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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 12, Issue 2, September 2014 pp 292-294

Research Article

Study of Intravenous Drug Analgesia for first stage labour pain relief: a descriptive study

Sanjaykumar B Pagare¹, Nimisha Pagare², Deshpande S S³, Yelikar K A⁴

¹Assistant Professor, ³Associate Professor, ⁴Professor and Head Department of OBGY, Govt Medical College, Aurangabad, Maharashtra, INDIA.

²Consultant Obstetrician and Gynaecologist, Aurangabad, Maharashtra, INDIA.

Abstract

Pain relief in labour is among the most common problem encountered by treating doctors. Various methods are being increasingly employed for pain relief during labour. Present study describes the effect of Intravenous Drug Analgesia in relief of first stage of labour pain. 100 cases of full term (37 to 42 weeks) singleton pregnancy with cephalic presentation in active phase of labour with cervical dilatation of ≥ 3cm but ≤ 5 cm were included in the study. VAS was used to assess the pain before administering labour analgesia and repeated at 1 hour, 2 hour, 4 hour and at full dilatation of cervix. Overall effect of labour analgesia in relief of pain was categorized as: Excellent, Good, Fair and Poor. Duration of labour was recorded from time of administration of labour analgesia to delivery of baby. Mode of delivery was also noted and categorized as Normal, Assisted- Ventouse/Forceps or Caesarean. Assessment of neonatal outcome was done using APGAR score in all babies at 1 minute and 5 minute. Side effects or complications were also noted. The results indicate that Intravenous Drug Analgesia is as an effective mode of management of labour pain.