Neurological Complications in Labor Analgesia. Common neurological complications include post-dural puncture headache, epidural hematoma, transient neurological symptoms, cauda equina syndrome, nerve root injury, and other neurological complications (permanent nerve injury and infectious complications).
Conditions
Interventions
Combined Spinal-Epidural Anesthesia Group (Group SA-EA ):Combined Spinal-Epidural Anesthesia
Spinal-Epidural Anesthesia Group (Group SA-EA ):Spinal-Epidural Anesthesia
Sponsors
Shaanxi Provincial People Hospital
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Voluntary application by the parturient; 2. After assessment by an obstetrician, the patient is eligible for vaginal delivery or trial of labor.
Exclusion criteria
Exclusion criteria: 1. The parturient refuses to consent and declines to sign the informed consent form. 2. The parturient is unable to cooperate with the performance of neuraxial puncture. 3. Presence of contraindications to neuraxial blockade, such as coagulopathy, infection or trauma at the puncture site, uncorrected maternal hypovolemia or hypotension, increased intracranial pressure, severe spinal deformity, etc. 4. Allergy to local anesthetics or opioids. 5. Presence of neurological diseases or neuropathies that are contraindications to neuraxial analgesia, such as patients with platelet dysfunction and/or coagulopathy, including those receiving anticoagulant therapy (e.g., antiplatelet agents, anticoagulant drugs) or with abnormal platelet function.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Occurrence of complications related to nerve blocks; | — |
Secondary
| Measure | Time frame |
|---|---|
| Analgesic quality;Analgesic effect;Maternal outcomes;Fetal outcomes; | — |
Countries
China
Contacts
Public ContactCheng Yan
Shaanxi Provincial People Hospital
Outcome results
None listed