Volume 11 (2024) | Issue 5
Volume 11 (2024) | Issue 5
Volume 11 (2024) | Issue 5
Volume 11 (2024) | Issue 5
Volume 11 (2024) | Issue 4
Aim: To compare the effects of drotaverine hydrochloride and epidosin on cervical dilation in active phase of labour in primigravida. Objectives: 1. To study the effectiveness of Drotaverine in active labour. 2. To study the effectiveness of Epidosin in active labour. 3. To compare their effects on patients. INTRODUCTION: One of the most significant periods in a woman's life is labour. The length of labour during labour has a significant impact on both maternal and perinatal morbidity. In order to expel the uterine foetus from the intrauterine to the extrauterine environment, labour is a contraction process that aims to produce increasing cervical effacement and dilatation. MATERIALS AND METHODS: A descriptive study with a sample size of 300 patients was conducted in our labour room between October 2020 to may 2022. OBSERVATION AND RESULTS: The patients were divided into 3 groups as follows, Group 1=Control Group Group 2= Received 1 ampoule of Drotaverine Hydrochloride 40 mg intravenously at 2 hourly intervals up to a maximum of 3 doses,starting at 3-4 cms cervical dilatation. Group 3= Received, 1 ampoule of Valethamate bromide 8mg intravenously at hourly intervals up to a maximum of 3 doses, starting at 3-4 cms cervical dilatation. RESULTS: In our study, it was observed that the majority of the patients belonged to the age group of 23-26 years, followed by 27-30 years. Very few patients were less than 22 years of age. Drotaverine was seen to decrease the duration of active stage of labour by 27% as compared to Valethamate that decreased it by 24%. The cervical dilatation in group II was increased by 2.3 cm/hr while in group III it was increased by 1.3 cm/hr. There was a significant increase in rate of cervical dilatation in both the groups. The mean duration of second phase of labour was 144.23 ± 3.57 minutes in Group I, 102.42 ± 1.75 minutes in Group II and 116.56± 2.34 minutes in Group III The mean injection delivery interval was found to be 101.58±78.06 mins in Drotaverine Group and 134.24±94.12 mins in Valethamate Group.1 Maternal complications like Dryness of mouth,Tachycardia,Vomiting were noted in a few cases. Drotaverine hydrochloride is a superior cervical dilatation agent than Valethamate bromide in significantly reducing the duration of labor with fewer side effects on the mother or the fetus (17). Drotaverine hydrochloride and valethamate bromide are better labor accelerators. But drotaverine accelerates labor better than valethemate. The reduction of pain during labor is better with drotaverine than valethamate.