Cross- Sectional Study on the Effectiveness of Anesthetic Protocols in Managing Pain During Labor among Multiparous V/S Primiparous Women.

Abstract

Background: Better labour pain management improves delivery. Parity may affect the results of epidural, spinal, and nitrous oxide anaesthetics used to relieve pain. This study compares anaesthetic techniques for labour pain in primiparous and multiparous women.

Methods: 120 women, 60 multiparous and 60 primiparous, participated in this retrospective cross-sectional study at IGIMS Patna from September 2022 to March 2023. Patient medical records were examined for anaesthetic protocol type, pain scores, labour time, patient satisfaction, and side effects. Statistical analysis used t-tests, Mann-Whitney U tests, and chi-square tests to compare results.

Results: Multiparous women had significantly lower pain levels (3.2 ± 1.1) compared to primiparous women (4.5 ± 1.3), with a p-value < 0.01. Additionally, they reported higher satisfaction with pain treatment (8.0 ± 1.2) compared to primiparous women (6.9 ± 1.5), with a significant difference (p = 0.02). No difference in side effects was found between groups.

Conclusion: Multiparous women report higher pleasure and pain relief after labour anaesthesia than primiparous women. This shows that parity-based anaesthetic programmes can improve delivery. Future studies on anaesthetic procedures and patient factors may improve labour pain treatment.