None listed
Conditions
Interventions
Intervention1: dexamethasone: all the patients will be divided into two groups: one will receive 8mg dexamethasone(preservative free)dissolved in 10ml of 0.9% Normal saline administered epidurally.Thi
Sponsors
Government medical college and hospital
Eligibility
Inclusion criteria
Inclusion criteria: • American Society of Anesthesiologists (ASA) grade I and II • Age >18 years • Primigravida • Single gestation • Cephalic presentation at >= 37 completed weeks of gestation • In early spontaneous labour (cervical dilation • Baseline pain score > 30 (on a 0-100 Visual analog scale) • Able to use PCEA pump • Requesting epidural analgesia for labour
Exclusion criteria
Exclusion criteria: • Refusal by parturient. • Parturients who had received oral or parenteral analgesics in the last 4 hours. • Systemic and local sepsis. • Deranged coagulation profile. • Preterm labour.( • Obstetric complications (e.g., premature rupture of amniotic membranes). • Foetus with a non re-assuring non-stress test • Foetus with known or suspected congenital abnormalities • Allergy to study drugs, i.e.,levobupivacaine, fentanyl or dexamethasone • Patient with Diabetes (either pre-existing or gestational) or history of immunosuppression • Patient already receiving steroids
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hourly total consumption of levobupivacaine + fentanyl mixture, including both continuous background infusion plus bolus doses (in ml) till deliveryTimepoint: till the delivery of baby | — |
Secondary
| Measure | Time frame |
|---|---|
| Maternal satisfaction (VAS) Pain score (VAS) Sensory and motor block characteristics Haemodynamic parameters of mother Foetal heart rate Duration of second stage of labour Mode of delivery Apgar scores Adverse effectsTimepoint: till the delivery of baby | — |
Countries
India
Contacts
Public ContactAnkur Dhal
Government Medical college and hospital
Outcome results
None listed