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Effect of anaesthetic injection over sacrum with epidural for pain relief in later stages labour

Efficacy of combined sacral erector spinae plane block with epidural for labour analgesia during second stage of labour: A randomized controlled trial - nil

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2025/07/091116
Enrollment
70
Registered
2025-07-18
Start date
Unknown
Completion date
Unknown
Last updated
2025-07-21

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

Conditions

Health Condition 1: O80- Encounter for full-term uncomplicated delivery

Interventions

Intervention1: Sacral Erector Spinae plane block along with epidural analgesia: Epidural analgesia will be started Once the patient is nearly 6-8cm dilated, she will be positioned in left lateral

Sponsors

All India Institute of medical Sciences, New Delhi
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1.Pregnant women, with gestational age of 36-42 weeks requesting pain relief in labour 2.Gravid, primiparous pregnant women planned for normal delivery 3.Pregnant women aged between 18-42 years 4.Singleton births with vertex presentation

Exclusion criteria

Exclusion criteria: 1. Patients not giving consent for the study 2. Allergic to local anesthetics 3. Hypertensive disorder of pregnancy, Cardiac abnormalities, neurological defects, systemic infections 4. History of drug/alcohol abuse 5. Obesity 6. Coagulopathy/on anticoagulants/abnormal bleeding profile 7. Infection in the area block 8. Emergency cases 9. Fetal anomalies, cephalopelvic disproportion 10. ASA III

Design outcomes

Primary

MeasureTime frame
Incidence of breakthrough pain during second stage of labour.Timepoint: Time point at breakthrough pain during 2nd stage of labour—

Secondary

MeasureTime frame
NRS scores for painTimepoint: Baseline, every hourly in 1st stage of labour & every 30 min during 2nd stage of labour;Assessment of sensory levelTimepoint: Baseline,every hourly in 1st stage of labour & every 30 min during 2nd stage of labour;Assessment of motor blockTimepoint: Baseline,every hourly in 1st stage of labour & every 30 min during 2nd stage of labour;Need for additional pain relief & number of top-up boluses givenTimepoint: From Baseline & whenever NRS score is more than 4;Incidence of assisted vaginal birth/ conversion to LSCSTimepoint: at end of delivery;Patient satisfaction scoreTimepoint: 2hrs after delivery;Pain during episiotomy & suturingTimepoint: Baseline at episiotomy;Duration of second stage of labourTimepoint: From 10 cm dilation to delivery of baby—

Countries

India

Contacts

Public ContactSana Yasmin Hussain

All India Institute of Medical Sciences

drhussainsana17@gmail.com9769144164

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026