Comparison of bupivacaine and ropivacaine in combination with fentanyl used for walking epidural anesthesia in labor


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Gunduz S., Yalcin S. E. , Karakoc G., Akkurt M. O. , Yalcin Y., Yavuz A.

TURKISH JOURNAL OF OBSTETRICS AND GYNECOLOGY, vol.14, no.3, pp.170-175, 2017 (ESCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 14 Issue: 3
  • Publication Date: 2017
  • Doi Number: 10.4274/tjod.87404
  • Journal Name: TURKISH JOURNAL OF OBSTETRICS AND GYNECOLOGY
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.170-175
  • Bursa Uludag University Affiliated: Yes

Abstract

Objective: Effective pain relief during labor is essential to reduce maternal and perinatal morbidity arising due to pain-induced maternal sympathetic activation, and to avoid unnecessary cesarean sections performed due to maternal anxiety. Walking epidural analgesia on labor reveals lower pain scores, leading to higher maternal satisfaction with better cardiovascular and pulmonary physiology. Despite the extensive use and relative safety of bupivacaine, newer drugs such as ropivacaine have been developed as alternative agents to decrease the risk for cardiac and central nervous system toxicity.