Use of Intamuscular Tramadol Injection As A Labour Analgesic And Labour Accelerator.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 2
Abstract
Labour pain is among the most severe pain experienced by women. In developing nations, intramuscular opioids can be considered to overcome labour pain.The study is conducted to evaluate the efficacy of intramuscular Tramadol as a labour analgesic, labour accelerator and its effect on both mother and newborn. In this prospective study, 50 low risk primigravida patients who fulfilled the selection criteria of a full-term pregnancy with vertex presentation with good uterine contractions and already in active phase of labour were administered 50 mg Tramadol hydrochloride intramuscular injection and compared with 50 controls. The degree of pain relief in active stage of labour, injection delivery time, Apgar score of neonates and side effect of drugs were analysed.It was seen that after administration of Tramadol HCL IM, there was reduction of pain during vaginal delivery with minimal side effects like nausea & vomiting compared with control ., IM Tramadol HCL appears to be effective as labour analgesic with minimal side effects. Hence, IM opioids can be considered as a suitable cost effective alternative in developing countries.
Authors and Affiliations
Dr. Surmila Khoirom, Dr. Siddhartha Khoirom
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