Health Condition 1: O80- Encounter for full-term uncomplicated delivery Health Condition 2: 1- Obstetrics
Conditions
Interventions
Intervention1: Fentanyl Group: Patient will receive 10ml loading dose of 0.1% Ropivacaine with fentanyl 2µg/ml followed by continuous background infusion by patient controlled analgesia pump at rate o
Sponsors
Vijayanagar Institute of Medical Sciences
Eligibility
Inclusion criteria
Inclusion criteria: 1 Full term parturients with 37 weeks or greater period of gestation, both primi and multigravida. 2 Singleton pregnancy with vertex presentation. 3 Inactive phase of labour cervical dialation 3 to 4 cms 4 Age more than 20years 5 ASA-2 6 Willing to give consent for labour epidural analgesia 7 Parturient who can understand and able to use PCA pump
Exclusion criteria
Exclusion criteria: 1.Allergy to any of the study drugs 2.Patients with history of significant disorders (Pregnancy induced hypertension, diabetes mellitus, obstetric haemorrhage, other cardiovascular, respiratory, central nervous system or renal system disorders) 3.Significant coagulopathy 4.Other contraindications: localized sepsis, raised ICP etc. 5.Previous LSCS
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Consumption of Total Dose of Ropivacaine 0.1% in Both the Groups by Patient Controlled Epidural Analgesia in LabourTimepoint: From 4cm Cervical Dilatation till the End of Stage 3 of Labour | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Number of Patient Controlled Analgesia demand bolus 2.NRS at various intervals 3.Maternal SBP, DBP, MAP PR,SPO2,ECG,RR, Temperature 4.Continues FHR monitoring (CTG) 5.Duration of stages of labour-stage 1,2 & 3 6.Incidence of spontaneous delivery, assisted delivery & LSCS 7.Maternal satisfaction -1to 5 scale 8.Neonatal outcome (apgar score1and 5 minutes) 9.Complications such as hypotension,Bradycardia,desaturation, nausea vomiting pruritis Timepoint: Number of Patient Controlled Analgesia demand bolus - from 4cm cervical dilatation till end of stage 3 of labour NRS at various intervals - Prior to Epidural Catheter Placement, After Every 10 minutes Interval For 60 Minutes & Thereafter Hourly Till completion of Labour Maternal SBP, DBP, MAP PR,SPO2,ECG,RR,Temperature-Prior to Epidural Catheter Placement, After Every 10 minutes Interval For 60 Minutes & Thereafter Hourly Till completion of Labour Maternal satisfaction- At the end of labour | — |
Countries
India
Contacts
Public ContactDr Parimala
Vijayanagar Institute of Medical Sciences, Rajiv Gandhi University of Health Sciences.
Outcome results
None listed