Comparative Evaluation of Epidural Ropivacaine and Bupivacaine for Labor Analgesia: A Retrospective Study

Abstract

Labor pain is one of the most intense experiences for a woman. Effective pain relief is 
essential for maternal comfort and smooth delivery. Epidural analgesia is widely used for 
labor pain but the choice of the best local anesthetic remains debated. Bupivacaine provides 
effective pain relief but has a higher risk of motor blockade and potential cardiotoxicity. 
Ropivacaine is a newer alternative believed to offer better sensory-motor differentiation with 
reduced systemic toxicity. This study compares the efficacy, motor effects, and safety of 
ropivacaine (0.2%) and bupivacaine (0.125%) for epidural labor analgesia.