Labour with low dose epidural analgesia: maternal perception and fetal outcome


  • Vasudha Sawant Department of Obstetrics and Gynecology, D. Y. Patil University, Kolhapur, Maharashtra India
  • Archana Kumbhar Department of Obstetrics and Gynecology, D. Y. Patil University, Kolhapur, Maharashtra India



APGAR Score, Epidural analgesia, Labour, VAS score


Background: Experiencing labour pains and giving birth to infant is normal physiological process. Though it is a natural phenomenon, it produces severe pain which requires analgesia to relieve pain during labour. The objective of this study was to compare effects of low dose epidural analgesia verses no analgesia during labour on mother and fetus.

Methods: Here in this study we have assessed effect of epidural analgesia on mother and fetus. Total we have taken 60 women in age group of 20-26 years with full term pregnancy (37-42 weeks). Those who have entered spontaneous labour with vertex presentation, without any previous uterine surgery, clinically adequate pelvis. We had divided these women in 2 groups, 30 were given epidural analgesia and 30 without any analgesia. Variables recorded were pain score during labour using VAS, duration of labour during each stage, mode of delivery, Apgar score of newborn at 1 minute and 5 minutes.

Results: Present study shows that duration of first stage of labour in epidural and non-analgesia group are same. Second stage of labour is prolonged in epidural group than non-analgesia group. Both groups had normal APGAR score. Epidural analgesia is not associated with any change in mode of delivery. Visual analogue scale is good with epidural analgesia.

Conclusions: There was no significant difference in first stage of labour in both group. Second stage of labour was slightly prolonged in EA group than control, but it was less than two hours. No harmful neonatal outcome in epidural analgesia.


ADAPTE Collaboration. ADAPTE manual for guideline adaptation, version 1.0. Canada: Guidelines International Network. 2007.

Dutta DC. Textbook of Obstetrics. 13th edition. New Central Book Agency (P) Ltd. Kolkata; 2013:113-25.

Friedman EA. The graphic analysis of labor. Am J Obstet Gynecol. 1954;686:1568-75.

Loubert C, Hinova A, Fernando R. Update on modern neuraxial analgesia in labour: a review of the literature of the last 5 years. Anaesthesia. 2011;66(3):191-212.

Campbell DC. Labor analgesia: what’s new and PECA too? Can J Anaesth. 2003;50:R8.

D’Angelo R. Epidural PCA during labor. Am Soc Anesthes Newsl. 2001;65:16-8.

Agrawal D, Makhija B, Arora M, Haritwal A, Gurha P. The effect of epidural analgesia on labour, mode of delivery and neonatal outcome in nullipara of India, 2011-2014. J Clin Diag Res. 2014;8(10):OC03.

Mousa WF, Al-Metwalli R, Mostafa M. Epidural analgesia during labor vs no analgesia: a comparative study. Saudi J Anaesthesia. 2012;6(1):36.

Sienko J, Czajkowski K, Swiatek-zdzienicka M. Epidural analgesia and the course of delivery in term primiparas. Ginekol Pol. 2005;76:806-11.

Anim-Somuah M, Smyth RM, Jones L. Epidural versus non-epidural or no analgesia in labour. Cochrane Database Syst Rev. 2011:CD000331.

Raja KS, Tasleem H. Influence of epidural analgesia on frequency of instrumental delivery and duration of labour. Rewal Medical J. 2009;34:86-8.

Fouzia A, Shazia S, Gulishan H. Fetomaternal outcome of epidural analgesia during labour. J Surg Pakistan. 2010;15:151-4.






Original Research Articles