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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Assessing Maternal and Fetal Outcomes in Labor Analgesia Utilizing Epidural Techniques: A Prospective Observational Study at Tertiary Care Teaching Hospital, Gujarat

Dhrutiba Vanrajsinh Basiya, Ridhdhi Yogeshbhai Mehta, Parthiv Rasiklal Chauhan and Jalpa Rathod
Page: 303-309 | Received 30 Nov 2023, Published online: 15 Dec 2023

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https://doi.org/10.36478/10.59218/makrjms.2023.12.303.309

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Abstract

Childbirth, while a natural physiological process, is often accompanied by intense pain. Epidural analgesia is a well‐established method for managing labor pain, offering effective relief without prolonging labor or increasing the risk of caesarean delivery. This study aims to explore the impact of epidural analgesia on maternal and fetal outcomes during labor induction, evaluating its influence on neuraxial rates and delivery modes. Present study was conducted at Civil Hospital, Ahmedabad, India, from March 2016 to October 2017, this prospective observational study included 30 low‐risk singleton term pregnancies. Inclusion criteria encompassed women aged 20‐36 with gestational age >37 weeks, cephalic presentation and ASA status I or II. Epidural analgesia was administered during active labor and outcomes were recorded. Data included demographic details, labor progression, delivery modes and neonatal outcomes. Among 30 participants, 80% underwent normal delivery, 16.67% had cesarean sections and 3.33% had instrumental deliveries. Epidural analgesia initiation during labor had no significant impact on the duration of the first and second stages. Apgar scores >7 at 5 min were observed in all neonates, with only one neonate having a score <7. Pain scores were significantly lower in the epidural group, indicating its effectiveness. Maternal complications were absent and fetal distress occurred in 6.66% of cases. Neonatal resuscitation was required in 13.33%, with one neonatal death due to other complications. Epidural analgesia emerged as a safe and effective method for labor pain management, offering substantial relief without adverse effects on labor progression or delivery modes. Maternal and neonatal outcomes remained favorable, emphasizing the viability of epidural analgesia as a valuable obstetric intervention.

How to cite this article:

Dhrutiba Vanrajsinh Basiya, Ridhdhi Yogeshbhai Mehta, Parthiv Rasiklal Chauhan and Jalpa Rathod. Assessing Maternal and Fetal Outcomes in Labor Analgesia Utilizing Epidural Techniques: A Prospective Observational Study at Tertiary Care Teaching Hospital, Gujarat.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.12.303.309
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.12.303.309