Painless delivery – a short experience

Maharjan, SK; Karki, CB

Publication:
Painless delivery – a short experience

creativeworkseries.issn	1812-2027
dc.contributor.author	Maharjan, SK
dc.contributor.author	Karki, CB
dc.date.accessioned	2025-07-10T09:52:28Z
dc.date.available	2025-07-10T09:52:28Z
dc.date.issued	2003
dc.description.abstract	Purpose: To determine efficacy and safety a randomized comparison of continuous infusion versus intermittent injection of epidural bupivacaine for labor analgesia was performed in the Maternity Hospital, Thapathali Kathmandu. Methods : Twenty healthy parturient received a loading dose of 10 ml of epidural 0.1% bupivacaine with 25 mg of pethidine. They were then randomized to receive continuous infusion of 0.1% bupivacaine 10 ml/hour with the help of infusion pump or intermittent injection of 0.1% bupivacaine 10 ml hourly. For breakthrough pain 10 ml of 0.1% bupivacaine top ups given in both groups. The two groups were compared for analgesic efficacy, mode of delivery, patient assessment of analgesia, motor block and other complications. Data analyzed in Pentium III version with SPSS and statistical significance test is done with independent samples t-test. Results: The 10 patients in each group were comparable in age but not in parity. Analgesic efficacy was excellent in 10 cases and comfortable in another 10 cases [excellent / comfortable 6:4 with infusion and 4:6 with intermittent injection]. There were no statistically significant differences between groups in pain scores or duration of active first or second stage of labor. Fifteen women had spontaneous vaginal deliveries, one caesarian section (infusion group) and four instrumental deliveries (intermittent injection group). Four women in the infusion group had hypotension and motor block, but none in the intermittent injection group. APGAR scores in both groups were 7-8/10 at 1 minute and 9- 10/10 at 5 minutes. Conclusion: Both continuous infusion and intermittent injection of low dose bupivacaine are very good methods of relieving labor pain in our context. Analgesic efficacy was similar in both groups and there was no prolongation of second stage of labor. Key words : painless delivery, parturient, bupivacaine, epidural analgesia.
dc.identifier.uri	https://hdl.handle.net/20.500.14572/71
dc.language.iso	en_US
dc.publisher	Kathmandu University
dc.title	Painless delivery – a short experience
dc.type	Article
dspace.entity.type	Publication
local.article.type	Original Article
oaire.citation.conferenceDate	2003
oaire.citation.endPage	131
oaire.citation.startPage	128
relation.isJournalIssueOfPublication	600f4c12-0f2b-4ac8-a5b4-c6157ae85b8e
relation.isJournalIssueOfPublication.latestForDiscovery	600f4c12-0f2b-4ac8-a5b4-c6157ae85b8e
relation.isJournalOfPublication	a782b7ff-cf89-4178-ad1c-11ed89cfe1bd