Health Condition 1: O00-O9A- Pregnancy, childbirth and the puerperium
Conditions
Interventions
Intervention1: A randomised controlled comparison of epidural analgesia with dural puncture epidural analgesia for management of pain during first and second stages of labour and at delivery: Comparis
Sponsors
Commandant
Eligibility
Inclusion criteria
Inclusion criteria: 1. Nulliparous gravida with a singleton pregnancy, term gestation, cephalic presentation, in the active first stage of labour 2. Cervical dilatation > 3com and 3. ASA II 4. Height >145cm
Exclusion criteria
Exclusion criteria: 1. Unwilling patients 2. Multi gravida 3. Medical disorders and pregnancy associated disorders with ASA III and IV 4. Spine abnormalities and local skin infections 5. Coagulopathies 6. CPD 7. Preterm gestation 8. Non-reassuring NST 9. Preeclampsia 10. Multiple gestations 11. Breech presentation 12. Previous caesarean section 13. Known history of allergy to local anesthetics and/or fentanyl
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Onset of analgesia 2. Duration of analgesia 3. Quality of analgesia 4. Motor blockade 5. Adverse effects- hypotension, urinary retention, pruritis 6. Rate of LSCSTimepoint: Initial pain assessment- Visual pain analogue score at 0 min, 5 min, 10min, 30 min, 1hr , then every 30 mins till delivery of baby | — |
Secondary
| Measure | Time frame |
|---|---|
| Neonatal parameter: OutcomeTimepoint: Fetal heart rate APGAR SCORE at 1min & 5 mins | — |
Countries
India
Contacts
Public ContactAir Cmde Dr Aditya Sapra
Command Hospital Airforce
Outcome results
None listed