AbstractBackground: Programmed labour technique provides double advantage of pain relief during labour and also improving the obstetric outcome and hence reaching safe motherhood. The aim of the present study is to evaluate the efficacy of programmed labour protocol in providing shorter, safer and relatively pain free deliveries.
Materials and Methods: The present prospective clinical study was conducted in the department of OBG, RIMS, Raichur during a period of 6 months (2017). The study included 100 uncomplicated Primigravida in active phase of labour. Detailed history, general physical examination and obstestric examination including vaginal examination were performed for all the patients. On entering of the patient into active phase, artificial rupturing of the membranes was done. Medications were given as per the programme. The results were arranged in a tabulated form and analysed using SPSS software.
Results: In this study a total of 100 subjects were enrolled, 50 belonged to cases and 50 belonged to control. The mean age of females was 35.43±23 years. In case group the rate of cervical dilatation was 1.70 cm/hr and that amongst control group was 1.21 cm hr.There were 4% (n=2) cases with score 3 in case group. Score 2 was seen in 40% (n=20) cases and 4% (n=2) controls. There were 44% (n=22) cases and 26% (n=13) control with score of 1.
Conclusion: Programmed labor can be considered as an effective method of providing safe and prolonged analgesia to patients such that their delivery becomes considerably painfree. In our study, majority of the females were between 26-30 years of age and cervical dilatation and duration of labor were considerably better in case group.
Keywords: Labour; Obstetric; Prospective.