and Methods: 60 primi parturients, aged more than 18 years, ASA physical status class II, in active labor, requesting labor analgesia were included in this prospective randomised double blind study. Patients in Group F received 7.5 ml 0.2% Ropivacaine + 50 mcg Fentanyl + Normal Saline to make a total volume of 10 ml and in Group FM received 7.5 ml 0.2% ropivacaine + 50 mcg fentanyl + 50 mg MagnesiumSulphate + Normal Saline to make a total volume of 10 ml. Pain was assessed using Visual Analogue Scale (VAS). Time of onset, quality of analgesia and duration of analgesia of bolus dose were noted. Results: Epidural single dose Magnesium Sulphate added to ropivacaine and fentanyl resulted in significantly early onset (2.9 ± 0.7 min v/s 5.2 ± 1.1 min, P < 0.001) and longer duration of epidural analgesia (107.2 ± 20.1 min v/s 89.9 ± 21.3 min, P = 0.002) as compared to those patients who received ropivacaine and fentanyl only. There was no significant effect on neonatal outcome (assessed by APGAR Score) and no maternal side effects were recorded. Conclusion: Magnesium sulphate added to ropivacaine and fentanyl for labor analgesia resulted in early onset of analgesia and longer duration of action without any significant side effects.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed342    
    Printed36    
    Emailed0    
    PDF Downloaded113    
    Comments [Add]    

Recommend this journal