Effect of painless delivery with epidural analgesia on occurrence postpartum depression

Effect of labor analgesia using combined spinal epidural technique with programmed intermittent boluses vs. normal vaginal delivery without epidural analgesia on perceived pain and its effects on the symptoms of postpartum depression

Status

Active, not recruiting

Phases

Phase 4

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2021/04/033031

Enrollment

Registered

2021-04-22

Start date

Unknown

Completion date

Unknown

Last updated

2022-11-21

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 technique for painless delivery.: GROUP 1: will receive the Combined spinal epidural technique by needle through needle technique by programmed intermittent bol

Eligibility

Inclusion criteria

Inclusion criteria: American Society of Anesthesiologists (ASA) grade I and II Age >18 years Primigravida Single gestation Cephalic presentation at >= 37 completed weeks of gestation In early spontaneous labor (cervical dilation Baseline pain score > 30 (on a 0-100 VAS) Able to use PCEA pump Parturient consenting to participate in the study

Exclusion criteria

Exclusion criteria: Refusal by parturient. Obesity (weight >100kg) Parturient who had received oral or parenteral analgesics in the last 4 hours. Systemic and local sepsis. Deranged coagulation profile. Preterm labor ( Obstetric complications (e.g., premature rupture of amniotic membranes, eclampsia, antepartum hemorrhage). Foetus with a non-re-assuring non-stress test Foetus with known or suspected congenital abnormalities Allergy to study drugs, i.e., levobupivacaine, fentanyl Patient with Diabetes (either pre-existing or gestational) or history of immunosuppression

Design outcomes

Primary

Measure	Time frame
Postpartum depression score using EPDS questionnaire at 6 weeks post-partum.Timepoint: Postpartum depression score using EPDS questionnaire at 6 weeks post-partum.	—

Secondary

Measure	Time frame
Maternal satisfaction (VAS) Pain score (VAS) Sensory and motor block characteristics Hemodynamic parameters of mother Fetal heart rate Duration of second stage of labor Mode of delivery Apgar scores Adverse effects Timepoint: During duration of labour	—

Countries

India

Contacts

Public ContactProf Sukanya Mitra

Government Medical College and Hospital Sector 32 Chandigarh

drsmitra12@yahoo.com9646121521

Outcome results