Intradermal Sterile Water Injection in Sacral Region: A Low Cost Labour Analgesia
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 4
Abstract
Introduction : Labour pain is considered as one amongst the severe pains and managed usually by pharmacological method. The role of nonpharmacologic method-intradermal sterile water administration in the sacral region has the benefit of being nonintrusive, low-cost, simple, effective, and without serious adverse effects .Aim: To assess the efficacy of intradermal sterile water versus intramuscular pentazocine administration in sacral region (Michaelis rhomboid ) as labour analgesia.Material and method Parturients in cephalic presentation at first stage of labour were distributed alternately into two groups of fifty parturient each. Sterile water injection group of patients received 6 intradermal injections of 0.5 ml sterile water in the sacral region.In the other group pain relief was provided by IM pentazocine in dose of 30mg. The pain score was monitored at 15 and 90 min by visual analogue scale ( VAS). Result: The mean (VAS) pain score at 0,15 and 90 minutes were 75.3±23.04, 30.2±12.65,42.3±13.76 in sterile water group and 25.2±10.72, 74.7±23.45,25.2±10.72 in pentazocine group, at 0,15 and 90minutes respectively. Eight patients (16%) needed supplementation of inj IM pentazocine in the sterile water group, the pain relief in both the groups were of mild degree after 90 minutes.Conclusion: The effectiveness of pain relief by intradermal sterile water administration in the sacral region and inj IM pentazocine are comparable . Intradermal sterile water administration is simple low cost nonpharmacological method of pain relief during labour in low resource settings.
Authors and Affiliations
GP Capt JC Sharma MD, Dr Rupa Talukdar MD
Keywords
Related Articles
- EP ID EP572174
- DOI 10.9790/0853-1804032629.
- Views 45
- Downloads 0
Pre-operative Apache II score as a tool to predict outcome in patients with gastrointestinal perforation at RIMS, Ranchi.
Background: Perforation peritonitis is one of the most commonly encountered surgical emergencies by a resident surgeon. Many scoring systems have been used to predict the mortality and the outcome of the patients present...
“Study of The Risk Factor, The Demographic Factor And Clinical Characteristics of Difficult to Control Asthma Associated with Ntm Infection”
The relationship between infection and asthma is complex. In established asthma, common viral agents, such as rhinovirus, frequently trigger exacerbations, Non tuberculous mycobacterial infection (NTM),Mycoplasma pneumon...
Role of Amnioinfusion among the Women in Labour with Meconium Stained Liquor
Objectives: Meconium stained liquer is commonly associated with increased neonatal morbidity and mortality. Objective of this study is to assess the effects of amnioinfusion in labour with meconium stained amniotic fluid...
To Study The Effects of Omega 3 Fatty Acids In Patients With Meibomian Gland Dysfunction : A Randomised , Prospective Controlled Study
Aim: To evaluate the role of Omega 3- fatty acids in patients with Meibomian gland dysfunction. Methods: A Prospective, interventional , placebo controlled, randomized study was done at Department of Ophthalmology, Rajin...
Effectiveness of Surgical Prophylaxis And Expenditure on Antimicrobial Agents Used For Treatment of Post-Operative Infections
Background: Surgical site infection (SSI) accounts for 15% of all nosocomial infections and represents the most common nosocomial infection. Objectives: to access effectiveness of surgical prophylaxis in prevention of po...