To compare the effect of two techniques of maintenance of neuraxial blockade on fetal parameters in pregnant patients undergoing painless labour

Comparison of Continuous epidural infusion versus programmed intermittent epidural bolus on fetal heart rate pattern and umbilical cord blood parameters on parturients undergoing labour analgesia with Combined spinal epidural analgesia - NIL

Status

Active, not recruiting

Phases

Phase 4

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2023/10/058827

Enrollment

Registered

2023-10-18

Start date

Unknown

Completion date

Unknown

Last updated

2023-11-13

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

Conditions

None listed

Interventions

Intervention1: Continuous Epidural infusion with Combined Spinal Epidural Analgesia: L3-L4 spinal interspace will be identified. Local infiltration of skin will be done using 2% lignocaine solution. W

Eligibility

Inclusion criteria

Inclusion criteria: Full term uncomplicated pregnancy ASA I or II Primigravida Spontaneous onset of labour Cephalic presentation Singleton pregnancy Request for labour analgesia VAS > 30 Able to use PCEA pumps

Exclusion criteria

Exclusion criteria: Refusal by the parturient Obesity( >100 kg) Parturient who had received parenteral opioids in the last 4 hours Systemic and local sepsis Deranged coagulation profile Multiple pregnancies( >1 fetus) Obstetric complications Non-cephalic presentation Allergy to the study drugs

Design outcomes

Primary

Measure	Time frame
Comparison of fetal heart rate pattern and umbilical cord blood parameters in parturients undergoing labour analgesia with continuous epidural infusion or programmed intermittent epidural bolus after combined spinal epidural analgesia.Timepoint: Fetal Heart rate pattern at 30 min before induction of CSEA, during induction of CSEA,15 min,30 min,45 min and 60 min post CSEA induction Umbilical cord blood abg at birth of baby	—

Measure

Time frame

Comparison of fetal heart rate pattern and umbilical cord blood parameters in parturients undergoing labour analgesia with continuous epidural infusion or programmed intermittent epidural bolus after combined spinal epidural analgesia.Timepoint: Fetal Heart rate pattern at 30 min before induction of CSEA, during induction of CSEA,15 min,30 min,45 min and 60 min post CSEA induction Umbilical cord blood abg at birth of baby

—

Secondary

Measure	Time frame
Maternal satisfaction Pain score (VAS) Sensory and motor block characteristics Hemodynamic parameters of mother Duration of second stage of labour Mode of delivery Apgar scores at 1,2 and 5 min Adverse effects, if anyTimepoint: during the course of labour till the delivery of the baby	—

Countries

India

Contacts

Public ContactDr Sukanya Mitra

Government Medical College and Hospital, Sector 32, Chandigarh

drsmitra12@yahoo.com9646121521

Outcome results