A Clinical Study on Labour Analgesia in Full Term Primigravida Patients

  • Rehana Najam Professor Department of Obstetrics and Gynaecology, Teerthanker Mahaveer Medical College & Research Centre, TMU, Moradabad, U.P, India
  • Shubhra Agarwal Assistant Professor, Department of Obstetrics and Gynaecology, Teerthanker Mahaveer Medical College & Research Centre, TMU, Moradabad, U.P, India
Keywords: Epidural Analgesia, programmed labour, traditional labour


Background: Labour is defined as the progressive dilatation of cervix with co-ordinate uterine contractions that effect in and expulsion of the products of conception. Experience has shown that providing pain relief to the mother allays fear, anxiety and provides a more favourable environment for improved obstetric outcome.

Aims and Objectives: To compare the effects of programmed labour protocol with epidural analgesia and traditional method of labour.

Materials & Methods: This study is a prospective, randomized controlled study conducted in the department of Obstetrics & Gynaecology at Teerthanker Mahaveer Medical College & Research Centre Moradabad. 90 pregnant women in active labour were enrolled in the study. They were  allocated to three groups after randomization . Group-A- 30 pregnant women received epidural analgesia. Group-B - 30 pregnant women received programmed labour protocol. Group-C- 30 pregnant women with traditional labour management.

Results: There was excellent relief of pain in group A patient compared to other methods with shortening of duration of labour.

Conclusion: Labour analgesia is a simple, effective method for painless and safe delivery and thus can reduce the number of caesarean section


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1. F. Gary Cunningham, Kenneth J. Leveno, Steven L. Bloom et al, Williams —Obstetrics, 23rd Edition, New York, Mc Graw Hill, 454, 2010.
2. Raffin R.B., Friderichs E., Reiman W. — Obstetric analgesics and anesthetics . J Pharmacol Experimental Therapeutics. 260:275-285, 1992.
3. American College of Obstetricians and Gynecologists .Obstetric Analgesia and Anesthesia Practice Bulletin. b 36, Jul 2002.
4. 4.Ganla KN, Deshmukh S, Bhide A, et al. Intermittent IV bolus ketamine in labor analgesia. J Obstet Gynaecol India 2000;50:60.
5. Guseck E. Conservative acceleration of parturition by avacan Schweizerische Medizinische Wochenschrift 1952;32: 882.
6. Etterich M, Mall M, Haefeli. The effect of spasmolytic agents on parturition. Gynecologia 1959;147:512.
7. Khosla A, Bala J, Dahiya K, Sangwan K. A comparative study of the efficacy of valethamate bromide and Drotaverine in normal labor. J Obstet Gynaecol India 2003;53:568.
8. Mishra SL, Toshniwal A, Banerjee R. Effect of Drotaverine HCl on cervical dilatation in labor, a comparison with Valethamate bromide. J Obstet Gynaecol India 2002;52:76.
9. Mukhopadye AK, Ghosh S, Roy B, et al. Effect of epidosine forte on cervical dilatation in labor. J Obstet Gynaecol India 2000;50:45.
10. Veronica Irene Yuel, Vaneet Kaur, Dilpreet Kaur. — Promrammed labour for optimizing labour and delivery. J K Science. 10 (2):62-64, Apr - Jun 2008.
11. Meena Jyoti, Singhal Prabha, Choudhary Devika. — Programmed labour. J of Obstet Gynecol Ind. 56(1):53-55, 2006.
12. Prasertsawat P.O. Herabutya, Chaturachinda R. — Obstetric analgesia. Current Therapeautic Research. 40: 1022-1028, 1986.
13. Suvonnakote T., Thitadilok W., Atisook R. — Pain relief during labour. J Med Assoc Thiland. 69: 575- 580, 1986
14. Divakar H, Patil A. Programmed Labor–A personal communication
15. Traser WD, Turcot L, Kraws I. Amniotomy for shortening spontaneous labour. Cochrane Database Sys Rev 2000; 2:CD000015.
16. Daftary l. Programmed Labour – An Indigenously Developed Protocol of Labour Management. Int J Gynecol Obst Ind 2003 ; 6:47-49
17. Jyoti M, Singhal P, Choudhary D. Programmed Labor. J Obstet Gynecol India 2006 ; 56: 53-55.
How to Cite
Najam R, Agarwal S. A Clinical Study on Labour Analgesia in Full Term Primigravida Patients. IABCR [Internet]. 21Mar.2018 [cited 20Mar.2019];4(1):174-7. Available from: https://iabcr.org/index.php/iabcr/article/view/301