The effects of epidural analgesia in normal labor
Journal Title: Indian Journal of Clinical Anaesthesia - Year 2018, Vol 5, Issue 3
Abstract
Introduction Labor pain is the most severe pain a women would experience and several treatment modalities have been adopted since decades Labor analgesia using epidural technique is considered as the efficient and effective treatment options available Parturients in India especially rural areas are less aware regarding labor analgesia using epidural techniqueAim To study the effects of labor analgesia using epidural technique in nulliparous womenMaterials and Methods Sixty full term nulliparous women with singleton vertex pregnancy were made aware of labor analgesia using epidural technique and included those willing were grouped epiduraln30 those not keen were grouped controln30 In 1st stage labor parturients in epidural group received bupivacaine and fentanyl whereas in control group received intramuscular Inj tramadol and Inj pethidine if needed Duration of 1st and 2nd stage labor pain relief maternal satisfaction adverse effects instrumental deliveries 1st and 5th minute Apgar score and NICU admission were recordedResults The mean duration of first stage labor was shorter p0071 in epidural group 2501710633 minutes compared with control group 302011199 minutes and statistically insignificant prolongation p0892 1873682 minutes of 2nd stage labor as compared to control 18331453 minutes Pain relief in epidural group was statistically significant pst p0306 and 5th minutes p100 NICU admission rate were statistically insignificant p0143 between groupsConclusion Labor epidural analgesia using Injbupivacaine and Injfentanyl provides good pain relief safe for mother and baby It does not affect labor duration instrumental delivery rate or neonatal outcome Keywords Labor analgesia Epidural Bupivacaine Fentanyl Labor stages Apgar score NICU admission
Authors and Affiliations
Pradeep Hosagoudar, K R Vimala, Uday Bhaskar, Vallur Swetha Redd, L Krishna
Keywords
Related Articles
- EP ID EP476508
- DOI 10.18231/2394-4994.2018.0077
- Views 97
- Downloads 0
A study of effectiveness of 0.5% bupivacaine for sensory blockade as local anesthesia in epidural and spinal phase
Background: Bupivacaine is a long-acting local anesthetic. Addition of epinephrine is thus rarely required. It blocks initiation and transmission of nerve impulses at the site of application by stabilizing the neuronal m...
A study to evaluate efficacy and safety of dexmedetomidine (1 µg/Kg) as an adjuvant to caudal ropivacaine (0.25%1 Ml/Kg) in paediatric infraumbilical surgeries
Aim: Clinical evaluation of efficacy and safety of dexmedetomidine used as an adjuvant to caudal ropivacaine in paediatric infraumbilical surgeries. Materials and Method: In randomized, prospective, double blind study, 6...
Saddle block spinal anesthesia and its effect on hemodynamic status and analgesia
Introduction The sitting position is often used for patients undergoing spinal anesthesia especially when lower lumbar and sacral levels of sensory anesthesia are required An advantage of this position is that the compli...
A randomised prospective study on the effect of intramuscular lignocaine and bupivacaine on induction dose of thiopentone sodium
Introduction: The combination of regional and general anaesthesia is popular and there is growing interest in the possible interactions of the local anaesthetic agents(LA) with drugs used for general anaesthesia. The pur...
Efficacy of risk score dependent antiemetic regimens in reduction of post operative nausea and vomiting
Postoperative nausea and vomiting PONV is a common complication after anaesthesia Although self limiting and non fatal it can cause significant morbidity and delay discharge The intention of doing this study was to evalu...