Intravenous infusion of tramadol - a safe labour analgesia
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20150423Keywords:
Analgesia, Labour, TramadolAbstract
Background: Tramadol has less maternal sedative effect and less neonatal depression, combines the mechanism of action of opioids and tricyclic antidepressants, now widely used for postoperative and obstetric analgesia. The aim the present study was to assess the efficacy and safety of intravenous infusion of tramadol as a safe analgesia for labour.
Methods: The study was conducted on hundred primigravida with vertex presentation in active phase of labour. The following points were noted, (1) the time of onset of pain relief; (2) the degree of pain relief. (3) Maternal and foetal adverse effects.
Results: Good relief of pain in 27 patient and moderate relief of pain in 16 patient and mild relief of pain in 7 patients was observed. The average time of onset in pain relief was 13 minutes. Majority of the parturients did not suffer from any adverse effects in our study.
Conclusions: The tramadol hydrochloride intravenous infusion is safe and effective analgesia for labour.
Metrics
References
Bitsch M, Emmrich J, Hary J, Lippach G, Rindt W. Geburtshilfliche analgesic mit tramadol. Fortschritte der Medizin. 1980;16:632-4.
Prasertsawat PO, Herabutya Y, Chaturachinda R. Obstetric analgesia. Current therapeutic research.1986;40:1022-9.
Suvonnakote T, Thitadilok W, Atisook R. pain
relief during labour. J Med Assoc Thailand. 1986; 69:575-80.
Nawani M, Sharma S, Nawani DP, et al. U.P. Chapter of obstetrics and gynecology. 1996;2:41.
Sarkar B, Mukhopadhyay AK. Tramadol hydrochloride in dysfunctional labour – A clinical trial. J Obstet Gynecol India. 1997;47:42-8.
Husslein P, Kuvista E, Egarter C. Obstetrical analgesia with tramadol, result of a prospective randomized comparative study with pethidine. Zeitschrift Gegrtshilf umb perinatolfgie. 1987;191:234-7.
Nagaria T, Achaya J. Pain relief in labour-tramadol versus pentazocine. J Obstet Gynecol India. 2006;56(5):406–9.
Thakur R, Patidar R. Comparative study of transcutaneous electrical nerve stimulation (TENS) and tramadol hydrochloride for pain relief in labor. J Obstet Gynecol India. 2004;54:346–50.
Jaitley A, Singh S, Srivastava U, et al. A comparison between epidural and IV tramadol for painless labor and effect on perinatal outcome. J Obstet Gynaecol India. 2011;61:42–7.
