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Title: EFFECTS OF EPIDURAL ANALGESIA ON THE COURSE OF SECOND STAGE OF LABOUR AND MATERNAL AND NEONATAL OUTCOME

e-poster Number: EP 121

Category: Maternal and Fetal Health
Author Name: Dr. Priya Rajendra Gulhane
Institute: JAWAHRLAL NEHARU MEDICAL COLLEGE SAWANGI MEGHE WARDHA
Co-Author Name:
Abstract :
INTRODUCTION Labour pain is one of the most severe forms of pain. It is proven to be beneficial as it neutralises the hypoxic stage of mother and fetus by increasing the oxygen tension. Hence this epidural analgesia should be recommended to all patients unless contraindicated. AIM We aim to study the effectiveness of epidural analgesia on second stage course of labour in comparison to the course of labour without analgesia. OBJECTIVES The objectives of this study are- 1) To study the course and duration of second stage of labour in women with epidural analgesia 2) To study the course and duration of second stage of labour in women without Epidural analgesia 3) To compare the course and duration of second stage of labour with or without Epidural analgesia MATERIAL AND METHODS Fifty low risk gravida patients at term and in labour ([=4 cm) will be subjected to thorough physical examination. Low risk pregnancy is defined as, any gravida with full term pregnancy, ranging from 37 completed weeks to 42 weeks, singleton pregnancy, with cephalic presentation and vertex as presenting part. also no cephalo-pelvic disproportion on clinical pelvimetry and absence of associated medical disorders. By random allocation 50 low risk women will be allocated in group A. and the women with similar profile but not opting for epidural will be allocated in group B. RESULTS PRIMARY : 1) To evaluate the Course and duration of second stage of labour in parturient opting for epidural analgesia. 2) To evaluate the course and duration of second stage of labour in parturient who has not opted for epidural analgesia. 3) To compare the course and duration of second stage of labour in parturient with or without epidural analgesia. 4) To compare maternal outcome and foetal outcome between both groups in terms of APGAR score, NICU admissions SECONDARY: 1) To study the cardiotocographic pattern changes in second stage of labour with/without epidural analgesia. 2) To study the side effects and complications of the procedure if any 3) To study the subjective feeling of the patient for bearing down CONCLUSION Our findings suggest a significant prolongation of the second stage of labor in women receiving epidural analgesia. The exact timing remains inconclusive and probably differs with different populations. Rising rate of lower segment cesarian section is a matter of concern at national level in india in modern obstetrics. By providing epidermal analgesia we can reduce the rate of lower segment cesarian section amongst women who choose lower segment cesarian section first because of the fear of expected labour pain.