Samanta S, et al. - This study was initiated in order to gauge the effects of epidural ropivacaine and intramuscular (IM) tramadol on Doppler blood flow in parturients with fetal growth restriction and raised umbilical artery (UmA) blood flow. Improved fetoplacental circulation was achieved via continuous epidural ropivacaine causes in parturients with growth-restricted fetuses having raised Doppler indices during labor analgesia. Furthermore, results reported better neonatal outcome with continuous infusion of epidural ropivacaine than with IM tramadol.