Vaginal delivery under epidural analgesia. Other complications of spinal and epidural anaesthesia during labour and delivery
Conditions
Interventions
Intervention 1: First intervention group: In bolus group patients after receiving 500 ml of Ringer's serum and in sitting position, first with 18 G epidural needle (Tohy) in L3-L4 space and using th
Sponsors
Hamedan University of Medical Sciences
Eligibility
Sex/Gender
Female
Age
16 Years to 45 Years
Inclusion criteria
Inclusion criteria: Patients with first pregnancy Aged 16 to 45 Failure to receive previous analgesic Vertex presentation ASA physical status class 1 and 2
Exclusion criteria
Exclusion criteria: Epidural anesthesia contraindications (coagulation problems, hypovolemia, localized infections, high ICP and anemia) patients with ASA physical status class 3 and 4 presence of lesions and skin infections on the lumbar and back of the patient patients with poor cooperation in performing of epidural analgesia patients who did not cooperate to answer the questionnaire questions).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Labor pain. Timepoint: Before and after epidural analgesia and minutes 10, 20, 30, 40, 50, 60 after epidural analgesia and the onset and end of the second stage of labor. Method of measurement: Using a Visual Analogue Scale, that patient marks his pain on a 10-cm ruler.;Progress of labor. Timepoint: During labor. Method of measurement: Measurement of the duration of the first and second stages of labor.;Motor function. Timepoint: Before and after epidural analgesia and minutes 10, 20, 30, 40, 50, 60 after epidural analgesia and the onset and end of the second stage of labor. Method of measurement: Using Bromage Score. | — |
Secondary
| Measure | Time frame |
|---|---|
| Systolic Blood Pressure. Timepoint: Before and after epidural analgesia and minutes 10, 20, 30, 40, 50, 60 after epidural analgesia and the onset and end of the second stage of labor. Method of measurement: Noninvasive blood pressure monitoring.;Diastolic Blood Pressure. Timepoint: Before and after epidural analgesia and minutes 10, 20, 30, 40, 50, 60 after epidural analgesia and the onset and end of the second stage of labor. Method of measurement: Noninvasive blood pressure monitoring.;Mean Arterial Pressure. Timepoint: Before and after epidural analgesia and minutes 10, 20, 30, 40, 50, 60 after epidural analgesia and the onset and end of the second stage of labor. Method of measurement: Noninvasive blood pressure monitoring.;Heart Rate. Timepoint: Before and after epidural analgesia and minutes 10, 20, 30, 40, 50, 60 after epidural analgesia and the onset and end of the second stage of labor. Method of measurement: Noninvasive blood pressure monitoring.;Satisfaction. Timepoint: After baby birth. Method of measurement: Ask the patient about the amount of satisfaction.;Total dose of lidocaine. Timepoint: After delivery and catheter exit. Method of measurement: Calculate the number of lidocaine ampoules.;Newborn Apgar. Timepoint: The first and fifth minutes after birth. Method of measurement: Examination and calculation on Apgar score.;Nausea & Vomiting. Timepoint: During the first and second stages of labor. Method of measurement: Observation and ask the patient.;Sedation. Timepoint: Before and after epidural analgesia and minutes 10, 20, 30, 40, 50, 60 after epidural analgesia and the onset and end of the second stage of labor. Method of measurement: Using Ramsay Score.;Pruritus. Timepoint: Before and after epidural analgesia and minutes 10, 20, 30, 40, 50, 60 after epidural analgesia and the onset and end of the second stage of labor. Method of measurement: VAS Of Pruritus.;Paresthesia of Lip. Timepoint: During the first and second stages of labor. Method | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactNahid Manouchehrian
Hamedan University of Medical Sciences
Outcome results
None listed