Comparison of the two techniques of nerve blockade for painless labour in pregnant women.

Comparison of the efficacy of the two techniques, programmed intermittent epidural boluses (PIEB) plus patient controlled epidural analgesia (PCEA) and continuous epidural infusion (CEI) plus patient controlled epidural analgesia (PCEA) on the consumption of levobupivacaine and fentanyl mixture in labouring parturients.

Status

Active, not recruiting

Phases

Phase 4

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2020/02/023369

Enrollment

Registered

2020-02-17

Start date

Unknown

Completion date

Unknown

Last updated

2021-11-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Interventions

Intervention1: Combined spinal epidural will be given in all the parturients.: CSE will be performed in all the parturients enrolled in the study using needle through needle technique. Group 1 - progr

Eligibility

Inclusion criteria

Inclusion criteria: Inclusion Criteria 1.American Society of Anaesthesiologists , ASA grade 1 and grade 2 2.Age more than 18 years. 3.Primigravida. 4.Single gestation. 4.Cephalic presentation at 36 or more weeks of gestation. 5.In early spontaneous labour, cervical dilatation of 5 cm or less. 6.Baseline pain score of more than 30. 7.Able to use PCEA pump. 8.Requesting epidural analgesia for labour.

Exclusion criteria

Exclusion criteria: Exclusion Criteria 1.Refusal by parturient. 2.Parturients who had recieved parenteral opiods in the last 24 hours. 3.Systemic and local sepsis. 4.Deranged coagulation profile. 5.Parturients having multiple pregnancies and premature labour. 6.Obstetric complications example premature rupture of amniotic membranes. 7.Chorioamnionitis. 8.HELLP syndrome. 9.Noncephalic presentations. 10.Allergy to study drugs , levobupivacaine and fentanyl.

Design outcomes

Primary

Measure	Time frame
The primary outcome is patient-controlled epidural analgesia consumption per hour corrected over duration of labour.Timepoint: The primary outcome is patient-controlled epidural analgesia consumption per hour corrected over duration of labour.	—

Secondary

Measure	Time frame
The need for physician interventions, patterns of patient-controlled epidural analgesia use, motor blockade, number of patients who developed hypotension, pain scores, duration of second stage of labour, mode of delivery, maternal satisfaction, and other maternal and neonatal outcomes.Timepoint: during duration of labour and follow up upto 48 hours.	—

Countries

India

Contacts

Public ContactPavni Sharma

Government Medical College and Hospital sector 32 Chandigarh

drsmitra12@yahoo.com9646121521

Outcome results