Health Condition 1: O80- Encounter for full-term uncomplicated delivery
Conditions
Interventions
Intervention1: Dural puncture epidural: Dura is punctured with spinal needle along with epidural catheter placement
Control Intervention1: Conventional epidural: Only epidural catheter is placed witho
Sponsors
Dept of Anaesthesiology
Eligibility
Inclusion criteria
Inclusion criteria: Parturients presenting for normal vaginal delivery in active labour Uncomplicated pregnancy Vertex presentation Cervical dilatation < 5 cm
Exclusion criteria
Exclusion criteria: Hypersensitivity to drugs used for labour analgesia Patients contraindicated for neuraxial analgesia Bleeding disorders Local or systemic sepsis Blood/CSF in epidural catheter Accidental dural puncture with epidural needle
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the time of onset of analgesia following dural puncture epidural analgesia with that of conventional epidural analgesia given for labour analgesia to parturients in the labour room of tertiary care hospital using the VAS scoreTimepoint: After 5 minutes of the first bolus, the adequacy of analgesia will be assessed every 2 minutes till adequate analgesia is achieved ie. VAS less than 3 | — |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of post dural puncture headacheTimepoint: After 24 to 48 hrs after the neuraxial analgesia;Incidence of side effects like hypotensionTimepoint: Anytime after drug instillation;To compare the duration of analgesia after the first doseTimepoint: At the time when the patient asks for first epidural top up | — |
Countries
India
Contacts
Public ContactDr Aarthy Kumaraguru
Armed Forces Medical College
Outcome results
None listed