الفهرس 
Anatomy of PainOnly 14 pages are availabe for public view
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Abstract
Safe and effective labor analgesia is an important part of obstetric care. In response to the need for effective labor pain management this prospective randomized comparative study was done to detect effectiveness of sterile water injection in presacral region as method of labour analgesia when compared to im injection of meperidine as a traditional method regarding the effects on the mother, baby, labor and delivery process. It was conducted on 50 healthy primigrvidae assigned to have labor analgesia. The parturients were randomly allocated into two groups. group one (n = 25), received meperidine analgesia while group two (n = 25), received sterile water . We limited our trial exclusively to nulliparous women with uncomplicated pregnancies admitted in spontaneous labor at term presenting in the first stage of labor with adequate pelvis, vertex presentation and engaged head. We excluded from the study parturients with any element of cephalopelvic disproportion, post-dates, fetal distress and ante-partum hemorrhage. In this study patients who received sterile water showed significantly better analgesia compared with meperidine group as shown by the Visual Analouge Scale (VAS) which points to the onset of analgesia showed that pain relief started highly significantly earlier in sterile water group compared with meperidine group. Also there was a highly significant satisfaction with labor analgesia among sterile water group compared with meperidine group. Also there no significant difference in pain reduction scores in both groups after 2.