Enhancing Vaginal Delivery by Alleviating Pain-Our Experience

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Dr. Bharti Sahu
Dr. Bhoomika Tantuway
Dr. Nazreen Siddiqui
Dr. Archana Thakur


Background:Anticipating a baby is certainly one of the most blissful event in one's life, so it is essential that labour and delivery are secure and nontraumatic.

Method:The present descriptive observational study was conducted in labour room of NSCB Medical College & Hospital, Jabalpur on 300 nullipara in labour who fulfilled the inclusion criteria. The subjects were given injection Tramadol hydrochloride 100mg intramuscularly.

Results:In 300 nullipara before giving the drug, 4.3% had Grade 3 and 95.7% had Grade 4 intensity of pain. After administration of injection tramadol hydrochloride intramuscular there was reduction of pain from grade 3 and 4 by 98.3% (Grade2) and all the patient continued with grade 2 pain in second stage and delivered vaginally and only 17 patients delivered by lower segment caesarean section (LSCS). Minimal side effects such as nausea and vomiting were seen in 13 patients.

Conclusion: Injection tramadol hydrochloride 100mg intramuscular is a safe and effective labour analgesic in nullipara with minimal side effects. So, in developing nations, where availability of facilities is the main limiting factor, injection tramadol hydrochloride can be considered as effective alternative for labour analgesia.

Keyword: Labour analgesia; Nullipara; Tramadol hydrochloride; LSCS

Published Oct 17, 2019

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