A randomized comparative study of patient-controlled epidural analgesia with manual standard intermittent bolus for labor analgesia

Background: Patient-controlled epidural analgesia (PCEA) pump has proven to reduce the incidence of unscheduled clinician interventions and total dose local anesthetic administered for labor pain. Aims Objectives: The aim study was compare quality analgesia, maternal satisfaction, amount rescue needed, neonatal outcome between delivered manual bolus doses PCEA pumps analgesia. Materials Methods: 60 parturients American Society Anesthesiologists II scheduled normal vaginal delivery were randomly divided into two groups, Group A B (Manual bolus). Both groups received an initial 10 mL 0.125% Inj. Bupivacaine+20 mcg injection fentanyl. patients a basal infusion 5 mL/h with self-administered 2 lockout interval 15 min. provided same solution manually after every hour. Patients both given boluses distressing pain (visual analog scale [VAS] >5). Results: Mean VAS score in 2.97±0.73; B, it 3.03±0.56 (P>0.05). Total bupivacaine use mean duration second stage found comparable. top-up requirement anesthetics significantly high B. Maternal satisfaction also higher group. Conclusion: As provides continuous anesthetics, there lesser top ups group than