• Döndü Genç Moralar, Ulkü Aygen Türkmen, Aysel Altan, Resul Arısoy, Emre Tahaoğlu, and Ekrem Ozakın.
• Tekirdağ Malkara State Hospital, Anesthesiology and Reanimation Clinic, Tekirdağ, Turkey. dondugencm@gmail.com
• Agri. 2013 Jan 1;25(1):19-26.

ObjectivesWe aimed to compare the efficacies of patient controlled bolus administration and continuous infusion of low dose Fentanyl and Levobupivacaine combination by epidural catheter during vaginal labor on mother, baby and the duration of labor.MethodsThe 45 pregnant women involved in the study were divided randomly into two groups, Group HKEB (patient controlled epidural bolus) and Group SEI (continuous epidural infusion). Hemodynamic parameters and VAS values of the pregnant women, fetal heart rate, Apgar scores, duration of labor stages, types of delivery and side effects were recorded. Time to reach the T10 dermatome was determined. Motor block was evaluated with modified Bromage scale. Additional analgesic needs were followed up and total drug consumptions were compared.ResultsDrug consumption was found to be significantly lower in HKEB administration (p<0.01).ConclusionBolus administration of a basal dose that will keep the analgesia level constant and additional drugs administered upon patient requests will prevent pregnant women from experiencing a painful period, and will provide confidence and comfort to patients who need to ask for drugs according to their pain characteristics.

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