Homeopathy 2016; 105(01): 66-70
DOI: 10.1016/j.homp.2015.09.003
Original Paper
Copyright © The Faculty of Homeopathy 2015

A randomized controlled trial comparing Pentazocine and Chamomilla recutita for labor pain relief

Shamsa Zafar
1   Center of Excellence (Maternal & Child Health), Health Services Academy, Islamabad, Pakistan
a   These authors contributed equally to this work.
,
Yawar Najam
2   Department of Paediatrics, Shifa International Hospital, H/8, Islamabad, Pakistan
a   These authors contributed equally to this work.
,
Zaeema Arif
1   Center of Excellence (Maternal & Child Health), Health Services Academy, Islamabad, Pakistan
,
Assad Hafeez
3   Health Services Academy, Islamabad, Pakistan
a   These authors contributed equally to this work.
› Author Affiliations

Subject Editor:
Further Information

Publication History

Received10 February 2015
revised19 August 2015

accepted21 September 2015

Publication Date:
23 December 2017 (online)

Background: Traditional birth attendants in Pakistan sometimes use a homeopathic remedy, Chamomilla for labor pain relief. Our study compares this homeopathic remedy for pain relief in labor with a commonly used parenteral analgesic in a hospital setting. No systematic study has been conducted previously to study the effect of chamomile, which may be affordable and available in community settings.

Methods: A double blind randomized controlled trial was carried out at Islamic International Medical College Trust. Ninety-nine normal pregnant women were randomly assigned into three groups. Each group received one of the three trial drugs; Chamomile, Pentazocine or placebo. The efficacy of labor analgesia was assessed by using Visual Analogue Scale (VAS) for pain intensity. Indicators of maternal and child health were recorded as were adverse effects of the drugs.

Results: Mean pain scores in the three groups were calculated and compared. The difference in mean VAS scores in Pentazocine and Chamomilla recutita group as compared with placebo was not statistically significant. No significant adverse effects were noticed in any group except slight headache and dizziness in three parturients in Pentazocine group.

Conclusion: Neither Pentazocine, or Chamomilla recutita offer substantial analgesia during labor.

