A programmed labour protocol for optimizing labour and delivery

Kumud Gupta, Smarika Dubey, Shital Bhardwaj, Meenal Parmar


Background: Objectives: 1) To evaluate the effect of programmed labor on duration of labor 2) To assess efficiency of analgesics in reducing severity of labor pains and 3) To find out any maternal and fetal/neonatal complications.

Methods: 100 primigravida pregnant women meeting inclusion criteria admitted in labor room 50 were randomly enrolled in study group and 50 in control group.

Results: Significant reduction in duration of active phase of labor and 43 (86%) cases had pain relief. Out of them 20 (40%) cases experienced excellent pain relief while in controls, only 22% had pain relief.

Conclusions: Labour analgesia ensures pain relief, avoid maternal hyperventilation controls alteration of placental circulation thereby safe guarding the fetus against hypoxia. Thus programmed labor is easy, simple and effective method for painless delivery


Programmed labour, Analgesia, Pain relief

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Spong CY, Cunningham FG, Leveno KJ, Bloom SL, Hauth J, Rouse D. Obstetric analgesia. In: Spong CY, Cunningham FG, Leveno KJ, Bloom SL, Hauth J, Rouse D, eds. Williams-Obstetrics. 23rd ed. New York: McGraw-Hill; 2010: 454.

Raffin RB, Friderichs E., Reiman W. Obstetric analgesics and anesthetics. J Pharmacol Experiment Therapeut. 1992;260:275-85.

American College of Obstetricians and Gynecologists. Obstetric analgesia and anesthesia. In: ACOG, eds. Practice Bulletin No. b36. USA: ACOG; July 2002.

Mishra SL, Toshniwal A. Effect of drotaverine HCL on cervical dilatation in labour, a comparison with valethamate bromide. J Obstet Gynecol India. 2002;52:76.

Singh KC, Jain P, Goel N. Drotaverine hydrochloride for augmentation of labour. Int J Gynaecol Obstet. 2004;84:17-22.

Irene V, Kaur V. Programmed labor for optimizing labor & delivery. JK Sci. 2008;10:62-4.

Chauhan R, Gupta AA. A clinical study of programmed labor & its outcome. J Obstet Gynecol Fam Welfare. 2003;5:8-9.

Daftary SN, Desai SV, Thanawala U, Bhide A, Levi J, Patki A, et al. Programmed labuor - indigenous protocol to optimize labor outcome. South Asian Feder Obstet Gynecol. 2009;1:61-4.

Jyoti M, Singhal P, Choudhary D. Programmed labour. J Obstet Gynecol India. 2006;56:53-5.