Health Condition 1: O80-O82- Encounter for delivery
Conditions
Interventions
Intervention1: Dural puncture epidural versus Standard epidural technique: Dural puncture epidural technique is performed by creating a single dural perforation via a spinal needle placed through shaf
Sponsors
Dr Vasanthageethan R
DR R Arunachalam
Eligibility
Inclusion criteria
Inclusion criteria: 1)Primigravida and gravida 2 patients at term in labour 2)ASA I and ASAII 3)Maternal request for epidural analgesia 4)Age group 18-35 years 5)Women in active labour with cervical dilatation more than 2-3cm
Exclusion criteria
Exclusion criteria: 1)patients with contraindication to neuraxial anesthesia 2)VAS scor 3)Parturients with gravida3 or more 4)Parturients with multiple gestations 5)Parturients with cephalopelvic disproportion 6)Parturients with history of previous LSCS 7)History of comorbid illness like hypertension,diabetes,severe anemia,bleeding disorders,CVS/RS diseases,psychiatric/neurological disorders 8)History of APH 10)BMI >50kg/m2
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| comparing the time for onset of labour analgesia in both groupsTimepoint: time from the deposition of drugs to the feeling of tingling sensation in the leg | — |
Secondary
| Measure | Time frame |
|---|---|
| 1)median time to achieve adequate analgesia 2)Patients satisfaction 3)occurrance of side effects - pruritus,sedation,nausea,vomiting,hypotension,fetal bradycardia 4)VAS scores in the presence of contractions over 20m inutes time period following epidural catheter bolus 5)quality of both sensory and motor block 6)time to achieve complete sacral spreadTimepoint: adequate analgesia - VAS csore less than 10 mm in the presence of contraction or VAS score less than 10 mm in the absence of contraction provided that VAS score was still less than 10 mm during the next contraction | — |
Countries
India
Contacts
Public ContactDr Abinaya A
Tamilnadu Dr M.G.R University , Chennai
Outcome results
None listed