Diamorphine for Pain Relief in Labour: A Randomised Controlled Trial Comparing Intramuscular Injection and Patient-Controlled Analgesia

2.50
Hdl Handle:
http://hdl.handle.net/10755/156553
Type:
Presentation
Title:
Diamorphine for Pain Relief in Labour: A Randomised Controlled Trial Comparing Intramuscular Injection and Patient-Controlled Analgesia
Abstract:
Diamorphine for Pain Relief in Labour: A Randomised Controlled Trial Comparing Intramuscular Injection and Patient-Controlled Analgesia
Conference Sponsor:Sigma Theta Tau International
Conference Year:2005
Author:Hillan, Edith M., PhD, MSc, MPhil, Dip, LSc, RN, RM, RSCN
P.I. Institution Name:University of Toronto
Title:Vice Provost Academic & Professor
Objectives: To compare the efficacy of diamorphine administered by a patient controlled pump (PCA) with intra-muscular (IM) administration for pain relief in labour. Design: Randomised controlled trial Setting: The South Glasgow University Hospitals NHS Trust. Sample: Primigravidae and multigravidae in labour at term (37-42 weeks). Methods: Women (n=356) were randomised in labour to the study (PCA) or control group (IM). Randomisation was achieved through a random permuted block design stratified by parity. Study group women were given a loading dose of 1.2mg diamorphine intravenously and then attached to the pump. Control group women received IM diamorphine as per hospital protocol. Participants were also given 3mg of buccal Stemetil. Data were collected throughout labour and at six postnatal weeks. Main outcome measures: Analgesia requirements during labour and women's satisfaction with the method of pain relief. Results: Women in the study group (PCA) used significantly less diamorphine than women in the control group (IM) but were significantly more likely to state that they were very dissatisfied with their use of diamorphine and were significantly more likely to opt out of the trial before the birth of the baby. The majority of women in both groups used other analgesia concurrent with diamorphine such as Entonox, aromatherapy or TENS. Conclusion: PCA administration of diamorphine for the relief of pain in labour offers no significant advantages over IM administration. The results also suggest that diamorphine is a poor analgesic for labour pain irrespective of the mode of administration.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDiamorphine for Pain Relief in Labour: A Randomised Controlled Trial Comparing Intramuscular Injection and Patient-Controlled Analgesiaen_GB
dc.identifier.urihttp://hdl.handle.net/10755/156553-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Diamorphine for Pain Relief in Labour: A Randomised Controlled Trial Comparing Intramuscular Injection and Patient-Controlled Analgesia</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Hillan, Edith M., PhD, MSc, MPhil, Dip, LSc, RN, RM, RSCN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Toronto</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Vice Provost Academic &amp; Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">edith.hillan@utoronto.ca</td></tr><tr><td colspan="2" class="item-abstract">Objectives: To compare the efficacy of diamorphine administered by a patient controlled pump (PCA) with intra-muscular (IM) administration for pain relief in labour. Design: Randomised controlled trial Setting: The South Glasgow University Hospitals NHS Trust. Sample: Primigravidae and multigravidae in labour at term (37-42 weeks). Methods: Women (n=356) were randomised in labour to the study (PCA) or control group (IM). Randomisation was achieved through a random permuted block design stratified by parity. Study group women were given a loading dose of 1.2mg diamorphine intravenously and then attached to the pump. Control group women received IM diamorphine as per hospital protocol. Participants were also given 3mg of buccal Stemetil. Data were collected throughout labour and at six postnatal weeks. Main outcome measures: Analgesia requirements during labour and women's satisfaction with the method of pain relief. Results: Women in the study group (PCA) used significantly less diamorphine than women in the control group (IM) but were significantly more likely to state that they were very dissatisfied with their use of diamorphine and were significantly more likely to opt out of the trial before the birth of the baby. The majority of women in both groups used other analgesia concurrent with diamorphine such as Entonox, aromatherapy or TENS. Conclusion: PCA administration of diamorphine for the relief of pain in labour offers no significant advantages over IM administration. The results also suggest that diamorphine is a poor analgesic for labour pain irrespective of the mode of administration.</td></tr></table>en_GB
dc.date.available2011-10-26T14:53:43Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T14:53:43Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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