Volume : 6, Issue : 4, April - 2017

Effect of Intrapartum Epidural Analgesia on duration of labour & mode of delivery: A randomized control, prospective study

Dr. Sushila Kharkwal, Dr. Sanjaya Sharma, Dr. Hema J Shobhane, Dr. Vidya Chaudhary, Dr. Preeti Kanal, Dr. Rajni Gautam, Dr. Umesh K Yadav

Abstract :

<p>&nbsp;<i style="text-align: justify;"><span style="font-size: 12pt; line-height: 200%; font-family: &quot;Times New Roman&quot;, serif;">Objective-</span></i><span style="text-align: justify; font-size: 12pt; line-height: 200%; font-family: &quot;Times New Roman&quot;, serif;"> </span><span style="text-align: justify; font-size: 12pt; line-height: 200%; font-family: &quot;Times New Roman&quot;, serif;">The purpose of this prospective, randomized observational study is to determine the effects of epidural labour analgesia with regard to duration of labour, mode of delivery and maternal satisfaction. </span><i style="text-align: justify;"><span style="font-size: 12pt; line-height: 200%; font-family: &quot;Times New Roman&quot;, serif;">Method-</span></i><span style="text-align: justify; font-size: 12pt; line-height: 200%; font-family: &quot;Times New Roman&quot;, serif;"> </span><span style="text-align: justify; font-size: 12pt; line-height: 200%; font-family: &quot;Times New Roman&quot;, serif;">Study included 60 full term parturient women at term pregnancy in active labour who were further allocated in two groups, one received Epidural analgesia &amp; other without any analgesia (Control Group) and effect on labour were observed. </span><i style="text-align: justify;"><span style="font-size: 12pt; line-height: 200%; font-family: &quot;Times New Roman&quot;, serif;">Result-</span></i><span style="text-align: justify; font-size: 12pt; line-height: 200%; font-family: &quot;Times New Roman&quot;, serif;"> </span><span style="text-align: justify; font-size: 12pt; line-height: 200%; font-family: &quot;Times New Roman&quot;, serif;">The mean duration of 1st stage and 2nd stage of labour was increased in epidural group when compared with control group having a p-value of 0.003 and 0.0001 respectively but prolongation did not reach to the statistically significant level. The rate of instrumental delivery is increased 13.3% in Epidural group and 3.3% in Control group. Excellent maternal satisfaction was observed.</span></p> <p class="MsoNormal" style="margin-bottom: 8.3pt; text-align: justify; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><span style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,serif;&#10;mso-bidi-font-weight:bold"><o:p></o:p></span></p>