Abstract
Objectives: Present study was carried out to determine the variation of Blood Pressure (BP) during normal delivery and effect of oxytocin on BP in different socioeconomic groups to help in establishing better perinatal care towards achieving the goal of healthy mother and baby.
Materials and Method: Hundred cases of normal delivery were included in our study. Blood pressure was recorded at the time of admission, at onset of labour, after full dilatation of cervix, after delivery of baby, after Oxytocin injection and during puerperium.
Results: Upper middle class - Baseline mean Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were 117± 5.56 and 77.92 ± 5.63 mmHg respectively. There was significant rise in SBP and DBP at onset of labour (122.76.±4.82 & 82.20± 4.8 mmHg respectively, p <0.05). SBP and DBP fall significantly after oxytocin injection (114.40±6.47 & 75.24±4.98 mmHg).
Lower class - Baseline mean Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were 119.32± 6.03 and 78.84 ± 5.35 mmHg respectively. There was significant rise in SBP and DBP at onset of labour (123.84 ±5.34 & 82.94± 5.02 mmHg respectively, p <0.05). SBP and DBP fall significantly after oxytocin injection (116.68 ± 6.29& 75.08±4.77mmHg).
Conclusion: There is wide variation in BP during normal delivery and it rises significantly at onset of labour and falls significantly after Oxytocin injection. Close monitoring of Blood pressure during normal delivery may result in better perinatal outcome.
Keywords: Normal Delivery, Diastolic Blood Pressure, Oxytocin, Systolic Blood Pressure, Variation.
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Corresponding Author
Dr Anita Kumari
Tutor, Dept of Physiology Indira Gandhi Institute of Medical Sciences, Sheikhpura, Patna, India
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