Tramadol infusion as obstetric analgesia | [Pakistan Journal of Surgery • 2021]

Author(s):

1. Shaista Rashid: Karachi Medical & Dental College (KMDC)/ Abbasi Shaheed Hospital (ASH), Karachi, Pakistan

2. Ayesha Khatoon: Karachi Medical & Dental College (KMDC)/ Abbasi Shaheed Hospital (ASH), Karachi, Pakistan

3. Shabnam Hasan: Hamdard College of Medicine & Dentistry (HCM&D)/Hamdard University Hosptial (HUH), Karachi, Pakistan

4. Zaira Batool: Karachi Medical & Dental College (KMDC)/ Abbasi Shaheed Hospital (ASH), Karachi, Pakistan

5. Tazeen Fatima Munim: Karachi Medical & Dental College (KMDC)/ Abbasi Shaheed Hospital (ASH), Karachi, Pakistan

6. Aftab Imtiaz: Karachi Medical & Dental College (KMDC)/ Abbasi Shaheed Hospital (ASH), Karachi, Pakistan

Abstract:

Objective: To assess the efi cacy and safety of tramadol hydrochloride infusion as an analgesic during labor. Study design: Prospective open, interventional study. Place and duration: Gynae and Obstetric Unit II in Abbasi Shaheed Hospital from 1st June 2018 to 30th November 2018. Material and Methods: Th is is interventional, non randomized, single arm study which was carried out at Abbasi Shaheed Hospital. Th e study included 100- primi-gravida with singleton term pregnancy. Dose of 100mg of tramadol hydrochloride intravenous infusion in 1000c.c. normal saline was given during active phase of labor. Degree of pain was assessed by using Wong-Baker FACES pain rating scale. We observed maternal and fetal side ef ects, duration of labor and mode of delivery. Data analyzed by SPSS version 20 for descriptive statistic and student t-test applied for pain scoring before and aft er analgesia with level of signifi cance >0.01. Result: Obstetric analgesia by giving tramadol infusion were signifi cantly reduced pain score from mean score of 4.1±0.59 to 1.96±.618 (p<0.001). Th ere was no signifi cant dif erences in maternal vitals and fetal heart rate aft er using analgesia. Th e duration of 1st stage of labor were 6.8±1.14 hours and 2nd stage of labor was 41.05±10.75 minutes. Total 92% women delivered vaginally, 5 by outlet forceps and only 3 had cesarean section. Of these 100 deliveries ; 96% babies born with apgar score = 7 at 1 min, and 99% had apgar score =7at 5 min, only 2 babies developed respiratory depression. Most of women did not suf er from adverse ef ects except 2 women experienced nausea. Conclusion: Tramadol infusion is a cost ef ective and safe alternative analgesia during labor in low socio-economic setting.

Page(s): 131-134

DOI: DOI not available

Published: Journal: Pakistan Journal of Surgery, Volume: 37, Issue: 2, Year: 2021

Keywords:

Labor pain , Tramadol infusion , Intravenous analgesia

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