The effect of intravenous injection of Atropine with hyoscine on the progress of labor in Primiparous women in Alavi hospital , Ardabil , Iran

Delivery process is accompanied by pain and one of the duties of midwives is to reduce pain during labor. The reduction in the duration of labor has always been considered. Atropine and Hyoscine are among drugs to reduce the duration of labor which used by doctors and some midwives but their effects are not yet fully examined. The aim of this research is studying the effects of these two popular drugs in the delivery room during childbirth and delivery stages. Materials and methods: This study which is a double-blind trial was performed on 200 first-term pregnant belly women who have been admitted to Alavi hospital (in Ardabil in 1386-1387 years) due to spontaneous onset of labor pains. Samples were selected randomly and divided into experimental and control groups. 20 mg of Hyoscine combined with .5 mg of Atropine was injected intravenously as single doze to experimental group in the beginning of active phase and also 20.5 cc Dextrose was injected to control group and then the Dilatation and Effacement of cervix, the length of active phase, length of the second and third phases of labor, the rate of incidence of the tachycardia and bradycardia in fetus and first and fifth minute Apgar scores were recorded. To analyze the data descriptive statistics such as Mean and inferential statistics such as Chi-square with the significance level of 95% were used. Results: The results show that there is a meaningful relationship between the two groups’ mean of Dilatation change and effacement (p < 0.05) (5.2cm in an hour against1.5 in an hour). The length of active phase of labor (105 minutes against 251m) and the difference between second phase length (17 m against 33m) and third phase length ( 3.4 m in experimental and 6.7 in control groups) is less in experimental group but they are not meaningful statistically. The length of delivery was 121m in experimental and 274m in control groups and this difference is meaningful statistically. Conclusion: According to the findings, it appears that hyoscine and atropine can be effective as Medication in patients with dystocia. [Y. Tabarraei, R. Dargahi, M. Azari, A. Mardi, G. Rahimi, S. Refahi. The effect of intravenous injection of Atropine with hyoscine on the progress of labor in Primiparous women in Alavi hospital, Ardabil, Iran. Life Sci J 2013;10(5s):649-651] (ISSN:1097-8135). http://www.lifesciencesite.com. 114