None listed
Conditions
Interventions
Intervention1: Group 1- Combined Spinal Epidural Group: Parturients belonging to group 1 will receive neuraxial block using combined spinal epidural technique and evaluated for post partum depression
Sponsors
Government Medical College and Hospital
Eligibility
Inclusion criteria
Inclusion criteria: ASA Grade 1 and 2 Age more than 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 VAS of 0-100) Able to use PCEA pump Parturients consenting to participate in the study
Exclusion criteria
Exclusion criteria: Refusal by parturient Patient failing to understand the functioning of PCEA pump and VAS scoring History of psychiatric disorder(GHQ12 >2) Obesity(Wt >100kg) Parturients who have received oral or parenteral analgesics in the last 4 hours Systemic and local sepsis Deranged coagulation profile Preterm labour( Obstetric complications(eg., PROM) Foetus with a non re-assuring NST Foetus with known or suspected congenital anomalies Allergy to study drugs i.e., levobupivacaine, fentanyl Patient with Diabetes(pre-existing or gestational) or history of immunosuppression. Patients with hypertension on methyldopa
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Prevalence(frequency in percentage) of post partum depression using EPDS questionnaireTimepoint: Day 3 and 6 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| Maternal satisfaction(VAS score) Pain score(VAS score) Sensory and motor block characteristics Haemodynamic parameters of mother Foetal heart rate Duration of 2nd stage of labour Mode of delivery Apgar scores Adverse effects Timepoint: Till delivery of baby | — |
Countries
India
Contacts
Public ContactDr Amrit Kaur
Outcome results
None listed