labor analgesia. Complication of anaesthesia during labour and delivery, unspecified
Conditions
Interventions
Intervention 1: Intervention 1: ?Spinal injection consisted 5 microgram sufentanil with 1 mg of bupivacaine from the L4-L5 or L3-L4 interspace with the patient in the sitting position. Intervention
Treatment - Drugs
Intervention 1: ?Spinal injection consisted 5 microgram sufentanil with 1 mg of bupivacaine from the L4-L5 or L3-L4 interspace with the patient in the sitting position.
Intervention 2: Spinal injection consisted 5 microgram sufentanil with 2 mg of bupivacaine from the L4-L5 or L3-L4 interspace with the patient in the sitting position.
Sponsors
Vice chancellor for Research and Technology, Hamadan University Of Medical Sciences
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: Inclusion criteria: ASA 1 primigravid singletone parturients with gestational age (36-40 wk) in active phase of labor (cervix dilation 4-6 cm) Exclusion criteria: Use of analgesic or opioids in recent 12 hours; chronic hypertension; preeclampsia; gestational diabetes; allergy to drugs; cardiovascular disease; coagulopathy
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Onset of analgesia. Timepoint: every 5 minutes after spinal injection. Method of measurement: Time from spinal injection until the relief of labor pain in the first 15 min such that the subject did not request rescue medication.(pain VAS<4).;Duration of analgesia. Timepoint: every 15 minutes after spinal injection. Method of measurement: Time from spinal injection until the end of spinal analgesia.(minute). | — |
Secondary
| Measure | Time frame |
|---|---|
| Pruritus. Timepoint: every 15 minutes after spinal injection until the end of spinal analgesia. Method of measurement: VAS for pruritus (0-10).;Nausea and vomiting. Timepoint: every 15 minutes after spinal injection until the end of spinal analgesia. Method of measurement: yes/no question from patient.;Motor bockade. Timepoint: every 15 minutes after spinal injection. Method of measurement: Bromage Scale (1=no motor block--ability to raise extended leg against gravity; 2 = inability to raise extended leg, able to bend knee; 3 = inability to bend knee, able to flex ankle; and 4 = complete motor block) were assessed at the 3 levels.;Neonatal Apgar score. Timepoint: 1 and 5 minutes after birth. Method of measurement: Apgar scale.;Sensory level to cold and pinprick. Timepoint: 15 minutes after spinal injection. Method of measurement: question from patient in response to cold and pinprick (dermatomal level). | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMahshid Nikooseresht M.D
Hamadan University of Medical Sciences
Outcome results
None listed