Background: Experiencing labour pains and giving birth to infant is normal physiological process. Though it is a natural phenomenon, it produces severe pain which requires analgesia to relieve pain during labour. The objective of this study was to compare effects of low dose epidural analgesia verses no analgesia during labour on mother and fetus. Methods: Here in this study we have assessed effect of epidural analgesia on mother and fetus. Total we have taken 60 women in age group of 20-26 years with full term pregnancy (37-42 weeks). Those who have entered spontaneous labour with vertex presentation, without any previous uterine surgery, clinically adequate pelvis. We had divided these women in 2 groups, 30 were given epidural analgesia and 30 without any analgesia. Variables recorded were pain score during labour using VAS, duration of labour during each stage, mode of delivery, Apgar score of newborn at 1 minute and 5 minutes. Results: Present study shows that duration of first stage of labour in epidural and non-analgesia group are same. Second stage of labour is prolonged in epidural group than non-analgesia group. Both groups had normal APGAR score. Epidural analgesia is not associated with any change in mode of delivery. Visual analogue scale is good with epidural analgesia. Conclusions: There was no significant difference in first stage of labour in both group. Second stage of labour was slightly prolonged in EA group than control, but it was less than two hours. No harmful neonatal outcome in epidural analgesia.

Background: Management of spontaneous labour is an important issue. Dystocia accounts for increased rate of LSCS. Prolonged labours are associated with higher maternal and neonatal morbidity. With active management, these complications could be reduced. Aims: To study outcome of labour, maternal & perinatal morbidity and mortality with active management of labour. Methods:100 primigravidas, at term were randomly assigned to 2 groups-study groupactive management (N = 50) and control group (n=50). Women in active group were managed by early amniotomy and augmentation with Oxytocin at 6mIU/ml. In the control group, women received conservative care, amniotomy after 6cm dilatation and oxytocin at 1mIU/ml. In both groups labour was monitored using modified WHO partogram. Caesarean was done for standard obstetric indications. Results: In active management caesarean rate was 12 percent, as compared with 18 percent in control. Mean length of labour in study group was 5.6 hrs as compared to 7.1 in control group. The 6 percent reduction in the caesarean section rate was primarily due to a decrease in incidence of dystocia. With active management, the average length of labour was shortened by 1.5 hours, because of early amniotomy and oxytocin. No statistical difference was seen in both groups as regards to mortality and morbidity. Conclusions: Active management of labour reduces the incidence of dystocia, decreases duration of labour and increases the rate of vaginal delivery without increasing maternal or neonatal morbidity.

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