Labor analgesia
Conditions
Interventions
Ultrasound Real-time Guidance combined with Dural Puncture Epidural Group:Ultrasound Real-time Guidance combined with Dural Puncture Epidural labor analgesia
Sponsors
fujian provincial hospital
Eligibility
Sex/Gender
Female
Age
20 Years to 45 Years
Inclusion criteria
Inclusion criteria: ?American Society of Anesthesiologists (ASA) Class I or II; ?Single healthy pregnancy; ?Head showing first; ?37 to 41 weeks; ?The labor process is active, and the cervix dilates<5cm; ?Require epidural labor analgesia; ?Volunteer to participate in this study and sign an informed consent form.
Exclusion criteria
Exclusion criteria: ?Presence of pregnancy diseases, such as pregnancy hypertension, pre eclampsia, pregnancy diabetes; ?Contraindications to intraspinal analgesia: 1) Central nervous system diseases. 2) Infection or septicemia at the puncture site. 3) Coagulation dysfunction; ?Known cases of fetal malformation or increased risk of cesarean section, such as a history of vaginal delivery or uterine rupture after cesarean section; ?Persons with a history of mental illness, hysteria, epilepsy, etc. who cannot cooperate. ?Patients with long-term use of opioids, steroids, and chronic pain.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Analgesic effect(onset time);Analgesic effect(block level);Analgesic effect(Visual Analogue Scale);Analgesic effect(Patient controlled analgesia);Uterine contraction indicators(Frequency);Uterine contraction indicators(duration);Fetal heart indicators(Fetal heart rate);Apgar score;Fetal heart indicators(NICHD classification);Analgesic effect(block effect);Uterine contraction indicators(Tachysystole);Uterine contraction indicators(hypertonus);Fetal heart indicators(Fetal Heart Rate decelerations);Fetal heart indicators(Fetal Heart Rate Variability);Sacral sensory block;modified bromage score; | — |
Secondary
| Measure | Time frame |
|---|---|
| Operation evaluation(time);Operation evaluation(number of times);Operation evaluation(side effects and Complications);Delivery mode;Laboratory indicators(Interleukin 6);Laboratory indicators(hypersensitive C-reactive protein);Laboratory indicators(cortisol);Maternal rehabilitation indicators(Postpartum hospital stay);Maternal rehabilitation indicators(Edinburgh Postnatal Depression Scale);Maternal rehabilitation indicators(Postoperative Recovery Quality Scale);Adjust the treatment plan;Drug consumption;Effect of stages of labor(time);body temperature changes;Infection during labor;Side effects and complications of labor analgesia;The reasons and number of pregnant women with conversion of natural labor to Caesarean section;Self-Rating Anxiety Scale;Delivery fear score(numerical rating scale);Delivery satisfaction survey; | — |
Countries
China
Contacts
Public ContactZongxun Lin
fujian provincial hospital
Outcome results
None listed