A comparison between epidural and IV tramadol for painless labor and effect on perinatal outcome

Jaitley, Anu; Singh, Saroj; Srivastava, Uma; Nagrath, Arun; Prajapati, Nirmal; Singh, Richa

doi:10.1007/s13224-011-0015-x

Cited by 7 publications

(17 citation statements)

References 2 publications

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“…Moreover, in a study conducted by Jaitley et al [12] comparing epidural and IV tramadol, they reported that epidural tramadol group has an onset of analgesia with a mean (10.83 ± 4.346) min and duration of analgesia with a mean (3.77 ± 0.573) h. This was consistent with our study. Imani et al [10] concluded that epidural anesthesia with tramadol adding to lidocaine in a patient scheduled for cesarean section has a rapid onset of sensory and motor blockade and delayed request of analgesia.…”

Section: Discussionsupporting

confidence: 92%

“…Calculation of sample size based upon the results of previous trial [12] revealed that at least 21 patients were required in each group to detect a significant change of the onset of sensory block of 5 minutes at alpha value of 0.05 and 95% power of study. Thirty patients were included in each group to overcome the possibility of dropout cases.…”

Section: Sample Sizementioning

confidence: 99%

See 1 more Smart Citation

Effect of tramadol as a local anesthetic adjuvant in epidural labor analgesia: Randomized controlled study

Mansour

Afandy

2020

Egyptian Journal of Anaesthesia

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Section: Discussionsupporting

confidence: 92%

Section: Sample Sizementioning

confidence: 99%

Effect of tramadol as a local anesthetic adjuvant in epidural labor analgesia: Randomized controlled study

Mansour

Afandy

2020

Egyptian Journal of Anaesthesia

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“…Similar results were obtained by others as well. 6,13 The overall patient satisfaction score was significantly higher in the epidural group compared to the tramadol group, which also corroborates with a previous study. 6 The total duration of labour in the tramadol group was 489.00 min and in epidural group was 493.75 min.…”

Section: Discussionsupporting

confidence: 89%

Fetomaternal outcome in high-risk parturients receiving epidural analgesia using fentanyl with ropivacaine versus iv tramadol: a comparative study

Taneja

Arora

Chopra

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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Background: Labour analgesia has been recommended but sufficient data on use of labour epidural analgesia with ropivacaine and fentanyl combination during labour is not available.Methods: A comparative study was conducted on 40 high risk labouring partuirents, randomly allocated to group A (iv tramadol) and group B (epidural analgesia with ropivacaine plus fentanyl). Assessments were done for fetal heart rate abnormality, mode of delivery, duration of labour, and Apgar score. The VAS score, patient satisfaction score, and complications were recorded.Results: Group A had more number of instrumental deliveries compared to group B, the later had higher number of caesarean sections. No difference was observed in vaginal deliveries in both the groups. Pain relief was significant in patients of epidural group. The neonatal outcome was same in both the groups. Significant number of patients had a higher degree of satisfaction score in group B compared to group A.Conclusions: Tramadol and epidural analgesia in labour are safe and effective. Patient satisfaction is significantly higher in epidural group as compared to the tramadol group.

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“…Thus the difference in degree of analgesia in the two groups was statistically significant. These results were similar to Jaitley et al [16]. There is significant prolongation of the 2nd stage of labor in the epidural group (73 ± 42) min.…”

Section: Mode Of Deliverysupporting

confidence: 91%

Tramadol Injection versus Epidural Analgesia in Controlling Labor Pain

Saleh¹,

Abdelsalam²,

Helal³

et al. 2015

Gynecol Obstet (Sunnyvale)

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Aim of the study: To compare efficacy of tramadol injection as an opioid analgesia versus epidural analgesia on governing labor pain, progress and outcomes (maternal and fetal).Duration and place of study: Department of Obstetrics and Gynecology Zagazig University from November 2011 to December 2013. Methodology:One hundred fifty pregnant women primigravida had gestational age between 37 to 41 weeks (confirmed by early ultrasound) with vertex presentation without any risk factors, in established labor (cervical dilation >3 cm with regular uterine contraction) were included in this study divided into two groups, tramadol group (A) and epidural group (B). Subjects of group (A) received 1 mg/kg tramadol intramuscular bolus and 100 mg in 500 ml Ringer lactate at the rate of 8-24 drops/min. and those of group (B) received 0.125% bupivacaine with fentanyl 5 mcg/ml 10-15 mL to be repeated hourly throughout labor and continued until birth. Pain relief was assessed by visual analogue scale of 10 scores ranging from no pain to unbearable pain) before the administration of the drug at 0, 5min., 10min., 15min., 30min., 1 h then every 2 h until full dilatation. Maternal and neonatal out comes were determined.Results: Total number of patients was one hundred fifty, all were primigravida.The mean age of group A was 22.81 ± 1.89 years and 23.23 ± 1.28 in group B; Mode ofdelivery was spontaneous vaginal in 64 patients (85.3%) in group A and 53 patients (70.6%) in group B Instrumental vaginal delivery in 6 patients (8%) of group A and 13 Patients (17.3%) of group B. Cesarean section in 5 patients (6.6%) of group A and 9 patients12% of group B. At one minute majority of the babies of group A had mean Apgar score 8.7 ± 0. 52 versus 8.65 ± 4.1 at group B. At 5 minute, 9.40 ± 0.33 versus 9.54 ± 0.23. There were no significant differences.In the tramadol group, pain relief was excellent in 13.3%, good in 30.6% and average in 54.6% versus 29.3%, 48% and 22.6% in epidural group. In both the groups there was no significant effect on duration of 1 st and 3 rd stage of labor but Second stage of labor was prolonged in the epidural group. Conclusion:Epidural anesthesia and tramadol provided excellent pain relief in majority of the patients. Since, Tramadol administration is easy could be considered as a good alternative to epidural analgesia in lower source settings of the developing nations.

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A comparison between epidural and IV tramadol for painless labor and effect on perinatal outcome

Cited by 7 publications

References 2 publications

Effect of tramadol as a local anesthetic adjuvant in epidural labor analgesia: Randomized controlled study

Effect of tramadol as a local anesthetic adjuvant in epidural labor analgesia: Randomized controlled study

Fetomaternal outcome in high-risk parturients receiving epidural analgesia using fentanyl with ropivacaine versus iv tramadol: a comparative study

Tramadol Injection versus Epidural Analgesia in Controlling Labor Pain

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