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The effect of epidural puncture (DPE) combined with programmed intermittent epidural injection (PIEB) on the quality of labor analgesia during the second stage of labor

The effect of epidural puncture (DPE) combined with programmed intermittent epidural injection (PIEB) on the quality of labor analgesia during the second stage of labor

Status
Active, not recruiting
Phases
Early Phase 1
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2400081200
Enrollment
Unknown
Registered
2024-02-26
Start date
2024-03-01
Completion date
Unknown
Last updated
2024-03-04

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

Conditions

Epidural labor analgesia

Interventions

PIEB(300mL/h) group:PIEB(epidural infusion rate 300mL/h)
DPE+PIEB(300mL/h) group:DPE+PIEB(epidural infusion rate 300mL/h)

Sponsors

Zhejiang Xiaoshan Hospital
Lead Sponsor

Eligibility

Sex/Gender
Female
Age
18 Years to 40 Years

Inclusion criteria

Inclusion criteria: (1) Women between the ages of 18 and 40; (2) ASA Level 2; (3) 37-42 weeks of gestation; (4) Cervical dilation 5 (0= no pain, 10= most pain).

Exclusion criteria

Exclusion criteria: (1) Intraspinal anesthesia contraindications; (2) Allergic to local anesthetics or fentanyl; (3) Morbid obesity; (4) Known fetal malformations; (5) Obstetric complications such as gestational hypertension, pre-eclampsia, or gestational or gestational diabetes; (6) Refuse to sign the informed consent; (7) Other conditions: history of cesarean section, long-term use of sedatives or analgesics.

Design outcomes

Primary

MeasureTime frame
The proportion of women in each group requiring PCEA or manual intervention by an anesthesiologist during the second stage of labor;NRS pain score (full opening of uterine orifice, delivery of fetus);

Secondary

MeasureTime frame
Consumption of ropivacaine per hour;Analgesic pump drug use: first PCEA time, number of PCEA compressions, PCEA request/actual compressions ratio;Maternal basic information: age, weight, height, pregnancy, number of pregnancies, uterine orifice before labor analgesia, uterine hormone use;Methods of delivery: natural delivery, forceps delivery, caesarean section transfer cases;Side effects: nausea, vomiting, itching, chills, hypotension, respiratory depression, excessive sedation, etc.;Neonatal condition: Apgar score 1min 5min;

Countries

China

Contacts

Public ContactZhong Mei

Zhejiang Xiaoshan Hospital

meizhong@zju.edu.cn+86 189 6997 9723

Outcome results

None listed

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