Fist child delivery with epidural
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Women over 18 years of age - Primiparous - Pregnancy over 36 weeks of gestational age and =65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: - Participation refusal or epidural contra-indication - Multiparous - Allergy to the products used - Twin pregnancy - Height 6 cm - ASA 3 or 4 - Foetus in transverse or seat position
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To determine the incidence of instrumentated deliveries and caesarean sections according to the mode of administration of the local anesthetic in the epidural.;Secondary Objective: - To determine the quality of the analgesia according to the administration mode of the epidural - To assess the satisfaction of the mother - To evaluate the presence of a motor block at the beginning of the second stage of the labor;Primary end point(s): Delivery mode: vaginal, instrumentated (suction cups, forceps) or caesarian section.;Timepoint(s) of evaluation of this end point: At delivery | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): - Number of anesthesist interventions, either by patient request (pain), either by side effects monitoring - Maternal satisfaction: visual questionnaire on a scale from 0 to 100, regarding perceived analgesia and anesthesist management - Presence of a motor block: assessed by the Bromage modified score;Timepoint(s) of evaluation of this end point: - Number of anesthesist interventions: from the beginning of epidural administration by the anesthesist (T0) till delivery - Maternal satisfaction: the day after the delivery - Motor Block: at the begining of the second stage of labor, as defined as the complete cervical dilatation | — |
Countries
Belgium
Contacts
CHU Brugmann