Side effects of tramadol versus paracetamol during labor in pregnant women treated at Jose Carrasco Arteaga Specialty Hospital, period 2014-2019

Abstract

Introduction: childbirth represents the most severe form of pain experienced in woman's life; its proper management is associated with a satisfactory experience. Objective: identify the side effects of tramadol versus paracetamol during labor in full-term pregnant women who were admitted to the Jose Carrasco Arteaga Hospital during the period 2014 to 2019. Materials and methods: a transversal descriptive study was conducted; information was collected from 216 electronic medical records of the AS-400 system. The information was recorded in a data collection form prepared by the researcher Juana Cobos, and later in the statistical program SPSS v. fifteen. Results: the mean age of the maternal population was 30 years old (94%), 66.2% were multiparous, 94% had adequate prenatal check-ups, the average duration of labor was 8 to 17 hours in primiparous women (53.12%) and from 5 to 11 hours in multiparous women (50.3%), tramadol was administered in 42.59% and produced side effects such as nausea (57.61%), headache (47, 83%), vomiting (9.78) and insomnia (9.78), the usual dose of tramadol was 100mg. intramuscular route (95.65%); paracetamol produced less frequently adverse effects and 1000mg was prescribed. intravenous route in 65.6%, perinatal complications such as non-reassuring fetal status, fetal tachycardia, respiratory distress, and others were more frequently observed with tramadol. Conclusion: Finally, tramadol caused more adverse effects than paracetamol when administered during labor.