Abstract

EFFECT OF EPIDURAL ANALGESIA ON MODE OF DELIVERY AND PERINATAL OUTCOME

Dr. Virul Shrivastava*, Dr. Deepti Shrivastava, Dr. Neema Acharya, Dr. A. V. Chandak and Dr. Vinaya Udaybhaskar

Abstract

Introduction: Spontaneous expulsion of single full term (37-42 completed weeks of pregnancy) alive foetus through the natural passages (birth canal) with presenting part vertex, within the reasonable time, without foetal or maternal complications. Childbirth is the most memorable experiences for women. But at the same time associated with excruciating pain making the women crying for from her soul. Pain relief alone is an adequate medical indication for administration of epidural analgesia during labour. Aim: My study aims to assess the effect of epidural analgesia on mode of delivery and perinatal outcome. Objective: 1) To compare the mode of delivery and rate of operative delivery in parturients with or without epidural analgesia.2To compare NICU admissions following delivery between both the groups. 3) To study the maternal complications and side effect of the procedure. Material and Methods: The present study was conducted in department of obstetric and Gynaecology at Acharya Vinoba Bhave Rural Hospital, Sawangi (Meghe), Wardha over a period of two years,Study Design -Observational study, PARTICIPANTS-100 pregnant women attending antenatal clinic who fulfill the inclusion criteria will be offered option of epidural analgesia. Group A consist of 50 parturients who was willing for epidural analgesia after written informed consent and Group B will consist of 50 parturients who was not opt for epidural analgesia. Conclusions: Mode of delivery are similar in both the groups,Duration of 1st stage significantly decreased in epidural,2nd stage needed assistance in the form of vaccum application but non significant difference, Neonatal outcome is same.

Keywords: Labour, Epidural, Pregnant.