Effects of Epidural Analgesia on the Mother and Fetus in Labour

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

Red Blood Cell Indices Along With Hemoglobin and Serum Ferritin Estimation At Internal Correlation In Pregnant Females

Introduction: Anaemias occurring during pregnancy are known to increase maternal and perinatal morbidity and mortality, therefore it would be therapeutically important to be capable of selecting women who are in iron def...

Prognostic Profile of Scrub Typhus in Association with Co Existing Clinical Infection in Hadoti Region of Rajasthan

Scrub typhus is a disease caused due to infection with Orientia tsutsugamushi, and is spread by leptotrombidiummites (chiggers). In tropical areas, concurrent infectionof malaria and dengue can occur as bo...

The Study of Efficacy of Sublingual Misoprostol in Termination of Early Pregnancy

Introduction: Nearly 20% of all confirmed pregnancies end in spontaneous abortion. Misoprostol’s use in early pregnancy failure is varied and dose and route are not well established. Aim: To study the...

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 Cross-Sectional Study to Assess the Association between Major Depression and Inflammatory Markers in Patients with Acute Ischemic Stroke in North East Rajasthan

Increased interest in the relationship between affective disorder and long-term health consequences has generated recent examinations of depression and stroke. Observations suggest that depressive disorder is associated...

Download PDF file
  • EP ID EP491059
  • DOI -
  • Views 109
  • Downloads 0

How To Cite

Dr. Arti Kumari (2018). Effects of Epidural Analgesia on the Mother and Fetus in Labour. International Journal of Medical Science And Advanced Clinical Research (IJMACR), 1(6), 66-71. https://www.europub.co.uk/articles/-A-491059