Health Condition 1: O80- Encounter for full-term uncomplicated delivery
Conditions
Interventions
Intervention1: 1.dural puncture epidural: The dural puncture epidural (DPE) technique is performed by creating a single dural perforation via a spinal needle placed through the shaft of an epidural ne
Sponsors
Government Medical College and Hospital sector Chandigarh
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion Criteria 1. American Society of Anesthesiologists (ASA) grade I and II 2. Age >18 years 3. Primigravida 4. Single gestation 5. Cephalic presentation at >= 36 weeks of gestation 6. In early spontaneous labour (cervical dilation 7. Baseline pain score > 30 (on a 0-100 VAS) 8. Able to use PCEA pump 9. Requesting epidural analgesia for labour
Exclusion criteria
Exclusion criteria: 1. Refusal by parturient. 2. Parturients who had received parenteral opioids in the last 4 hours. 3. Systemic and local sepsis. 4. Deranged coagulation profile. 5. Parturients having multiple pregnancies and premature labour 6. Obstetric complications (e.g., premature rupture of amniotic membranes) 7. Chorioamnionitis 8. Patients with hepatic or renal impairment 9. Unable to swallow oral tablets 10. HELLP syndrome 11. Noncephalic presentations 12. Allergy to study drugs, i.e., levobupivacaine, fentanyl, paracetamol
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| time to achieving adequate analgesia (Numerical Pain Rating Scale score â?¤1)Timepoint: 5min 10 min 15min 20 min 30 min 40 min 50 min 1 hour 2hour 3hour 4 hour 5 hour 6 our 7 hour 8 hour 9 hour 10 hour | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Uterine tachysystole and hypertonus as defined by the National Institute of Child Health and Human Development (NICHD) 2.Maternal satisfaction (VAS) 3.Pain score (NPRS) 4.Sensory and motor block characteristics 5.Haemodynamic parameters of mother 6.Fetal heart rate 7.Duration of second stage of labour 8.Mode of delivery 9.Apgar scores 10.Adverse effects Timepoint: 1.Uterine tachysystole and hypertonus 2.Maternal satisfaction (VAS) 3.Pain score (NPRS) 4.Sensory and motor block characteristics every 5 minfor first 20 min then at 60 min and then 1 hourly till delivary 5.Haemodynamic parameters of mother5,10,15,20,30,40,50,60min and then 1 hourly till delivary 6.Fetal heart rate 5,10,15,20,30,40,50,60min and then 1 hourly till delivary 7.Duration of second stage of labour 8.Mode of delivery 9.Apgar scores 1min and 5 min 10.Adverse effects | — |
Countries
India
Contacts
Public ContactDr Sukanya
GMCH Sector 32 chandigarh
Outcome results
None listed