Clinical Study of Fetomaternal Outcome in Optimising Labour in Primi and Multigravida

Abstract

To evaluate various effects of optimizing labour protocol on primi and multigravida and their neonates. Two hundred women with 37 to 40 weeks pregnancy with vertex presentation in active phase of labour without any fetal and maternal complication were randomly allocated to two groups. Hundred women received optimising labour protocol taken as subjects while 100 were managed expectantly taken as controls. In each group 50 women were primi and 50 women were multigravida. Good Pain relief was achieved in 50% of primi and 52% of multigravida in study group. Onset of analgesic effect started in 14.97 minutes in primi and 14.36 minute in multigravida. No significant fetal and maternal complication or adverse effects were observed. Duration of all stages of labour was reduced. Blood loss during third stage of labour also reduced.