Abstract: The pain of childbirth is arguably one of the most severe types of pain a woman will experience in her lifetime. For labor analgesia several non-pharmacologic and pharmacologic methods are adopted of which regional analgesia is considered the gold standard. In our study 50 patients ASA grade 2 were allotted in two groups, group 1 was epidural group and group 2 was tramadol group. Epidural group received 10ml bolus of 0.125% ropivacaine plus 2ugm/ml fentany1 after sitting the epidural catheter when the mother was in true labour pains. Tramadol group received 1mg/kg tramadol intramuscular when the laboring woman was in true labour pains and repeated every 3-4 hrs and the duration of 1st stage, 2nd stage, pain relief was measured using the visual analogue scale, fetal outcome using the APGAR score, mode of delivery, and maternal satisfaction as regards to pain relief was observed and compared in either group. The duration of 1st and 2nd stage were found to be shorter in the epidural group than tramadol group and the pain relief was better in epidural group and statistically highly significant with P value of <0.001. Epidural labour analgesia provides clinically highly significant pain relief in laboring women and it has no adverse effect on the maternal or fetal outcome when low dose of local anesthetic and opoid is used.
Keywords: Epidural labour analgesia, Ropivacaine, tramadol injection, Visual analogue scale.
Title: A Comparison Between Epidural and IM Tramadol for Painless Labor
Author: Kadri Yogesh Bangera, Prathashwini Shetty Bhaskar,Chethan K
International Journal of Healthcare Sciences
ISSN 2348-5728 (Online)
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