Indian Journal of Public Health Research & Development
  • Year: 2016
  • Volume: 7
  • Issue: 4

A Study of Pain Management during Labour by Epidural V/S Pentazocine & Tramadol

1Associate Professor, Department of Anesthesiology, Rama Medical College, Hospital & Research Centre, Pilkhwa, Hapur, Uttar Pradesh, India

2Associate Professor, Department of Obstetrics and Gynaecology, Rama Medical College, Hospital & Research Centre, Pilkhwa, Hapur, Uttar Pradesh, India

3Assistant Professor, Department of Anesthesiology, Rama Medical College, Hospital & Research Centre, Pilkhwa, Hapur, Uttar Pradesh, India

4Senior Resident, Department of Obstetrics and Gynaecology, Rama Medical College, Hospital & Research Centre, Pilkhwa, Hapur, Uttar Pradesh, India

Online published on 14 October, 2016.

Abstract

Epidural is of course the best form of labour analgesia. Aim is to find out an alternative method of labour analgesia where epidural is not a choice.

A total of 90 parturient at term of 30 in each arm were selected for the study. The women received 30 mg of Pentazocine (P), 1 mg/Kg of Tramadol (T) & 10 ml of 2% Ropivacane with Fantanyl 50 μg as top updose. The pain was assessed by using VAS at 0, 1, 2, 4, hour & full dilatation of cervix. No side effects were observed on mothers & neonates.

Pain relief was found best in epidural (80%) in Pentazocine group (63.3%) and Tramadol group (43.3%) moderate. These two can be used for moderate in pain relief where epidural is not available. The mode of delivery did not differ significantly among these groups.

Keywords

Epidural, VAS, Pentazocine, Tramadol, Analgesia, Labour