LABOUR ANALGESIA BY NEUROAXIAL BLOCKADE TECHNIQUE AND ITS LABOUR OUTCOME

BACKGROUND:Pain relief during labour is an important component of modern obstetric care and can be produced byneuraxial, systemic or inhalational analgesia. Recent meta-analyses have supported epidural analgesia as the mostefficacious technique.A good labour analgesia should aim at good pain relief during delivery process,at the same timenot causing foetal acidosis,ensures safe for both mother and the baby.AIM OF THE STUDY:To study the influence of epidural analgesia on maternal and neonatal outcomeMATERIALS AND METHODS:The study was conducted in the depar tment of Obstet r ics andGynecology,GOVT.Stanley Medical College,Govt.RSRM LYING IN HOSPITAL,CHENNAI over a period of eight monthsfrom July 2019 to February 2021. The study was performed in 120 selected subjects. The study subjects were dividedbased on intervention – labour analgesia into 2 study groups.In this study,change in vital parameters,fetal heart rate,assessment of pain score,Duration of first and second stage oflabour,mode of delivery,APGAR score and the need for NICU admission were noted and recorded.Any complicationsduring the course of labour were also recorded.RESULTS:In this study,there was no significant difference in the mean duration of first and second stage of labour in boththe study and control groups.The mean Apgar score of babies at one minute was 7.02 and at 5 minutes was 8.07 in thelabour analgesia group and showed no significance.Maternal satisfaction for the effect of epidural analgesia,60.00% ofthe patients of epidural analgesia, the incidence of satisfactory/very satisfactory experience was meaningfully andsignificantly more in labour analgesia group subjects compared to control group subjects by 30 % with a 2 fold increase.CONCLUSION: As per this study labour analgesia using neuroaxial blockade technique are more likely to encounterincreasing maternal satisfaction and good quality labour pain reduction.