Abstrait

Maternal and Neonatal Outcome in Patients with Epidural Analgesia with Compare to Patients without Epidural Analgesia.

Prabhakar Shivajirao Gawandi, and Jadhav A Chandrakant

To study the maternal view regarding pain relief, neonatal outcome, labour outcome under epidural anesthesia and to study the duration of various stages of labour and progress of labour under epidural anesthesia The present study comprises of continuous lumbar epidural analgesia with Bupivacaine (0.125%) pain relief during labour, carried out at Obstetrics and gynecology Department in collaboration with Anesthesiology Department of a Teaching General Hospital. A total of 100 cases (primigravidas) were studied out of 50 received continuous lumbar epidural analgesia and 50 served as control. There is an association between epidural analgesia and labour outcome, but this is probably not causative. In present study incidence of LSCS is 8%. In present study also there is no significant difference between caesarean delivery rates in group A (epidural group) and group B (control group). In our study there was no statistical difference in the duration of the active-first and the second stages of labor in both groups. In our study, the cesarean delivery as well as vacuum-assisted and instrumental delivery rates was not significantly different between both the groups. Epidural analgesia is highly effective and safe for both mother and foetus during labour. .It is proved to be effective in reducing pain, has no significant impact on the risk of cesarean section, maternal satisfaction is high, and does not have effect on the neonate.