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Tramadol versus hyoscine-N-butylbromide as intrapartum analgesics during the first stage of labor
Author
Source
Ain Shams Journal of Anesthesiology
Issue
Vol. 10, Issue 1 (31 Mar. 2017), pp.201-206, 6 p.
Publisher
Ain Shams University Faculty of Medicine Department of Anesthesiology
Publication Date
2017-03-31
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Objective The aim was to evaluate and compare the analgesic efficacy of tramadol versus hyoscine-N-butylbromide intramuscularly given during the active phase of the first stage of labor.
Materials and methods This prospective study included 140, American Society of Anesthesiologists I, laboring primigravidae, who were divided into two equal groups: group I (group B) received hyoscine-N-butylbromide (Buscopan) 40 mg intramuscular and group II (group T) received tramadol 100 mg intramuscular.
Labor pain was assessed by visual analog scale before and at 30 min, 1 h, 2 h, and 3 h after drug administration.
Maternal and neonatal adverse effects, drug-delivery interval, mode of delivery, need for additional analgesia, and postpartum maternal satisfaction were assessed too.
Results Baseline visual analog scale scores were comparable between the groups (P>0.05).
Pain scores at 30 min, 1 h, 2 h, and 3 h were significantly higher (P<0.001) in group B.
Overall, 30 (42.8%) women in group B required additional analgesia versus only seven (10%) women in group T (P<0.001).
Drug-delivery interval was significantly (P<0.05) shorter in group B at 175 versus 220 min in group T.
Apgar score at 1 min was significantly higher (P<0.05) in group B, whereas the scores at 5 min were comparable (P>0.05).
A total of 56 (80%) women in group B had adverse effects versus 54 (77.1%) women in group T (P>0.05).
Adverse effects were generally mild (well tolerated).
Cesarean delivery percentages were comparable between the groups (P>0.05).
Postpartum maternal satisfaction was significantly higher (P<0.001) in group T.
Conclusion Although Buscopan is cheap and safe, it is a less effective intrapartum analgesic than tramadol.
It offers shorter duration of labor, so it is better recommended for primiparous women
American Psychological Association (APA)
Abu Salimah, Ashraf A.. 2017. Tramadol versus hyoscine-N-butylbromide as intrapartum analgesics during the first stage of labor. Ain Shams Journal of Anesthesiology،Vol. 10, no. 1, pp.201-206.
https://search.emarefa.net/detail/BIM-841379
Modern Language Association (MLA)
Abu Salimah, Ashraf A.. Tramadol versus hyoscine-N-butylbromide as intrapartum analgesics during the first stage of labor. Ain Shams Journal of Anesthesiology Vol. 10, no. 1 (Mar. 2017), pp.201-206.
https://search.emarefa.net/detail/BIM-841379
American Medical Association (AMA)
Abu Salimah, Ashraf A.. Tramadol versus hyoscine-N-butylbromide as intrapartum analgesics during the first stage of labor. Ain Shams Journal of Anesthesiology. 2017. Vol. 10, no. 1, pp.201-206.
https://search.emarefa.net/detail/BIM-841379
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 205-206
Record ID
BIM-841379