Feto-maternal outcome in subject undergoing epidural labour analgesia with Ripovacaine and Fentanyl
Keywords:Duration of labor, Epidural analgesia, Mode of delivery
Background: Epidural anaesthesia is regional anaesthesia that blocks pain in particular region of the body. The present study was done to observe the effect of epidural analgesia and active management of labour on duration of labour and mode of delivery.
Methods: Main source of data were Primigravida inpatients from hospitals attached to JJM Medical College, Davangere from October 2016 to September 2017. It was a clinical cross-sectional study.
Results: It was observed that duration of labour was comparatively less in epidural group than control group. There was no significant increase in duration of II stage of labour in epidural group. There was no increase in both the instrumental delivery rate and caesarean section rate and also noted higher newborn APGAR score rate in parturient who received epidural analgesia.
Conclusions: The present study showed that there is no increase in the duration of labour or any increase in the rate of instrumental delivery or caesarean section in parturient receiving epidural analgesia, instead, there is a downward trend in all the above outcomes.
Vincent RD Jr., Chestnut DH. University of Alabama School of Medicine, Birmingham, Alabama. Epidural analgesia during labor. Am Fam Phy. 1998;58(8):17851792.
Satpathy HK, Chief editor: Alex Macario. Labor and delivery, analgesia, regional and local: overview, indications, contraindication. Available at http://emedicine.medscape.com/article/149337overview#a8.
Rimaitis K, Klimenko O, Rimaitis M, Morkūnaitė A, Macas A. Labor epidural analgesia and the incidence of instrumental assisted delivery. Medicina. 2015;51(2):76-80.
Anim-Somuah M, Smyth RMD, Jones L. Epidural versus non-epidural or no analgesia in labour. Cochrane Database Systematic Rev. 2011;12:CD000331.
Meister, Greg C. A comparison of epidural analgesia with 0.125% ropivacaine with fentanyl versus 0.125% bupivacaine with fentanyl during labour. Anesthesia Analgesia. 2000;90(3):632-7.
Halvadia SH, Halvadia HB, Joshi RM, Upadhyaya DP. A study of feto maternal outcome of epidural analgesia during labor. Natl J Med Res. 2013;3:184-6.
Mousa WF. Epidural analgesia during labor versus no analgesia: a comparative study. Saudi J Anaesth. 2012;6(1):36-40.
Howell CJ, Kidd C. Randomized controlled trial of epidural compared with non-epidural analgesia in labour. BJOG. 2001;108(1):27-33.
Nafisi, Shahram. Effects of epidural lidocaine analgesia on labour and delivery: a randomized, prospective, controlled trial. BMC Anesthesiol. 2006;6(1):15.