labor analgesia
Conditions
Interventions
experimental group :Use dural puncture epidural technique combined with programmed intermittent epidural bolus technique in labor analgesia
control group:Use epidural technique combined with programmed intermittent epidural bolus technique in labor analgesia
Sponsors
Shenzhen Maternity and Child Healthcare Hospital
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: Nulliparous women with singleton, vertex presentation fetuses at 37 to 42 weeks'gestation in active labor with cervical dilatation 3-4cm and plan to request labor analgesia, BMI<30kg/m2, ASAI-II, no opioids were used in the past three months and no analgesics were accepted before labor active.
Exclusion criteria
Exclusion criteria: Women with contraindication to neuraxial analgesia techniques, with diseases of pregnancy (eg, gestation hypertension, preeclaimpsia, or gestation diabetes), known fetal anomalies, or conditions associated with an increased risk of cesarean delivery (eg, vaginal birth after cesarean delivery, history of uterine rupture), NPRS<5 in the presence of contraction, allergy to the drugs which we use in this test,septicemia, drug abuse and migraine were reported before this test.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| percentage of parturients in each group with Numerical Pain Rating Scale (NPRS) =1 within 10 min after initial dosing; | — |
Secondary
| Measure | Time frame |
|---|---|
| the time to the adequate analgesia (min);time to the first top-up;number of physcian top-up interventions;sensory block;motor block;the percentage of low fetal heart rate;Apgar score of the fetal (1min, 5min);the mode of delivery;the percentage of adverse effects;the percentage of headache after delivery;the percentage of adverse effects about neuraxial analgesia after delivery;the satisfaction score of labor analgesia; | — |
Countries
China
Contacts
Public ContactDaili Chen
Shenzhen Maternity and Child Healthcare Hospital
Outcome results
None listed