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Keywords: epidural analgesia , duration of labour , fetal outcome

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Objective: To evaluate the effects of epidural analgesia on the painrelief and maternal and fetal outcome. Study design: Comparative & analytical study. Place and Duration: In MilitaryHospital Rawalpindi from Oct 1998 to Oct 1999. Patients and Method: 100 full term healthy primigravida admitted forinduction of labour. Fifty patients were given epidural analgesia and 50 served as control to whom no analgesia wasgiven. Outcome measures observed were duration of labour, mode of delivery; Apgar score of the newborn; untowardreaction and intra-partum complications. Results: The data analysis revealed that epidural analgesia significantlyprolonged labour time and was associated with increased instrumental delivery rate. Significant reduction in intra-partumfetal complications was seen, while C-section rate was not effected by epidural analgesia. Apgar scores were higherin analgesia group as compared to control. Conclusion: Although accused of prolonging labour time, it’s benefits interms of great maternal satisfaction and reduced intra-partum complications still makes it an option for labouringpatients.


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