Comparision of Buscopan and Epidosin on Cervical Dialatation in Labour

Purpose: Prolong labour contributes to increased perinatal and maternal morbidity. Inhibitory impulses in the form of spasm often impair the dilatation of cervix and prolong the duration of labour. This study was undertaken to compare the effect of intramuscular Valathemate bromide [Epidosin] and Hyoscine N Butylbromide [Buscopan] rectal suppository on duration of labour and rate of cervical dilatation. Methods:Two hundred women with full term preganancy in active labour were divided randomly into two groups. Group A received Buscopan 10mg suppository rectally and group B received intramuscular Epidosin. Results:Among primigravidae the mean duration of active phase of labour was 179.43 minutes and 163.84 minutes in group A and B respectively. Among multigravidae the mean duration of active phase of labour was 156.7 minutes and 130.68 minutes minutes in group A and B respectively. Transient side effects like tachycardia were seen with Epidosin which was significant clinically as well as statistically (p<0.0001).Conclusion: Both Buscopan and Epidosin are comparable in reducing the duration of active phase of labour and rate of cervical dilatation. Buscopan because of its convenience of administration (as rectal suppository) can be an alternative in rural setups where trained medical personnel may not be available most of the times. KeywordsHyoscine N Butylbromide (Buscopan); Epidosin Cervical dilatation; Active phase; Delivery.