None listed
Conditions
Interventions
Intervention1: GroupI-LI-Levobupivacaine 0.0625
: These group receive Levobupivacaine+Fentanyl(2mcg/ml)-intial dose (8ml)+background infusion(8mg/ml)+PCEA bolus(2ml)+/-rescue bolus(5ml)
Control Interv
Sponsors
Dr S N Medical College
Eligibility
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 > 37 wk of gestation 6)In early spontaneous labour (cervical dilation 50% effacement 7) Requesting epidural analgesia for labour
Exclusion criteria
Exclusion criteria: 1)Refusal by parturient. 2) Systemic and local sepsis. 3)Deranged coagulation profile. 4)Parturients having multiple pregnancies and premature labour. 5)Obstetric complications (e.g., premature rupture of amniotic membranes). 6)Allergy to study drugs, i.e. levobupivacaine and fentanyl. 7)Body mass index >35mg/m2
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hourly (total dose )consumption of levobupivacaine and fentanyl mixture, including both continuous background infusion plus bolus doses (in ml) corrected for the duration of labour. Timepoint: at the end of delivery | — |
Secondary
| Measure | Time frame |
|---|---|
| Maternal satisfaction and Pain score (VAS) Haemodynamic parameters Sensory block Lower limb motor block( modified Bromage scale) Foetal heart rate- Continuous foetal heart rate monitoring. Apgar scoreTimepoint: every 5 min for first 30 min then next 30 min then 60 min next hours until delivery. Apgar score-1min and 5 min | — |
Countries
India
Contacts
Public ContactDr Hemlata yadav
Department of Anaesthesiology and Critical care Dr. S.N.Medical College Jodhpur
Outcome results
None listed