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World Journal of Advance Healthcare Research (WJAHR)Honored the authors with best paper award, monthly based on the innovation of research work. Best paper will be selected by our expert panel.
Best Article of current issue
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LABOR OUTCOME IN EPIDURAL ANALGESIA - A RETROSPECTIVE COHORT STUDY IN A TERTIARY CARE FACILITY IN CENTRAL KERALA.
Dr. Namitha Subrahmanyam* and Mrs. Jisha Joseph
There are controversial view about adverse effects of Epidural analgesia in labour .This study was conducted to examine the effect of epidural analgesia on selected labour outcomes. In this retrospective cohort study 175 newborns whose mothers received epidural analgesia were compared with 175 newborns whose mothers did not receive epidural analgesia during labour. The data were obtained from the hospital records. The rate of caesarean delivery and instrumental delivery were significantly higher in epidural cases (p<0.001).No difference was observed between the groups with regard to the rate of PROM , duration of active phase of labour, neonatal APGAR score at 5th minute and respiratory distress (p >0.05). Epidural analgesia does not prolong the duration of active phase of labor and incidence of PROM. Neonatal outcome was satisfactory while only the rate of instrumental deliveries was found increased with epidural analgesia.[Full Text Article]