A Clinical Study on Labour Analgesia in Full Term Primigravida Patients
DOI:
https://doi.org/10.21276/ndncbp95Keywords:
Epidural Analgesia, programmed labour, traditional labourAbstract
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
Downloads
References
F. Gary Cunningham, Kenneth J. Leveno, Steven L. Bloom et al, Williams —Obstetrics, 23rd Edition, New York, Mc Graw Hill, 454, 2010.
Raffin R.B., Friderichs E., Reiman W. — Obstetric analgesics and anesthetics . J Pharmacol Experimental Therapeutics. 260:275-285, 1992.
American College of Obstetricians and Gynecologists .Obstetric Analgesia and Anesthesia Practice Bulletin. b 36, Jul 2002.
4.Ganla KN, Deshmukh S, Bhide A, et al. Intermittent IV bolus ketamine in labor analgesia. J Obstet Gynaecol India 2000;50:60.
Guseck E. Conservative acceleration of parturition by avacan Schweizerische Medizinische Wochenschrift 1952;32: 882.
Etterich M, Mall M, Haefeli. The effect of spasmolytic agents on parturition. Gynecologia 1959;147:512.
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.
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.
Mukhopadye AK, Ghosh S, Roy B, et al. Effect of epidosine forte on cervical dilatation in labor. J Obstet Gynaecol India 2000;50:45.
Veronica Irene Yuel, Vaneet Kaur, Dilpreet Kaur. — Promrammed labour for optimizing labour and delivery. J K Science. 10 (2):62-64, Apr - Jun 2008.
Meena Jyoti, Singhal Prabha, Choudhary Devika. — Programmed labour. J of Obstet Gynecol Ind. 56(1):53-55, 2006.
Prasertsawat P.O. Herabutya, Chaturachinda R. — Obstetric analgesia. Current Therapeautic Research. 40: 1022-1028, 1986.
Suvonnakote T., Thitadilok W., Atisook R. — Pain relief during labour. J Med Assoc Thiland. 69: 575- 580, 1986
Divakar H, Patil A. Programmed Labor–A personal communication
Traser WD, Turcot L, Kraws I. Amniotomy for shortening spontaneous labour. Cochrane Database Sys Rev 2000; 2:CD000015.
Daftary l. Programmed Labour – An Indigenously Developed Protocol of Labour Management. Int J Gynecol Obst Ind 2003 ; 6:47-49
Jyoti M, Singhal P, Choudhary D. Programmed Labor. J Obstet Gynecol India 2006 ; 56: 53-55.
Downloads
Published
Issue
Section
License
Copyright (c) 2024 International Archives of BioMedical and Clinical Research

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors are required to sign and submit the completed “Copyright transfer Form” upon acceptance of publication of the paper. This is determined by a publishing agreement between the author and International Archives of Biomedical and Clinical Research. These rights might include the right to publish, communicate and distribute online. Author(s) retain the copyright of their work. International Archives of Biomedical and Clinical Research supports the need for authors to share, disseminate and maximize the impact of their research.