This clinical trial is an non-interventional observational clinical study, measuring the plasma levels of the levobupivicaine during labour with an epidural infusion. We will measure levels in pre-eclamptic and non pre-eclamptic women.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Nulliparous women Minimum of 38 weeks gestation Booked to undergo elective/semi-elective induction of labour 50% will have pre-ecclampsia (as defined by the presence of proteinuria and hypertension) and 50% will have not have pre-ecclampsia Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Known hypersensitivity to amide type local anaesthetic agents Diseases complicating the pregnancy except pre-eclampsia Presence of contra-indications to labour epidural analgesia Maternal refusal to receive epidural analgesia Previous back surgery/ instrumentation Weight >110 Kg and height <150 cm
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: 1) To determine if there is a difference in plasma levobupivicaine levels following low concentration epidural infusions of levobupivicaine in non pre-eclamptic and pre-eclamptic nulliparous women ;Secondary Objective: 2)To measure maternal plasma levels of albumin, alpha-1-acid glycoprotein and oxytocin to determine if there is a difference between normal and pre-eclamptic nulliparous women 3)To prospectively observe the length of each stage of labour and the mode of delivery in pre-eclamptic and non pre-eclamptic women who undergo induction of labour from 38 weeks gestation;Primary end point(s): The study will be powered to detect a 50% difference between the pre-ecclampsia and non pre-eclampsia plasma levels of the drug Measurement of the induction to delivery interval in pe-eclamptic and non pre-eclamptic nulliparous women | — |
Countries
Ireland