Tramadol for Labor Analgesia: a Placebo Controlled Randomised Control Trial
Tramadol for Labor Analgesia: a Placebo Controlled Randomised Control 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