delivery. Spontaneous vertex delivery
Conditions
Interventions
Intervention 1: In Epidural group ,Epidural catheter is placed in active phase of labour(cervical dilation=5cm) and 10 ml lidocaine %1plus 1ml sufentanil is injected.In secondary stage,maximum 15 ml
Prevention
Placebo
In Epidural group ,Epidural catheter is placed in active phase of labour(cervical dilation=5cm) and 10 ml lidocaine %1plus 1ml sufentanil is injected.In secondary stage,maximum 15 ml lidocaine %1is i
In TENS group two pairs electrodes are placed in T0-L1&S2-S4 nerve roots. In first and second stages of labour electrodes connected to TENS device and set by 10-18 MA stimulation and 100 HZ frequenc
In control group, any methods of analgesia is used but TENS electrodes are placed .
Sponsors
Vice chancellor for research Hamadan University Of Medical Science
Eligibility
Sex/Gender
Female
Age
20 Years to 40 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria: Voluntarily participate in research; candidate for vaginal delivery; fetus cephalic presentation;term pregnancy;uncomplicated pregnancy;patients in active phase with >5cm dilation of cervix Exclusion criteria: Cutaneous infection in back region (urticaria, insects and scar); previous cesarean section; patients with pacemaker;contraindications of epidural analgesia(couagolopathy ,hypovolemia,region cutaneous infection,increasing ICP and anemia)
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Labour pain. Timepoint: 5-10-15 and30 minutes after analgesia. Method of measurement: visual analgesic scale.;Labour progress. Timepoint: labour duration. Method of measurement: duration of first and second stages of labour.;Heart Rate. Timepoint: 5-10-15 and30 minutes after analgesia. Method of measurement: nomber of heart rate per minute.;Systolic and diastolic blood presure. Timepoint: 5-10-15 and30 minutes after analgesia. Method of measurement: non invasive bloon presure monitoring.;Tempreture. Timepoint: 5-10-15 and30 minutes after analgesia. Method of measurement: Termometer.;New born Apgar. Timepoint: 1&5 minutes after delivery. Method of measurement: Apgar Score.;Satisfactory. Timepoint: After delivery. Method of measurement: questioning.;Cesarean Section. Timepoint: Duration of labour. Method of measurement: Observation. | — |
Secondary
| Measure | Time frame |
|---|---|
| Nausea & vomiting. Timepoint: during &after delivery. Method of measurement: Observation.;Itching. Timepoint: during &after delivery. Method of measurement: Observation &visual scale.;Respiratory Depression. Timepoint: during &after delivery. Method of measurement: Respiratory rate & Spo2. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactDr. Nahid Manouchehrian
Hamadan University of Medical Science-Fatemie Hospital
Outcome results
None listed