Effects of Epidural Analgesia on the Mother and Fetus in Labour
Journal Title: International Journal of Medical Science And Advanced Clinical Research (IJMACR) - Year 2018, Vol 1, Issue 6
Abstract
Background: The present study is to evaluate the effect of epidural analgesia on maternal and fetal outcome. That is the duration and progress of labor, mode of delivery (spontaneous vaginal/instrumental/operative), requirement of oxytocin augmentation, Apgar score of newborn, complications following epidural analgesia and effectiveness of analgesia on labor. Methods: This prospective study was conducted at J.L.N.M.C.H Bhagalpur, a total number of 60 patients who were primigravida with full term singleton pregnancy with vertex presentation in established early labor who come under the inclusion criteria were divided randomly into two groups, group-A received epidural analgesia and group-B did not receive epidural analgesia. A detail history, P/A, P/V examination, investigations were done and epidural catheter inserted once the patient enters active phase of labor. Results: Age group of patients varied from 20 – 25 years (70%) in group A and (66.7%) in group B. There was significantly increased use of oxytocin in Group A.Epidural analgesia has shortened the duration of І stage of labor by 13.10 min and prolonged II stage of labor, when compare to control group. Maximum patients [25 (96.5%)] did not have motor blockade. Epidural analgesia has not increased the rate of instrumental vaginal delivery (6.7% vs. 0) and cesarean section rate (16.7% vs. 10%) when compare to control group. In group A-There were 11 (36%) neonates who had Apgar score ≤ 7 at 1 min and no neonates with Apgar score ≤ 7 at 5 min. In group B -There were 6 (20%) neonates who had Apgar score ≤ 7 at 1 min and no neonates with Apgar score ≤ 7 at 5 min. There were 23 (92%) patients in group A who had no pain. Conclusion: We concluded that epidural analgesia did not affect duration of labor or cesarean section rate and has no effect on perinatal outcome and can therefore be recommended to mothers as a satisfying and effective method of pain relief of labor.
Authors and Affiliations
Dr. Arti Kumari
Keywords
Related Articles
- EP ID EP491059
- DOI -
- Views 105
- Downloads 0
A study to assess the Awareness about Health Programs and their Benefits in Terms of Knowledge among Rural Population of Bikaner
Background The most important aspect of the success of health programmes is the extent of availing of public health services by the people. Thereby, it would be necessary to ascertain the level of knowledge which help i...
A Comparative Study Between 0.5% Bupivacaine With Clonidine And 0.5% Bupivacaine Alone For Supraclavicular Brachial Plexus Block In Upper Limb Surgeries
Background:Supraclavicular brachial plexus block provides safe, effective, low cost anaesthesia with excellent post-operative analgesia. The current study was an attempt to compare Bup...
A Clinical Study of 10% Lignocaine Spray For Attenuation of Hemodynamic Response to Direct Laryngoscopy
Introduction: Hemodynamic response to Laryngoscopy is a well-known problem since long time and there are many studies conducted to attenuate this pressure response, the present study is undertaken to study the effect of...
Molecular diagnosis and Importance of Genetic Counseling in subjects and family members with a clinical suspicion of Fragile X Syndrome
Background: Fragile X Syndrome (FXS) is the most common single gene cause of learning disability, hyperactivity and mild to profound Mental retardation (MR) in male patient. Permutation status can lead to premature ovari...
Study on Treatment of Sacrococcygeal Pilonidal Sinus By Limbergflap Versus Primary Closure At Bhagalpur
Sacrococcygeal Pilonidal Sinus isan acquired chronic intermittent disease, usually seen in young adult especially males. This study was undertaken to compare the result of rhomboid excision followed by Limberg flap with...