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Labour is the ending of a pregnancy by one or more babies leaving a woman's uterus by vaginal passage or Caesarean section. In 2015, there were about 135 million births globally. About 15 million were born before 37 weeks of gestation, while between 3 and 12% were born after 42 weeks. Objectives of the study is to compare the impact of lumbar epidural and combined spinal epidural analgesia technique on Labour. A comparative two group study with 20 patients in Combined Spinal epidural analgesia and 20 patients in Epidural analgesia is undertaken to study and to assess the efficacy of 0.125% bupivacaine with 20 micrograms fentanyl in relieving parturition pain and to compare the effectiveness of both techniques on the progress of labour. The mean duration of 1st stage in combined spinal and epidural analgesia group was 5.30 hours and that in epidural group was 5.9 hours. The mean duration of 2nd stage in CSE group was 18.9 min and that in epidural group was 16.9min. Mean duration were not statistically significant for 1st and 2nd stages in the two groups. Duration of third stage was 5.2 min and 6.2 min in combined spinal and epidural analgesia group and epidural group respectively and this was statistically significant.

A Comparative study between epidural and combined spinal epidural analgesia on labour