Acute pain in parturients during childbirth
Conditions
Interventions
Test Group:A 25G puncture needle is used to first perform a subarachnoid puncture at the L2-3 intervertebral space, and then a catheter is inserted at the L3-4 intervertebral space to implement contin
Control Group:Continuous epidural anesthesia via catheter placement in the L3-4 intervertebral space
Sponsors
Maternal and Child Health Hospital of Jiangxi Province
Eligibility
Sex/Gender
All
Age
18 Years to 35 Years
Inclusion criteria
Inclusion criteria: 1. Primiparous women with full-term (37 weeks of gestation and above), singleton pregnancy, and cephalic presentation. 2. Classified as Grade II by the American Society of Anesthesiologists (ASA). 3. Cervical dilation less than 5 cm, no obvious obstetric complications, and no contraindications to spontaneous vaginal delivery.
Exclusion criteria
Exclusion criteria: 1. The parturient refuses to participate in this study. 2. Having contraindications to intrathecal anesthesia, including allergies to anesthetics, coagulation dysfunction, spinal deformity, severe hypovolemia, or hemodynamic instability. 3. High-risk pregnancy, such as placenta previa, preeclampsia, etc. 4. Having a history of chronic pain, or long-term use of analgesics, sedatives, or antidepressants. 5. Having communication disorders, a history of mental illness, dysthymia, or a history of epilepsy. 6. The parturient is unable to cooperate with the study or unable to accept interviews.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of patients with adequate analgesia (VAS pain score <= 3) at 10 minutes after intraspinal anesthesia (T1); | — |
Secondary
| Measure | Time frame |
|---|---|
| VAS pain score 20 minutes after intraspinal anesthesia (T2);VAS pain score at 30 minutes after intraspinal anesthesia (T3);VAS pain score when the cervix is fully dilated (T4);Patient Satisfaction Score;Total number of requests for PCEA pump;Total drug consumption of PCEA pump; | — |
Countries
China
Contacts
Public ContactJingzi Rao
Jiangxi Maternal and Child Health Hospital
Outcome results
None listed