Publication:

An approach to reduce labor pain and increase vaginal birth rate

Background Labor pain is considered one of the most intense pains experienced by women. Effective pain management is crucial in enhancing maternal satisfaction and ensuring a positive childbirth experience. The peri-pudendal block (PPB) is a promising alternative to conventional pain management strategies during the second stage of labor. This study evaluated the efficacy of the peri-pudendal block in reducing labor pain, episiotomy rates, and improving maternal and neonatal outcomes.

Methods A prospective randomized controlled trial was conducted at BRD Medical College, Gorakhpur, involving 206 women with term pregnancies. Participants were divided into two groups: those receiving PPB (n=107) and those receiving standard care (n=99). Visual analogue scale (VAS) scores, duration of the second stage of labor, episiotomy rates, perineal injuries, and neonatal outcomes (APGAR scores) were assessed.

Results PPB significantly reduced VAS scores in both primiparous and multiparous women (4.61±0.12 and 4.36±0.78, respectively). The second stage of labor was shorter in the PPB group for both primiparous (51.52±5.80 minutes) and multiparous women (24.49±4.23 minutes). Episiotomy rates were significantly lower in the PPB group (63% for primiparous and 26.4% for multiparous women). No significant differences in neonatal APGAR scores or maternal cardiovascular parameters were observed.

Conclusions The peri-pudendal block is a safe and effective analgesic option during labor, improving maternal comfort and reducing surgical interventions without compromising neonatal outcomes.