DOI: 10.36347/sjams.2015.v03i06.039

Pages: 2347-2350

The aim of the present study to assess the efficacy and safety of intramuscular tramadol hydrochloride as an analgesic during labor. Its efficacy has compared with placebo group. This is a prospective study conducted for 1 year on 100 pregnant women in labor at term. They were alternatively divided into two groups. The study group (n=50), received 100mg i.m tramadol and the control group (n=50) received 2cc placebo. They are observed for time of onset of analgesia and duration, maternal cardio respiratory parameters, fetal Apgar score, side effects of tramadol, mode of delivery. In majority of cases (80%), pain relief was within 16.27 min on intramuscular dose of 100mg of tramadol and duration of analgesia was 3.78 hours. Good Pain relief was observed in 49% and moderate pain relief was in 12%. No significant changes in the fetal heart rate pattern or maternal cardio respiratory parameters were noted with tramadol. Majority of them did not suffer any side effects of tramadol, only 7% has complained of restlessness, dizziness, headache and 3.5% had nausea and vomiting. The study showed that the overall duration of labor was decreased in study group (4.13 hours) when compared to control group (6.24 hours). Apgar scores of most of the babies at 1min and 5 min were satisfactory and although seven babies (14%) in the tramadol group and 5 babies (10%) in the placebo group were observed that score is 6-7.