Why the study?
Does epidural ropivacaine 0.2% with fentanyl reduce motor block and maintain equivalent analgesia compared to bupivacaine 0.2% with fentanyl in labouring nulliparous women?
Population
60 labouring nulliparous women
Comparison
Epidural ropivacaine 0.2% with fentanyl 2 μg mL−1 vs Epidural bupivacaine 0.2% with fentanyl 2 μg mL−1
Design
RCT, randomly allocated
Follow-up
during labour and at delivery
Authors
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Clinicians may prefer ropivacaine over bupivacaine for labour epidurals to limit motor block; confirms equivalent analgesia in this RCT.
Does epidural ropivacaine 0.2% with fentanyl reduce motor block and maintain equivalent analgesia compared to bupivacaine 0.2% with fentanyl in labouring nulliparous women?
Ropivacaine 0.2% with fentanyl provides effective labour analgesia equivalent to bupivacaine 0.2% with fentanyl, but with significantly less motor block and reduced need for instrumental delivery.
Aşk et al. (2002) studied this question.
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