Feto-maternal outcome; comparison while using epidural analgesia versus parenteral opioid derivatives in labour

ABSTRACT

To compare the effects of epidural analgesia and parenteral nalbuphine in labouring women with term pregnancies on feto-maternal outcome. Randomized controlled trial. It was carried out in the Labour Room, Nishtar Hospital, Multan From June 2009 to December 2009. A total of 60 patients were included in the study. Patients were divided into two groups, having 30 patients in each group. In group-A, pain control was much better and satisfactory [VAS=00-1], duration of labour was slightly prolonged and instrumental delivery was more common. Low Apgar score and birth asphyxia were seen in group-B. No baby developed RDS in both groups. Feto-maternal outcome is much better in women having epidural analgesia with bupivacaine as compared to women having intramascular nalbuphine