Tramadol for Labor Analgesia: a Placebo Controlled Randomised Control Trial

Tramadol for Labor Analgesia in Low Risk Women: A Placebo Controlled Randomized Trial

Tramadol for labor analgesia: a low risk placebo controlled randomised control trial

Investigators will administer 100mg tramadol or 2ml distilled water through intramuscular route in a blinded manner. Visual analogue score will be assessed in the beginning and every hour till four hours. patient satisfaction, safety outcomes, duration of 1st and 2nd stage of labor, proportion of women experiencing nausea, vomiting and increased sleepiness, postpartum haemorrhage,apgar score at 5 minute, need for nicu admission wiil be assessed at the end

Inclusion Criteria:

• delivering for first time(nulliparous)
• well established labor ( 3 or more contractions in a span of ten minutes
• cervical dilation of 4 cm or more
• >= 80% effacement of cervix

Exclusion Criteria:

• any medical disorder- diabetes,hypertension
• obstetric high risk factors