Home|Journals Follow on Twitter| Subscribe to List

Directory for Medical Articles

Open Access


Natl J Med Res. 2013; 3(2): 184-186

A Study of Fetomaternal Outcome of Epidural Analgesia During Labour

Shital H Halvadia, Hardik B Halvadia, Rachit M Joshi, Devanshi P Upadhyaya.

Background: Epidural anesthesia is regional anesthesia that blocks pain in a particular region of the body. This produces pain relief with minimal side effects. These medications may be used in combination with epinephrine, fentanyl, morphine, or clonidine to prolong the epiduralís effect or to stabilize the motherís blood pressure.
Objectives: This study was conducted to assess the fetomaternal outcome of epidural analgesia in labour.
Methods: This study was descriptive case series study which was conducted in department of obstetrics and gynecology, GMERS medical college, Gandhinagar, Gujarat from January 2012 to December 2012. Pregnant women who received epidural analgesia during labour were involved in the study. The inclusion criteria were primi gravida patients who had gestational age of greater than 37 weeks (confirmed by ultrasound) without any risk factors, in true labour (cervical dilatation >3 cm with regular uterine contraction) and with vertex presentation.
Results: Total number of patients was 80 with the mean age of 21.9Ī1.7 years. Mode of delivery was spontaneous vaginal in 46 patients (57.5%), forceps delivery in 4 patients (5%), ventouse in 14 patients (17.5%) and caesarean section in 16 patients (20%). At one minute majority of the babies (n 63, 78.75%) had Apgar score of more than 7, only 5 babies (6.25%) had Apgar score less than 4, and 12 babies (15%) had Apgar score between 4-7. At 5 minutes majority of the babies (n 74, 92.5%) had Apgar score of more than 7, only one baby (1.25%) had Apgar score less than 4, and 5 babies (6.25%) had Apgar score between 4-7.
Conclusion: Epidural anaesthesia provided excellent pain relief in majority of the patients. It can also be associated with increase duration of second stage of labour but not associated with fetal compromise in a properly managed patient.

Key words: Epidural analgesia, Labour, Apgar score, Mode of delivery

Share this Article

Journal of Molecular Pathophysiology


BiblioMed Home
Follow ScopeMed on Twitter
Author Tools
eJPort Journal Hosting
About BiblioMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Bibliomed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright © ScopeMedģ Information Services.