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dc.contributor.authorMcInnes, Rhonaen_UK
dc.contributor.authorHillan, Edithen_UK
dc.contributor.authorClark, Dianaen_UK
dc.contributor.authorGilmour, Harperen_UK
dc.description.abstractObjectives: To compare the efficacy of diamorphine administered by a patient-controlled pump (patient-controlled analgesia) with intramuscular administration for pain relief in labour. Design: Randomised controlled trial. Setting: The South Glasgow University Hospitals NHS Trust. Sample: Primigravidae and multigravidae in labour at term (37-42 weeks). Methods: Women were randomised in labour to the study (patient-controlled analgesia) or control group (intramuscular). Randomisation was achieved through a random permuted block design stratified by parity. Study group women were given a loading dose of 1.2 mg diamorphine intravenously and then attached to the pump. Control group women received intramuscular diamorphine as per hospital protocol. Participants were also given 3 mg of buccal Stemetil. Data were collected throughout labour and at six postnatal weeks. Main outcome measures: Analgesia requirements during labour and women's satisfaction with the method of pain relief. Results: Women in the study group (patient-controlled analgesia) used significantly less diamorphine than women in the control group (intramuscular) but were significantly more likely to state that they were very dissatisfied with their use of diamorphine and were significantly more likely to opt out of the trial before the birth of the baby. The majority of women in both groups used other analgesia concurrent with diamorphine such as Entonox, aromatherapy or TENS. Conclusions: Patient-controlled analgesia administration of diamorphine for the relief of pain in labour offers no significant advantages over intramuscular administration. The results also suggest that diamorphine is a poor analgesic for labour pain irrespective of the mode of administration.en_UK
dc.relationMcInnes R, Hillan E, Clark D & Gilmour H (2004) Diamorphine for pain relief in labour: a randomised controlled trial comparing intramuscular injection and patient-controlled analgesia. BJOG: An International Journal of Obstetrics and Gynaecology, 111 (10), pp. 1081-1089.
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dc.subjectLabor (Obstetrics)en_UK
dc.titleDiamorphine for pain relief in labour: a randomised controlled trial comparing intramuscular injection and patient-controlled analgesiaen_UK
dc.typeJournal Articleen_UK
dc.rights.embargoreason[Mcinnes et al 2004 - diamorphine.pdf] The publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.en_UK
dc.citation.jtitleBJOG: An International Journal of Obstetrics and Gynaecologyen_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.affiliationHealth Sciences Research - Stirling - LEGACYen_UK
dc.contributor.affiliationUniversity of Glasgowen_UK
dc.contributor.affiliationUniversity of Glasgowen_UK
dc.contributor.affiliationUniversity of Glasgowen_UK
rioxxterms.typeJournal Article/Reviewen_UK
local.rioxx.authorMcInnes, Rhona|en_UK
local.rioxx.authorHillan, Edith|en_UK
local.rioxx.authorClark, Diana|en_UK
local.rioxx.authorGilmour, Harper|en_UK
local.rioxx.projectInternal Project|University of Stirling|
local.rioxx.filenameMcinnes et al 2004 - diamorphine.pdfen_UK
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles

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