Key result
Labor epidural analgesia is linked to complete first-stage pain relief in ~52% of women.
Why the study?
Labour produces intolerable pain requiring effective relief, and this study aimed to assess epidural analgesia for pain relief, duration of labour stages, and maternal and foetal outcomes.
Does epidural analgesia provide effective pain relief and safe obstetric outcomes in women undergoing normal vaginal delivery?
Observational (n=40)
No
Does epidural analgesia provide effective pain relief and safe obstetric outcomes in women undergoing normal vaginal delivery?
Epidural analgesia provides effective pain relief during labour with safe maternal and fetal outcomes.
Answers are grounded in this paper and cite their sources.
Supports epidural use for labor analgesia in this cohort; leaves open generalizability and safety in randomized trials.
• Introduction: Labour is a natural phenomenon which produces intolerable pain that requires effective methods for pain relief which is often challenging and complex task without regional analgesia. Epidural analgesia is most widely accepted method used to reduce labour pain. • Aims and Objectives: Assessment of epidural analgesia in pain relief during labour, duration of different stages of labour, maternal and foetal outcome. • Methodology: This study is a Prospective Observational study conducted at RL JALAPPA Hospital, Kolar from January 2020 to June 2021.40 women admitted for normal vaginal delivery opting labour analgesia were studied. Data collected was entered in Microsoft excel spread sheet and results were analysed. • Results: The mean duration of first stage of labour was153 minutes, mean duration of second stage was 30minutes, and mean duration of third stage was 12 minutes. During first stage of labour, 20 women (52%) had no pain, 12 women (31%) had mild pain and 6 women (15%) had moderate pain. During second stage of labour, 16 women (42%) had mild pain, 15 women (39%) had no pain and 7 women (18%) had moderate pain .During third stage of labour, 30 women (78.9%) had no pain and 8 women (21%) had mild pain. The mean Apgar score of all babies at 1 minute was 7/10 and 5 minute was 9/10. • Conclusion: Epidural analgesia is a safe and effective technique during labour and provides significant pain relief with excellent patient satisfaction.
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Lakshmi et al. (2022) conducted an observational in Labour (n=40). Epidural analgesia was evaluated on Pain relief during labour, duration of different stages of labour, maternal and foetal outcome. Epidural analgesia during labour provided significant pain relief, with 52% of women experiencing no pain in the first stage and 78.9% in the third stage.
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