1Department of Obstetrics and Gynecology
2Department of Anaesthesia, Dr LH Hiranandani Hospital, Hillside Avenue, Hiranandani Gardens, Powai, Mumbai, 400076, India
*Corresponding Author: E-mail: drseeru@yahoo.co.in
Online published on 26 August, 2016.
A prospective study was conducted to evaluate the impact of ambulatory labour analgesia on obstetric outcomes.
The duration of first and second stage of labour, incidence of lower segment cesarean section, mode of delivery, any side effects of the procedure, fetal wellbeing and patient satisfaction was recorded in 228 patients undergoing labour analgesia.
The average cervical dilatation was 2.03 cm/hour for primigravidae and 2.76 cm/hour for second gravidae. The average time for second stage of labour was 68.12 min for primigravidae and 51.24 min for second gravidae. 19.2% patients underwent LSCS and 9.64% patients underwent instrumental vaginal delivery. There were minimal side effects. 92.9% patients were satisfied with the epidural technique.
The combined spinal epidural is a safe technique with the potential to impact the progress of labour without increasing the risk of cesarean delivery. It does not increase the rate of instrumental vaginal delivery. Majority of patients expressed satisfaction with minimal side effects.
Labour analgesia, Walking epidurals, Ambulatory labour analgesia, Obstetric outcomes
