Efficacy of Epidural Analgesia and Intravenous Tramadol in Relieving Labour Pain: A Prospective Hospital Based Study

  • Abeezar Hussain Assistant Professor, Department of Anaesthesiology, Pacific Institute of Medical Sciences, Udaipur.
  • Sangeeta Goyal Assistant Professor, Department of Anaesthesiology, Pacific Institute of Medical Sciences, Udaipur.
Keywords: Epidural Analgesia, Intravenous Tramadol

Abstract

Background: Labour Pain during pregnancy is a painful experience for nearly all women. The aim of this study is to compare the efficacy, safety and adverse effects of epidural analgesia, tramadol in pain relief. Material and Methods: A total of 90 cases were studied. They included primi- as well as multigravidae, belonging to ASA grade 1 and 2 between the ages of 20-40 years, 37-41 weeks of pregnancy were selected. They were in established active stage of labor (uterine contraction 3 per 10 minutes, lasting for 30 to 40 seconds, cervical dilation more than 3 cm and up to 5 cm and cervical effacement more than or equal to 60%) with singleton fetus presenting by vertex and agreeable for analgesia. The selected patients were divided into three groups of Group I (control group, n=30), labour was carried out without using any analgesic technique, Group II (epidural Group, n=30) – Inj. bupivacaine 0.25% was given epidurally for analgesia, Group III (Tramadol Group, n=30) – Inj. Tramadol was given intravenously for analgesia. Result: From the observations gathered from this study, this can concluded that epidural analgesia provides much better analgesia than non-conventional methods of analgesia during labour. Conclusion: Tramadol have also a fair to good role in pain relief in labour, but mainly in first stage of labour when the pain is not severe enough.

Downloads

Download data is not yet available.

References

1. Cambic CR, Wong CA. Labour analgesia and obstetric outcomes. Br J Anaesth 105 Suppl. 2010; 1: i50-60.
2. Pereira Rda R, Franco SC, Baldin N. Pain and the protagonism of women in parturition. Rev Bras Anestesiol. 2011; 61:376-388.
3. Kushtagi P, Surpaneni N. A thought for tramadol hydrochloride as labour analgesic. Anesth Essays Res. 2012; 6:147-150.
4. Javed L, Salick A, Farooqi NJ () Epidural analgesia in labor in relation to the rate of instrumental deliveries. Ann K E Med J. 2005; 11:307-310
5. Agaram R, Douglas MJ, McTaggart RA, Gunka V. Inadequate pain relief with labour epidurals: a multivariate analysis of associated factors. Int J Obstet Anesth. 2009; 18: 10-14.
6. Claahsen-van der Grinten HL, Verbruggen I, van den Berg PP, Sporken JM, Kollee LA. Different pharmacokinetics of tramadol in mothers treated for labour pain and in their neonates. Eur J Clin. 2005.
7. Budsen P, Peterson LE, and Selstam U. Pain relief during labour - an evaluation of conventional methods. Acta Obstet Gynecol, Scand. 1982; 61:289-297.
8. Vascika A. Et al. Spinal and epidural anesthesia, fetal and uterine response to acute hypo- and hypertension. Amer J. Obstet Gynec. 1964; 90:800.
9. Jain S, Arya VK, Gopalan S, Jain V. Analgesic efficacy of intramuscular opioids versus epidural analgesia in labour. Int J Gynaecol Obstet. 2003 Oct; 83(1):19-27.
Published
2017-12-20
How to Cite
1.
Hussain A, Goyal S. Efficacy of Epidural Analgesia and Intravenous Tramadol in Relieving Labour Pain: A Prospective Hospital Based Study. IABCR [Internet]. 20Dec.2017 [cited 21Nov.2018];3(4):102-5. Available from: https://iabcr.org/index.php/iabcr/article/view/29