Abstract
Objectives
To compare the efficacy of epidural and I/V Tramadol for painless labor and effect on perinatal outcome.
Material and methods
Atotal of 90 parturients admitted in S.N.Medical College, Agra were selected for study. Thirty parturients received intravenous tramadol, thirty received epidural tramadol and thirty were kept as controls by the method of randomization. In the intravenous group, tramadol in doses of 1mg/Kg body weight IV bolus and 100mg in 500ml Ringer lactate at the rate of 8–24 drops/min was given. In the epidural group tramadol 1mg/kg body weight with 8–10 ml of 0.25% bupivacaine was given.
Results
In the epidural group, pain relief was excellent in 36.67%, good in 50% and average in 13.33%. In intravenous group, pain relief was excellent in 10%, good in 26.67% and average in 63.33%. In both the groups there was no significant effect on duration of 1st & 3rd stage of labor. Second stage of labor was prolonged in the control group. There were no significant changes in APGAR scoring.
Conclusion
Epidural tramadol is a safe and effective method for labor pain relief better than I/V tramadol.
Keywords: epidural, tramadol, painless labor
Full Text
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References
- 1.William R., Camann M.D. Highlights of the 35th Annual Meeting of the Society for Obstetric Anesthesia and Perinatology. Medscape Ob/Gyn & Women’s Health. 2003;8:14–17. [Google Scholar]
- 2.Husslein P., Kubista E., Egarter C. Obstetrical analgesia with tramadol results of a prospective randomized comparative study with pethidine. Z Geburtshilfe Perinatol. 1987;191:234–237. [PubMed] [Google Scholar]
- 3.Li E., Weng L. Influence of dihydroetorphine hydrochloride and tramadol on labor pain and umbilical blood gas. Zhonghua Fu Chan Ke Za Zhi. 1995;30:345–348. [PubMed] [Google Scholar]
- 4.Long J., Yue Y. Patient controlled intravenous analgesia with tramadol for labor pain relief. Chin Med J (Engl) 2003;116:1752–1755. [PubMed] [Google Scholar]
- 5.Desai P., Patel P., Gupta A., et al. Epidural analgesia in labor. J Obstet Gynaecol India. 2006;56:417–422. [Google Scholar]
- 6.Viegas O.A., Khaw B., Ratnam S.S. Tramadol in labor pain in primiparous patients. A prospective comparative clinical trial. Eur J Obstet Gynecol Reprod Biol. 1993;49:131–135. doi: 10.1016/0028-2243(93)90260-J. [DOI] [PubMed] [Google Scholar]
- 7.Jain S., Arya V.K., Gopalan S., et al. Analgesic efficacy of intramuscular opioids versus epidural analgesia in labor. Int J Gynecol Obstet. 2003;83:19–27. doi: 10.1016/S0020-7292(03)00201-7. [DOI] [PubMed] [Google Scholar]