Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Tramadol is a centrally acting synthetic analgesic used to treat moderate to moderately severe pain. It has been previously evaluated as a method to reduce pain during labour, but there is always some fear related to its effects (neonatal respiratory depression). The purpose of our study was to evaluate the efficacy of subcutaneous tramadol in regards to pain during labour, duration of labour and neonatal outcomes.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Tramadol | Experimental | 100 mg of tramadol SC (single dose) = 2 mL |
|
| Placebo | Placebo Comparator | 2 mL of a sterile solution SC |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Tramadol | Drug | 100 mg of Tramadol was applied in the forearm SC (single dose). |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Pain during labour | Pain during labour was evaluated using the Visual Analogue Scale during the first six hours after the application of the drug (tramadol or placebo). | 6 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Duration of labour | The duration of labour in minutes (all patients were admitted with 4-5 cms of dilation), comparing both groups. | 12 hours |
| Neonatal outcomes | Apgar score at minute one and five and umbilical cord pH were evaluated and compared between both groups. |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Osvaldo Reyes, MD | Saint Thomas Maternity Hospital | Principal Investigator |
| Riggie Castillo, MD | Saint Thomas Maternity Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Saint Thomas Maternity Hospital | Panama City | 1439 zona 9A | Panama |
Not provided
| ID | Term |
|---|---|
| D014147 | Tramadol |
| ID | Term |
|---|---|
| D003511 | Cyclohexanols |
| D000441 | Hexanols |
| D005233 | Fatty Alcohols |
| D000438 | Alcohols |
| D009930 |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Placebo |
| Drug |
2 ml of a sterile solution was applied in the forearm SC (single dose). |
|
| 48 hours |
| Side effects | Maternal respiratory depression, headaches, nausea and dizziness were evaluated in both groups. | 48 hours |
| Requirements of oxytocin | Maximum dose of oxytocin (mU/min) required to have regular uterine contractions. | 12 hours |
| Organic Chemicals |
| D004123 | Dimethylamines |
| D008744 | Methylamines |
| D000588 | Amines |
| D008055 | Lipids |