 
  • References

  • 1 Simona L., Simon M. The pain of labour. Rev Pain 2008; 2 (02) 15.
  • 2 Kuti O., Faponle A.F., Adeyemi A.B., Owolabi A.T. Pain relief in labour: a randomized controlled trial comparing pentazocine with tramadol. NJOG 2008; May–June 3 (01) 14-18.
  • 3 Lowe N.K. The nature of labor pain. Am J Obstet Gynecol 2002; 186 (05) suppl. 1 16-24.
  • 4 Kuti O., Faponle A.F. Perception of labour pain among the Yoruba ethnic group in Nigeria. J Obstet Gynaecol 2006; 26 (04) 322-334.
  • 5 Caton D., Corry M.P., Frigoletto F.D. et al. The nature and management of laborpain: executive summary. Am J Obstet Gynecol 2002; 186 (05) suppl. 1 1-15.
  • 6 Jain S., Arya V.K., Gopalan S., Jain V. Analgesic efficacy of intramuscular opioids versus epidural analgesic in labor. Int J Gynecol Obstet 2003; 83 (01) 19-27.
  • 7 Elbourne D., Wiseman R.A. Types of intramuscular opioids for maternal pain relief in labor. Cochrane Database Syst Rev 2000; (02) CD001237.
  • 8 Yeo S.T., Holdcroft A., Yentis S.M., Stewart A., Bassett P. Analgesia with sevoflurane during labour: II. Sevoflurane compared with Entonox for labour analgesia. Br J Anaes 2007; 98 (01) 110-115.
  • 9 Cyna A.M., McAuliffe G.L., Andrew M.I. Hypnosis for pain relief in labour and childbirth: a systematic review. Br J Anes 2004; 93 (04) 505-511.
  • 10 Keenan D.L., Simonsen L., McCrann J. Transcutaneous electrical nerve stimulation for pain control during labor and delivery: a case report. Phys Ther 1985; 65 (09) 1363-1364.
  • 11 Khan Y.P., Bhutta S.Z., Munim S., Bhutta Z.A. Maternal health and survival in Pakistan: issues and options. J Obstet Gynaecol Can 2009; Oct 31 (10) 920-929.
  • 12 National Institute of Population Studies and Macro International. Pakistan demographic and health survey 2006–07. Islamabad. 2008.
  • 13 World Health Organisation Global health observatory data repository WHO. 2011. Available from: http://apps.who.int/gho data/?vid=11500&theme=country.
  • 14 Hodges S.C., Mijumbi C., Okello M., McCormick B.A., Walker I.A., Wilson I.H. Anaesthesia services in developing countries: defining the problems. Anaesthesia 2007; 62 (01) 4-11.
  • 15 Fairlie F.M., Marshall L., Walker J.J., Elbourne D. Intramuscular opioids for maternal pain relief in labour: a randomized controlled trial comparing pethidine with diamorphine. Br J Obstet Gynaecol 1999; 106: 1181-1187.
  • 16 Lloyd K.B., Hornsby L.B. Complementary and alternative medications for women's health issues. Nutr Clin Pract 2009; 24: 589-608.
  • 17 Liburd A. The use of complementary therapies in midwifery in the UK. J Nurse Midwifery 1999; 44: 325-329.
  • 18 McKenna L., McIntyre M. What over-the-counter preparations women taking? A literature review. J Adv Nurs 2006; 56: 636-645.
  • 19 Donald M.M., Snodgrass W.R. Do no harm: avoidance of herbal medicines during pregnancy. Obstet Gynecol 2005; 105: 1119-1122.
  • 20 Astin J.A., Pelletier K.R., Marie A., Haskell W.L. Complementary and alternative medicine use among elderly persons: one year analysis of blue shield medicare supplement. J Gerontol 2000; 55: M4-M9.
  • 21 Forster D.A., Denning A., Wills G., Bolger M., McCarthy E. Herbal medicine use during pregnancy in a group of Australian women. BMC Pregnancy Childbirth 2006; 6: 21.
  • 22 Peña D., Montes de Oca N., Rojas S. Anti-inflammatory and anti-diarrheic activity of Isocarpha cubana Blake. Pharmacologyonline 2006; 3: 744-749.
  • 23 Srivastava Janmejai K., Shankar E., Gupta S. Chamomile: a herbal medicine of the past with bright future. Mol Med Rep 2010; November 1 3 (06) 895-901.
  • 24 Jensen M.P., Chen C., Brugger A.M. Interpretation of visual analog scale ratings and change scores: a reanalysis of two clinical trials of postoperative pain. J Pain 2003; Sep 4 (07) 407-414.
  • 25 DeLoach L.J., Higgins M.S., Caplan A.B., Stiff J.L. The visual analog scale in the immediate postoperative period: intrasubject variability and correlation with a numeric scale. Anesth Analg 1998; Jan 86 (01) 102-106.
  • 26 Dexter F., Chestnut D.H. Analyses of statistical tests to compare Visual Analogue Scale measurements among groups. Anestheliology 1995; 82: 896-902.
  • 27 Hamunen K., Olkkola K.T., Seppälä T., Maunuksela E.L. Pharmacokinetics and pharmacodynamics of pentazocine in children. Pharmacol Toxicol 1993; Aug 73 (02) 120-123.
  • 28 Ritschel W.A., Hoffmann K.A., Willig J.L., Frederick K.A., Wetzelsberger N. The effect of age on the pharmacokinetics of pentazocine. Methods Find Exp Clin Pharmacol 1986; Aug 8 (08) 497-503.
  • 29 Tamdee D., Charuluxananan S., Punjasawadwong Y., Tawichasri C., Patumanond J., Sriprajittichai P. A randomized controlled trial of pentazocine versus ondansetron for the treatment of intrathecal morphine-induced pruritus in patients undergoing cesarean delivery. Anesth Analg 2009; Nov 109 (05) 1606-1611.
  • 30 Környei J.L., Vértes Z., Oszter A., Kovács K.A., Rao C.V., Vértes M. Opioid peptides inhibit the action of oestradiol on human myometrial cells in culture. Mol Hum Reprod 1999; Jun 5 (06) 565-572.