Doulas' accompaniment combined with labor pain relief techniques
Conditions
Interventions
control group :0.1% Ropivacaine epidural analgesia
the study group:The labor assistant accompanied and combined 0.06% ropivacaine for bilateral spinal puncture epidural analgesia.
Sponsors
Dalian Women and Children’s Medical Group
Eligibility
Sex/Gender
Female
Age
18 Years to 40 Years
Inclusion criteria
Inclusion criteria: 1. Primiparas with ASA classification I-II; 2. Gestational age 37-42 weeks, single fetus in cephalic presentation, natural labor onset; 3. Cervical dilation of 2-3 cm, visual analogue scale (VAS) score >= 40 mm; 4. Age 18-40 years; 5. Voluntary participation and signing of informed consent form.
Exclusion criteria
Exclusion criteria: 1. Contraindications to intrathecal anesthesia (coagulation disorders, spinal deformities, severe hypovolemia, local anesthetic hypersensitivity); 2. Administration of opioids or sedative medications within four hours prior to delivery; 3. High-risk pregnancy (preeclampsia, placenta previa, gestational diabetes mellitus, etc.); 4. BMI exceeding 40 kg/m² or estimated fetal weight >= 4000g (with ultrasound indications of BPD >= 100mm, HC >= 350mm); 5. Refusal to participate, presence of communication barriers, or history of psychiatric disorders; 6. Accidental dural puncture during epidural catheterization or delivery occurring within one hour after catheter placement.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The timing of the first episode of severe pain after the administration of labor analgesia;Total consumption of ropivacaine;Patient satisfaction; | — |
Secondary
| Measure | Time frame |
|---|---|
| The onset time of labor pain relief;Observe the Feeling of Anal Distension in Parturients;Duration of active period (min);Duration of second stage of labor (min);Forceps delivery;Postpartum hemorrhage;Nausea, Vomiting;skin Itch;intrapartum fever;Incidence Rate of Urinary Retention 8 Hours after Delivery;Incidence Rate of Headache 48 Hours after Delivery;1-min Apgar score;5-min Apgar score;Bromage score;The incubation period;Sensory Nerve block; | — |
Countries
China
Contacts
Public ContactJin Meihua
Dalian Women and Children’s Medical Group
Outcome results
None listed