01644nam a22001817a 4500 D0001J000184 DOH 20210317132349.0 210317b ||||| |||| 00| 0 eng d Ang, Mary Jocelyn A comparison of epidural infusion with regular intermittent injection of bupivacaine 0.125% in primigravids and multigravids in labor at the Philippine General Hospital : a pilot study / Mary Jocelyn Ang Twenty women in labor were located to receive either a continuous epidural infusion of 0.125% bupivacaine at a rate 8-10 ml/hr or hourly intermittent injections of bupivacaine 0.125%. Both groups received an initial bolus dose of 8-10 ml bupivacaine 0.125% . Supplementary top-up doses of 4-5 ml bupivacaine 0.15% were given when the pain scores failed to change in the subsequent hour. Results showed that both groups attained comparable best pain scores (p>0.37), but more patients from the intermittent injection group suffered worst pain scores(p=0.0704). The infusion group has a significantly shortened active stage of labor (p<0.1) and used less total volume of bupivacaine 0.125%(p<0.001). Sixty percent of the intermittent injection group required top-up doses. Likewise, there was a greater incidence of motor block in this group (p=0.016). Instrumental delivery was not needed for both groups. 2/10*20%) belonging to the intermittent injection group reported pain on episiotomy, episiorrhaphy and delivery. Acta Medica Philippina,1993 29 ( 4 ) pages 184-196 Analgesia, Epidural Bupivacaine Gravidity JA 3586 3586 0 0 nlm 0 0 DOHCL DOHCL ElectronicRes 2021-03-17 0 J000184 D0001J000184 2021-03-17 00:00:00 2021-03-17 JA