WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Review Journal for Medical Science and Pharma Professionals
World Journal of Advance Healthcare Research (WJAHR) has indexed with various reputed international bodies like : Google Scholar , Index Copernicus , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , Cosmos Impact Factor , Scientific Indexing Services (SIS) , UDLedge Science Citation Index , International Impact Factor Services , International Society for Research Activity (ISRA) Journal Impact Factor (JIF) , IFSIJ Measure of Journal Quality , Scientific Journal Impact Factor (SJIF) , International Scientific Indexing, UAE (ISI) (Under Process) , International Impact Factor Services (IIFS) , Web of Science Group (Under Process) , Directory of Research Journals Indexing , Scholar Article Journal Index (SAJI) , International Scientific Indexing ( ISI ) , 

ISSN 2457-0400

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Indexing

Abstract

PAIN RELIEF IN LABOR BY TRAMADOL HYDROCHLORIDE: EFFICACY & SAFETY

Arifa Akhter*, Arifa Akhter Jahan, Ashekur Rahman Mullick, Ramisa Taher Bushra and Nadira Sultana

ABSTRACT

Labor is considered to be one of the most painful experiences in life. There are several methods used for labor analgesia but there is a need of a safe & effective analgesics along with very simple to administer as most of the delivery conducted to primary healthcare in our country. The objective of this study wasto evaluate the analgesic efficacy and the tolerability of 50 mg tramadol intramuscularly in labor pain compared with placebo group. This hospital based prospective study was carried out in Department of Obstetrics and Gynecology at Bashundhara Addin Medical College Hospital, Keraniganj during the period of January 2019 to June 2020. 200 women in labor at term pregnancy who met the inclusion and exclusion criteria were enrolled. Theywere divided into Study Group (n=100) women in active labor received 50 mg Tramadol intramuscularly for analgesia. & Control Group (n=100) didn’t received any analgesia. They were observed for time of onset analgesics effect; pain relief score; duration of drug to delivery interval; mode of delivery; adverse effect; fetal Apgar score & recorded. Pain relief was satisfactory (score II) in 51% in tramadol group & <1% in control group groups (p < 0.001). Duration of labor was significantly shorter in study group as compared to control group. There was minimal maternal side effects in study group and no significant difference in the incidence of fetal morbidity in both the groups. Tramadol is an effective and safe labor analgesic as well as it shortens the duration of labor.

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