Pain relief in labour using epidural pethidine with adrenaline

Area of Science:

• Obstetrics and Gynecology
• Pain Management
• Anesthesiology

Background:

• Effective pain management during labor is crucial for maternal well-being.
• Epidural analgesia is a common method for labor pain relief.

Purpose of the Study:

• To evaluate the efficacy and safety of epidural pethidine with adrenaline for pain relief in established labor.
• To assess patient satisfaction with this analgesic technique.

Main Methods:

• A visual analogue scale was used to assess pain in 20 patients in established labor.
• Epidural pethidine 50 mg with adrenaline 1:200,000 was administered.
• Pain relief, duration of action, and side effects were recorded.

Main Results:

• 83% of the 42 administered doses provided good pain relief.
• Only 5% of doses had no effect.
• The duration of action was longest after the first dose and decreased with subsequent doses.
• No sympathetic or motor blockade was observed, and side effects were minimal.
• 17 out of 20 mothers expressed full satisfaction postpartum.

Conclusions:

• Epidural pethidine with adrenaline is an effective and safe option for labor pain management.
• The technique is associated with high patient satisfaction and minimal adverse effects.