Comparative Study of Normal Progression of Labour Vs use of Injection Drotaverine Hydrochloride and Injection Valethamate Bromide on Cervical Dilatation and Progression of Labour


Authors : Dr. Rita D; Dr. Bhawna Bajar

Volume/Issue : Volume 9 - 2024, Issue 12 - December

Google Scholar : https://tinyurl.com/ymzxu89r

Scribd : https://tinyurl.com/3ujxckjn

DOI : https://doi.org/10.5281/zenodo.14565211

Abstract : Objective: To compare the normal progression of labour vs use of injection Drotaverine Hydrochloride and injection Valethamate Bromide on cervical dilatation and progression of labour.  Method: This prospective randomised study was conducted in obstetrics and gynecology department at Navodaya Medical College Hospital and Research Centre , Raichur involved 100 pregnant women admitted to labour room for delivery during the study period of one year . Written informed consent was taken. After taking history, general and obstetrics examination was done and contracted pelvis was ruled out. Group I included 50 pregnant women (n=50) who were allowed for spontaneous progression of labour. Group II included 50 pregnant women(n=50) who received injection Drotaverine hydrochloride and injection valethamate bromide and effect on cervical dilatation and progression of labour was noted and compared.  Results: The mean rate of cervical dilatation was 1.2cm/hr in primigravida and 1.5cm/hr in multigravida in group I compared to group II with mean rate of cervical dilatation in primigravida is 2.8cm/hr and 3.5cm/hr in multigravida which is statsically significant (p <0.01) In group I the mean duration of active phase of labour in primigravida was 197 mins and 178 minutes in multigravida compared to 98 minutes un primigravida and 81 minutes in multigravida in group II which is statistically significant (p value <0.01) . there was no statiscally significant difference found in two groups with respect to mode of delivery (p=0.835)  Conclusion: Comparison of cervical dilatation rates and progression of labour revealed a significant acceleration in the drug group, surpassing the control group.

Keywords : Labour , Spontaneous Progression, Drotaverine Hydrochloride, Valethamate Bromide.

References :

  1. Cunningham FG, Leveno KJ, Bloom SL,Spong CY, Dashe JS, Hoffman BL, et al. Williams obstetrics. 24thed.United States of America: Mc Graw Hill companies;2014.
  2. William textbook of obstetrics edition 26th edition  Martindale W. MARTINDALE-the extra pharmacopeia.31sted.London:Rittenhouse book distributors;199610. O, Driscoll, Jackson RJA, Gallagher JT. Prevention of prolonged labor. BMJ.1969;2:477-80.
  3. European Journal of Molecular & Clinical Medicine (EJMCM)ISSN: 2515-8260 Volume 10, Issue 01, 2023 Journal of Cardiovascular Disease ResearchISSN:0975-3583,0976-2833 VOL14,ISSUE05,2023609Comparison of the Effectiveness of Drotaverine Hydrochloride and Valethamate Bromide in Promoting Cervical Dilatation during Active Labour: An Observational studyDr. Chandana Loke1, Dr. Pavan Soleti2, Dr. Dharavath Bhanu Prakash 3Dr.Pavani Chinnapaka4*,Dr.C.Muralidhar
  4. International Journal of Science and Research (IJSR)ISSN: 2319-7064SJIF (2022): 7.942Volume 11 Issue 11, November 2022www.ijsr.netLicensed Under Creative Commons Attribution CC BYA Comparative Study on the Efficacy of Drotaverine Hydrochloride and Valethamate Bromide on Cervical Dilatation in Active Phase ofLabour in Tertiary Care HospitalDr. Chaganti Vijaya
  5. Changede PR. Comparison of injection drotaverine and injection valethamate bromide on duration and course of labor. Int J Reprod Contracept Obstet Gynecol .2016;5:1836-42.

Objective: To compare the normal progression of labour vs use of injection Drotaverine Hydrochloride and injection Valethamate Bromide on cervical dilatation and progression of labour.  Method: This prospective randomised study was conducted in obstetrics and gynecology department at Navodaya Medical College Hospital and Research Centre , Raichur involved 100 pregnant women admitted to labour room for delivery during the study period of one year . Written informed consent was taken. After taking history, general and obstetrics examination was done and contracted pelvis was ruled out. Group I included 50 pregnant women (n=50) who were allowed for spontaneous progression of labour. Group II included 50 pregnant women(n=50) who received injection Drotaverine hydrochloride and injection valethamate bromide and effect on cervical dilatation and progression of labour was noted and compared.  Results: The mean rate of cervical dilatation was 1.2cm/hr in primigravida and 1.5cm/hr in multigravida in group I compared to group II with mean rate of cervical dilatation in primigravida is 2.8cm/hr and 3.5cm/hr in multigravida which is statsically significant (p <0.01) In group I the mean duration of active phase of labour in primigravida was 197 mins and 178 minutes in multigravida compared to 98 minutes un primigravida and 81 minutes in multigravida in group II which is statistically significant (p value <0.01) . there was no statiscally significant difference found in two groups with respect to mode of delivery (p=0.835)  Conclusion: Comparison of cervical dilatation rates and progression of labour revealed a significant acceleration in the drug group, surpassing the control group.

Keywords : Labour , Spontaneous Progression, Drotaverine Hydrochloride, Valethamate Bromide.

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