Study of Fetomaternal Outcome of Labor Analgesia by Epidural Technique
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Abstract
Currently labor patients are demanding a more comfortable experience, which has raised need for incorporating Epidural Analgesia into more common practice. In this technique local anaesthetic agent is injected into lower spine achieving central nerve blockade. Objective: To control labor pain popular method is epidural administration of opioids with local anaesthetic agent. Design: This was a Prospective Interventional type of study which was conducted at labor room on 25 patients after written and informed consent. Subjects: The study was conducted in the Department of Obstetrics and Gynaecology, B.J. Medical College, Civil Hospital, from June 2018 to June 2020. Methods: We selected epidural administration of Local anaesthetic + Opioids – 0.1%Bupivacaine + 20 microgram Fentanyl. Results: Our study shows excellent VAS score with scores in multigravida better than in primigravida and in first stage of labour better than in 2nd stage. It was very evident that epidural analgesia is effective with high level of patients' satisfaction. Conclusion: Epidural analgesia is very safe and effective method for labour analgesia, with excellent analgesic sensory effect with negligible motor effect on labour without having any undesired effects on fetomaternal outcome such as prolongation of duration of labor, or an increase in instrumental and cesarean delivery. By comparing pain score it was very evident that epidural analgesia is one of the best modalities in labour analgesia.
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Copyright (c) 2025 Monica Dixit, Aashita Kapoor, Shital N Kapadia
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