Tramadol – A wonder drug in women with labour pain

Abstract

: Pain management during labour is an essential part of good obstetric care. Though this severe pain during labour is not life-threatening, it can have physiological and neuropsychological consequences. Adequate analgesia during labour is a benefit for the mother, has a positive influence on the course of labour and the state of the new born child. The ideal analgesic in obstetrics should have potent opiate-like analgesic efficacy with minimal side effects. Tramadol can be used as a basic analgesic for the treatment of patients with moderate to severe pain. Parenteral tramadol during labour was proven to have no negative effects on the baby or the process of labour.The study was conducted for a period of one year from April 2022 to March 2023 in the Department of obstetrics and Gynaecology, Gandhi Medical College and Hospital, Hyderabad after approval from Institutional Ethics Committee. Total of 500 parturient of age group 18 to 35 years were divided into 2 groups, control and study groups 250 participants each. The drug utilized was Intramuscular Tramadol Hydrochloride at a dosage of 1 ampule containing 2 ml, where 1 ml is equivalent to 50 mg. It is observed that there was a significant decrease in the degree of pain when compared to control group after giving Intramuscular Tramadol injection. And the majority of the patients had good neonatal outcomes and no maternal complications and reduced the duration of labour. In the study group 10% and 43.2% of patients, whereas 13.2% and 54.4% of patient in control group had Grade III and Grade IV pain, which was statistically significant.Intramuscular Tramadol Injection is safe for both mother and baby, effective and shortens the duration of labour period.