ABSTRACT
Epidural anesthesia is an appropriate technique for managing labour pain, which is a common problem in acute pain management. Intact motor function, less hemodynamic changes and decreased maternal catecholamines are the other pearls in epidural anesthesia. Patient Control Epidural Analgesia [PCEA] is a safe and effective technique with minimal motor block, with more patients' satisfaction and stability and least drug requirement for analgesia. Epidural analgesia is the most effective technique among routine methods for labour pain control. In volunteers with vertex position of single fetus which were in active phase of pregnancy epidural catheter was implicated. After loading the first injection doseage; catheters were attached to the disposable silicone balloon pumps, which delivered maximum of 2ml of solution contained 0.1% marcaine plus 4 microgram per milliliter fentanyl every 15 minutes with patient control button. The patients were monitored for pain severity and vital signs. Subsidiary methods and drugs used for pain were also recorded during the labour. 45 parturient entered the study. Mean VAS in 96% was less than 4 during all times. 23 of the mothers [51%] had the score of 5 to 8 in MEPAS scale and were able to walk either with or without any help just 30 minutes after receiving the loading epidural dose. PCEA is a safe and effective method which showed effective pain reduction in 96% of cases