Effective Labour Analgesia by Programmed Labour

Objectives: To evaluate the effective labour analgesia by programmed labour protocol and various effects on maternal and fetal outcome. Study Design: It is a prospective Study. Study Area: Department of Obstestrics& Gynaecology, Mata Chanan Devi Hospital, New Delhi, India. Material& Methods: 100 uncomplicated Primi Gravida in active phase of labour were selected and randomized into study and control group of 50 each study group received programmed labour protocol and the control group received conventional labour protocol. Rate of labour progressing, duration of labour, pain relief score, maternal and foetal outcome were studied. Results: The mean rate of cervical dilation was 2.9 + 0.27 cm/hr, which was almost double of the control group. There was marked shortening of all the stage of labour. Average blood loss was comparatively less in the study group.36 % of women had excellant, 48 % of women had moderate and 14 % had mild pain relief. Majority of women in the study group delivered vaginally. No fetal and maternal complications or adverse effects were observed. Conclusion: The programmed labour is simple, easy and effective method for painless and safe delivery.