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Indian Journal of Obstetrics and Gynecology Research


To study the effect of epidural analgesia on second stage of labor and mode of delivery


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Author Details: Rakhee R. Sahu*,Shraddha M. Shivgan

Volume : 5

Issue : 4

Online ISSN : 2394-2754

Print ISSN : 2394-2746

Article First Page : 553

Article End Page : 558



Abstract

Epidural analgesia is regional anaesthesia that blocks pain in a particular region of the body. The use of epidural analgesia (EA) in labor is widespread in modern labor ward practice, and its benefits in terms of pain relief are well-recognized.
Aims: To study the effect of epidural analgesia on second stage of labor, maternal and neonatal outcomes and its efficacy in labor.
Study Design: This is Prospective Cohort Study was carried at Dr. L. H. Hiranandani Hospital. All the women admitted in labour room for delivery were divided into 2 groups.

  1. Case Group: Included 84 women who opted for epidural analgesia.
  2. Control Group: Included 90 women who did not take epidural analgesia.

Results: The 2nd stage of labor in epidural group was 54.61 (± 37.24) mins and 37.36 (± 26.79) mins in the non epidural analgesia group. By using unpaired t-test, it was found that the data was significant (p=0.032).
The incidence of caesarean section in the epidural group was 16.66% and the in non-epidural group was 12.22%. It was observed that epidural analgesia did not increase the rate of instrumental delivery or caesarean section.
The mean VAS Score before epidural analgesia was 6.2 (± 1.07) whereas it was 3.95 (± 1.46) after epidural analgesia. On applying Wilcoxon Matched Pair test, it was found that the pain was reduced significantly in the mothers after receiving the epidural analgesia.
Conclusion: Epidural analgesia can be safely recommended as a method of labor analgesia. Epidural analgesia has no significant adverse effects on maternal and neonatal outcomes

Keywords: Epidural analgesia, VAS – Visual analogue score, 2nd stage of labour, Caesarean sect. 

Doi :-https://doi.org/10.18231/2394-2754.2018.0124