Tramadol: Is It Still Relevant As A Labour Analgesic
Journal Title: Journal of Medical Science And clinical Research - Year 2014, Vol 2, Issue 4
Abstract
A prospective randomized single blinded controlled study conducted in 200 primigravidae in active labor, distributed in two groups of 100 women each with one receiving 100mg intramuscular tramadol and the other receiving intramuscular 2 ml distilled water as control. Pain intensity was recorded by McGills scale before, one and three hours after drug administration and perinatal outcome recorded. No difference in pain intensity seen before drug administration. After 1 hour, of drug administration, in tramadol group 4% women had horrible pain and 29% had distressing pain while in control group, 30% women had horrible pain and 60% had distressing pain. After 3 hours, of drug administration, in tramadol group 26% had distressing pain while in control group, 51% women had horrible pain and 35% had distressing pain. Labor duration in tramadol and control group was 4.3 and 5.9 hours respectively. In control group, nausea seen in 2.2%, vomiting in 1.1% while in tramadol group nausea seen in 6.4% and vomiting in 4.3%. Neonatal outcome was favourable in both the groups. Intramuscular tramadol is an effective labor analgesic with few maternal adverse effects, shortens labor and has no adverse neonatal outcome
Authors and Affiliations
Meenakshi Lallar
Keywords
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