Labor pain
Conditions
Interventions
Group C:The standard epidural group directly inserted an epidural catheter after confirming the epidural space. After negative negative suction of blood and CSF, 3 mL of 1.5% lidocaine and 15 µg of ep
Group DPE:Intraspinal labor analgesia was initiated. The patient was in the left lateral position, and the L3-4 intervertebral space was confirmed by ultrasound assessment. The epidural space was dete
Sponsors
The Affiliated Women's and Children's Hospital of Ningbo University
Eligibility
Sex/Gender
Female
Age
18 Years to 45 Years
Inclusion criteria
Inclusion criteria: ASAII, a parturient who requires labor analgesia. We included adult parturients (aged 18-45 years) who had a single pregnancy at 37-42 weeks of geterage, presented with procephaly, required intramuscular labor analgesia, had a cervical dilation of 2-5 cm, experienced regular uterine contractions every 3-5 minutes, and had a pain score (0-10, where 0 indicates no pain and 10 indicates the most severe pain) >= 4, with no obvious abnormalities.
Exclusion criteria
Exclusion criteria: 1: Refuse or contraindicate the use of intraspinal analgesia and body mass index (BMI). 35 kg/m^2, pregnance-related diseases (gestational hypertension, preeclampsia and gestational diabetes), allergy to ropivacaine or sufentanil, use of opioids or sedatives within 4 hours before requiring intraspinal analgesia, previous cesarean section, known fetal malformations and the mother's refusal to participate. Exclusion criteria: The patient was converted to cesarean section, with accidental dural perforation. The initial dose failed to achieve effective analgesia within 20 minutes (VAS <= 10 mm), and the time from the administration of a compound dose to full dilation of the cervix was less than 1 hour.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary assessment outcome was effective or ineffective labor analgesia.; | — |
Secondary
| Measure | Time frame |
|---|---|
| Onset of analgesia;Sensory block height;Motor block;The time from the start of labor analgesia to the total dilation of the cervix;Duration of first labor stage;Duration of second labor stage;Operative vaginal delivery;Total ropivacaine consumption ml;PCEA or manual top-ups;hypotension;Newborn birth weight;Neonatal Apgar score;Patient satisfaction;Nausea and vomiting;Itching;Headache after dural puncture; | — |
Countries
China
Contacts
Public ContactZhongsai Yang
The Affiliated Women's and Children's Hospital of Ningbo University
Outcome results
None listed