EFFECT OF EPIDURAL ANALGESIA VERSUS NO ANALGESIA IN NULLIPAROUS FEMALES IN TERMS OF DURATION OF LABOUR

Main Article Content

Dania Nayyer
Noor ul Huda
Anam Rashid
Mehwish Saleem
Rabia khursheed
Afshan Jabeen

Keywords

Epidural analgesia, Nulliparous, Duration of labour

Abstract

Background: For women in labour, pain alleviation is crucial. There are several pharmacological approaches to treat the pain including opioid injections, local analgesia, and Nitrous Oxide inhalation. The technique of epidural analgesia, which is frequently used as a kind of pain treatment during childbirth, involves injecting a local anaesthetic in lower region of spine to relieve pain. Unintended negative effects on the mother and child remain a concern, though.


Objective: This research was carried out to compare the mean duration of labour in nulliparous  females with and without epidural analgesia.

Study Design: A randomized Control Trial 


Place And Duration: This study was conducted in Jinnah Hospital, Lahore from March 2019 to March 2020


Methodology: A total of 400 patients were enrolled in the study, 200 were placed in Group I and 200 in Group II. In Group I a bolus injection of 10 ml of ropivacaine 0.2% and 50µg fentanyl was given and after 5 minutes a test dose of 3 ml lidocaine (2%) was given. In Group II, patients were not given epidural anesthesia. Data was entered and analyzed using SPSS version 23.


Results: According to the findings of the study, the patients ranged between 18-45 years of age, the mean age of patients in Group-I and Group-II was 30.5±7.43 and 30.3±7.91 years respectively. The mean gestational age in Group-I & II was 38.7±1.21 and 39.0±1.4 weeks respectively. We observed that the mean duration of 1st stage of labour in Group-I and II was 3.92±0.65 hours and 4.87±0.82 hours (p<0.001) while the mean duration of 2nd stage of labour in Group-I and II was 30.12±3.49 minutes and 26.37±2.15 minutes (p<0.001).


Conclusion: In conclusion, epidural analgesia in nulliparous women caused the first stage of labour to last less time and the second stage to last longer than it would have otherwise.
 
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