International Archives of BioMedical and Clinical Research {174} Jan – Mar 2018 | Vol 4| Issue 1 1 Professor; 2 Assistant Professor, Department of Obstetrics and Gynaecology, Teerthanker Mahaveer Medical College & Research Centre, TMU, Moradabad, U.P, India A Clinical Study on Labour Analgesia in Full Term Primigravida Patients Rehana Najam 1* , Shubhra Agarwal 2 Section Gynaecology Original Article Background: Labour is defined as the progressive dilatation of cervix with co-ordinate uterine contractions that effect in and expulsion of the products of conception. Experience has shown that providing pain relief to the mother allays fear, anxiety and provides a more favourable environment for improved obstetric outcome. Aims and Objectives: To compare the effects of programmed labour protocol with epidural analgesia and traditional method of labour. Materials & Methods: This study is a prospective, randomized controlled study conducted in the department of Obstetrics & Gynaecology at Teerthanker Mahaveer Medical College & Research Centre Moradabad. 90 pregnant women in active labour were enrolled in the study. They were allocated to three groups after randomization . Group-A- 30 pregnant women received epidural analgesia. Group-B - 30 pregnant women received programmed labour protocol. Group-C- 30 pregnant women with traditional labour management. Results: There was excellent relief of pain in group A patient compared to other methods with shortening of duration of labour. Conclusion: Labour analgesia is a simple, effective method for painless and safe delivery and thus can reduce the number of caesarean section . Key words: Epidural Analgesia, programmed labour, traditional labour DOI:10.21276/iabcr.2018.4.1.48 Received: 12.02.18 Accepted: 22.02.18 Copyright: © the author(s) and publisher. IABCR is an official publication of Ibn Sina Academy of Medieval Medicine & Sciences, registered in 2001 under Indian Trusts Act, 1882. This is an open access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. INTRODUCTION_____________________ Labour is defined as the progressive dilatation of cervix with co-ordinate uterine contractions that effect in and expulsion of the products of conception. These uterine contractions are perceived as labour pains and impose a fear on mind of labouring mother to give birth to a new life. Experience has shown that providing pain relief to the mother allays fear and anxiety, and provides a more favourable environment for improved obstetric outcome. Currently, the proven obstetric analgesia is epidural anaesthesia. [1] Programmed labour protocol developed by Daftary et al (1992) over a period of many years rests on three pillars - 1. Ensuring adequate uterine contractions and active management of labour. 2. Providing optimum pain relief by analgesics and antispasmodics. 3. Close clinical monitoring of labour events and maintaining a Partogram. In places where epidural analgesia cannot be provided, Tramadol, a centrally acting non opioid analgesic has been used as a labour analgesic. [2] Ketamine, a dissociative Access this article online Website: www.iabcr.org Quick Response code DOI: 10.21276/iabcr.2018.4.1.48 Dr. Rehana Najam, Professor, Department of Obstetrics and Gynaecology, Teerthanker Mahaveer Medical College & Research Centre, TMU, Moradabad, U.P, India *Correspondence ABSTRACT How to cite this article: Najam R, Agarwal S. A Clinical Study on Labour Analgesia in Full Term Primigravida Patients. Int Arch BioMed Clin Res. 2018;4(1):174-177. Source of Support: Nil, Conflict of Interest: None