Health Condition 1: null- Primigravida full term (37-40weeks) in active labour with ASA I and II
Conditions
Interventions
Intervention1: Levobupivacaine, Fentanyl: CSE analgesia was administered under all aseptic precaution in the sitting position in the L3-4 or L2-3 intervertebral space. After identifying the space a lo
Sponsors
Dr L H Hiranadani Hospital
Eligibility
Inclusion criteria
Inclusion criteria: 1. ASA I & II Primigravida with singleton full term pregnancy with vertex presentation. 2. Patients giving valid consent. 3. Patients in active stage of induced labour with cervical dilatation of 3 to 5cms.
Exclusion criteria
Exclusion criteria: 1. Patient refusal 2. ASA grade more than II. 3. Gestational age less than 37 weeks or with malpresentation/ multiple gestation. 4. Patients with PIH /Eclampsia. 5. Pateints who have received IV/IM opiods within 4hrs of epidural insertion. 6. Entered in second stage of labour. 7. Delivery within 30mins of intrathecal analgesia. 8. Patients with contraindication to regional analgesia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the total epidural dose requirement for labour analgesia in patients given intrathecal fentanyl with and without levobupivacaine for labour analgesiaTimepoint: After delivery of the baby and end of second stage of labour | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Time taken to achieve VAS 0. 2. Total duration of analgesia post intrathecal injection. 3. Level of sensory blockage. 4. Incidence of motor blockage. 5. Perception of uterine contractions. 6. Haemodynamic parameters 7. Duration of labour and neonatal outcome. 8. Side effects: nausea and vomiting pruritis incidence of fetal bradycardia urinary retentionTimepoint: At the begining of labour and during labour and at the end of labour. | — |
Countries
India
Contacts
Public ContactDr Manisha Magoo
Dr. Lakhumal Hirananad Hiranandani Hospital
Outcome results
None listed