Intradermal Sterile Water Injection in Sacral Region: A Low Cost Labour Analgesia
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 4
Abstract
Introduction : Labour pain is considered as one amongst the severe pains and managed usually by pharmacological method. The role of nonpharmacologic method-intradermal sterile water administration in the sacral region has the benefit of being nonintrusive, low-cost, simple, effective, and without serious adverse effects .Aim: To assess the efficacy of intradermal sterile water versus intramuscular pentazocine administration in sacral region (Michaelis rhomboid ) as labour analgesia.Material and method Parturients in cephalic presentation at first stage of labour were distributed alternately into two groups of fifty parturient each. Sterile water injection group of patients received 6 intradermal injections of 0.5 ml sterile water in the sacral region.In the other group pain relief was provided by IM pentazocine in dose of 30mg. The pain score was monitored at 15 and 90 min by visual analogue scale ( VAS). Result: The mean (VAS) pain score at 0,15 and 90 minutes were 75.3±23.04, 30.2±12.65,42.3±13.76 in sterile water group and 25.2±10.72, 74.7±23.45,25.2±10.72 in pentazocine group, at 0,15 and 90minutes respectively. Eight patients (16%) needed supplementation of inj IM pentazocine in the sterile water group, the pain relief in both the groups were of mild degree after 90 minutes.Conclusion: The effectiveness of pain relief by intradermal sterile water administration in the sacral region and inj IM pentazocine are comparable . Intradermal sterile water administration is simple low cost nonpharmacological method of pain relief during labour in low resource settings.
Authors and Affiliations
GP Capt JC Sharma MD, Dr Rupa Talukdar MD
Keywords
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- DOI 10.9790/0853-1804032629.
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