S.  Suraj, P.P.  Mahilamani, 
    Evaluation of Maternal and Foetal Outcome in Low Dose Epidural Analgesia for Painless Labour,
    Research Journal of Medical Sciences,
    Volume 19,Issue 3,
    2025,
    Pages 62-66,
    ISSN 1815-9346,
    makrjms.2025.3.62.66,
    (https://makhillpublications.co/view-article.php?doi=makrjms.2025.3.62.66)
    Abstract: <p style="text-align:justify">The distress and pain which women often endure while in labour, is beyond description and seems to be more than what human nature will be able to bear under any other circumstance. Epidural analgesia, with lower concentration namely &ldquo;walking epidural&rdquo; where ambulation is possible is recently becoming popular. The study was conducted at mookambika medical college between 2023‐2024. 40 Parturient who were administered epidural analgesia for pain relief. Inclusion criteria are spontaneously labouring mothers, single term cephalic foetus, cervix 3‐4 cm dilated, normal obstetric and medical history., no contraindication for epidural analgesia. Exclusion criteria are If they have received an opiod drug preceding epidural analgesia, Malpresentation and multiple pregnancies., Previous history of miscarriages, Major degree of CPD. In the epidural group, 87% of the parturient were allowed to ambulate. Only 5 parturient developed motor block. Bleyart et al., 1979 demonstrated that 96 % were able to ambulate in their study using 0.125% Bupivacaine. From this study, it is concluded that, Low dose epidural analgesia provides effective pain relief during labour with ambulation. Active management of labour with oxytocin acceleration in the second stage and administering low dose epidural analgesia do not prolong the second stage markedly and decrease the rate of operative deliveries.</p>

    Keywords: Epidural analgesia; labour