Maternal and Perinatal Outcomes in Planned Labour: A Prospective Interventional Study
Introduction: Labour, especially in primiparas, is associated with intense pain. Patients labouring without analgesia may experience longer durations in all stages, along with the suffering associated with labour pains. The study was conducted to determine whether a programmed labour regime...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2023-08-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/18310/63350_CE[Ra1]_F(IS)_PF1(HB_KM_OM)_QC(SHK_IS)_PFA(KM)_PB_(HB_OM)_PN(OM).pdf |
| Summary: | Introduction: Labour, especially in primiparas, is associated
with intense pain. Patients labouring without analgesia may
experience longer durations in all stages, along with the suffering
associated with labour pains. The study was conducted to
determine whether a programmed labour regime provided
adequate pain relief and accelerated the labour process.
Aim: To compare the maternal and perinatal outcomes in
patients who underwent conventional labour with those who
received programmed labour analgesia.
Materials and Methods: This prospective interventional study
was conducted in the Department of Obstetrics and Gynecology
at Netaji Subhash Chandra Bose Medical College and Hospital
in Jabalpur, Madhya Pradesh, India. The study duration was one
year and five months, from March 2021 to August 2022. A total
of 100 patients, including 50 low-risk primiparas in each group
with cervical dilatation of 3 to 4 cm, were randomly allocated
to the case and control groups. The case group received a
programmed labour regime, which involved administering
small doses of various drugs such as pentazocine, drotaverine,
diazepam, and tramadol. No analgesia was given to the control
group. Pain relief assessment was conducted using a Visual
Analogue Scale (VAS). The duration of the various stages of
labour and the rate of cervical dilatation were assessed in both
groups. Data analysis was performed using Statistical Package
for Social Sciences (SPSS) version 23.0.
Results: The mean age of the study subjects in the control
group was 24.14±2.39 years, and in the case group, it was
24.26±2.49 years. Compared to the control group, 29 (58%)
cases experienced mild pain, and 21 (42%) experienced
moderate pain. The rate of cervical dilatation was 2.57±1.41
cm/hour in the case group compared to 1.41±0.36 cm/hour in
the control group (p-value <0.001). The mean duration of the
first (cervical dilatation from 3-4 cm onwards), second, and
third stages of labour was 140.2±35.06 minutes, 25.22±9.41
minutes, and 3.56±0.91 minutes, respectively, in the case group.
The duration of all stages of labour was significantly reduced
in the case group (p-value <0.001). Minimal side effects were
observed, with nausea being the most common side effect in
16% of cases.
Conclusion: Programmed labour resulted in shorter and more
comfortable labour with minimal adverse effects. This method
does not require a trained anaesthetist; thus, it can be easily
administered in low-resource settings.
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| ISSN: | 2249-782X 0973-709X |