FETO-MATERNAL OUTCOME;

COMPARISON WHILE USING EPIDURAL ANALGESIA VERSUS PARENTERAL OPIOID DERIVATIVES IN LABOUR

Abstract

Objective: To compare the effects of epidural analgesia and parenteral nalbuphine in labouring women with term pregnancies
on feto-maternal outcome. Study Design: Randomized controlled trial Setting: It was carried out in the Labour Room, Nishtar Hospital, Multan
Period: From June 2009 to December 2009. Material and methods: A total of 60 patients were included in the study. Patients were divided into
two groups, having 30 patients in each group. Results: 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. Conclusions: Feto-maternal outcome is much better in women having epidural analgesia with bupivacaine as
compared to women having intramascular nalbuphine.