Key result
Epidural analgesia using bupivacaine and fentanyl did not significantly alter the duration of first stage labor compared to intramuscular analgesics (250.17 vs 302.0 minutes; p=0.071).
Why the study?
Does epidural analgesia using bupivacaine and fentanyl improve pain relief without prolonging labor in full term nulliparous women?
Population
60 full term nulliparous women with singleton vertex pregnancy in India.
Comparison
Epidural analgesia using bupivacaine and… vs Intramuscular tramadol, and pethidine if needed.
Design
Cohort
Follow-up
until delivery
Authors
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No change to labor analgesia choices; leaves open need for larger randomized trials to confirm neutrality on first-stage duration.
Observational (n=60)
Does epidural analgesia using bupivacaine and fentanyl improve pain relief without prolonging labor in full term nulliparous women?
Absolute Event Rate: 250.17% vs 302%
p-value: p=0.071
Epidural analgesia with bupivacaine and fentanyl provides effective pain relief during labor without significantly prolonging labor duration or adversely affecting neonatal outcomes.
Hosagoudar et al. (2018) conducted an observational in Normal labor (n=60). Epidural analgesia (bupivacaine and fentanyl) vs. Intramuscular tramadol and pethidine was evaluated on Duration of first stage labor (minutes) (p=0.071). Epidural analgesia using bupivacaine and fentanyl did not significantly alter the duration of first stage labor compared to intramuscular analgesics (250.17 vs 302.0 minutes; p=0.071).
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