Property | Value |
Name | Programmed labour:- A Role of ketamine |
Description | Original article:- Singh Sapna*
Affiliation:- *Assistant Professor, Department of Obs & Gynae, Rama Medical College, Kanpur ,India.
Abstract: Introduction: Traditionally in many cultures around the world , labour pain is accepted and is not seen as an insurmountable problem. The pain in labour indicates to the parturient that the process of child birth has begun and she should go to a safe place for unfolding of same. Material and Methods: During the period from Jan. 2011 to Jan. 2012. We administered ketamine for alleviating pain of labour as a means of labour analgesia. A total 120 parturients requested for analgesia, from among the 400 deliveries conducted during the same period. Most of those requesting for analgesia, belonged to the higher socioeconomic group and had got over their fears of hallucination and effects it would have on the fetus. While most of them were primis, a few multiparous parturients requested for analgesia. The major maternal side effect noted was hallucinations, but none of these women reacted to them having been warned of the possible side effect. While no major effect on the fetus was noted, three babies had respiratory depression at birth necessitating administration of O2 and NICU observation for 24 hours. Result: We noted reduction on duration of labour in the ketamine administered group. Maternal and fetal tachycardia was noted but there were not to the extent necessitating any specific action. The overall immpression of the parturients given ketamine was positive and 92% said they would ask for it during their next labour. Conclusion: In this study, ketamine was found to be effective in relieving labour pain without affecting the labour process adversely. Further ketamine was found to be safe for the fetus.
Key Words:-Programmed labour, Ketamine, Respiratory depression, Dissociative anaesthesia.
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Copyright © 2013 Singh Sapna. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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