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MedPulse - International Medical Journal, ISSN 2348-2516 E-ISSN: 2348-1897

Volume 1, Issue 6, June 2014 pp 328-330

Research Article

Effect of paracervical block in relief of first stage labour pain: an observational study

Sanjaykumar B Pagare¹, Nimisha Pagare², Deshpande S S³, Yelikar K A⁴

¹Assistant Professor, ³Associate Professor, ⁴Professor and Head Department of OBGY, Govt Medical College, Aurangabad, Maharashtra, INDIA.

²Consultant Obstetrician and Gynaecologist, Aurangabad, Maharashtra, INDIA.

Abstract
Childbirth is a painful as well as fruitful process which gives a woman pride of being a mother. However labour pains are among the most severe forms of pain and only the parturient knows the agony. Obstetric analgesia has evolved from vague possibility to reality during this century. Various techniques and drugs have been tried and tested. Present study describes the effect of Paracervical block in relief of first stage of labour pain. 100 cases of full term (37 to 42 weeks) singleton pregnancy with cephalic presentation in active phase of labour with cervical dilatation of ≥ 3cm but ≤ 5 cm were included in the study. VAS was used to assess the pain before administering labour analgesia and repeated at 1 hour, 2 hour, 4 hour and at full dilatation of cervix. Overall effect of labour analgesia in relief of pain was categorized as : Excellent, Good, Fair and Poor. Duration of labour was recorded from time of administration of labour analgesia to delivery of baby. Mode of delivery was also noted and categorized as Normal, Assisted- Ventouse/Forceps or Caesarean. Assessment of neonatal outcome was done using APGAR score in all babies at 1 minute and 5 minute. Side effects or complications were also noted. Present study shows that labour pain as measured by VAS was relieved in an effective manner by Paracervical block technique of analgesia during labour. Around 80% subjects reported that overall effect of analgesia was good. Paracervical block can be used as an effective mode of labour analgesia.