vaginal delivery and the effect of saddle block on its parameters.
Conditions
Interventions
Intervention 1: Pregnant mother whose gestational age is 37 weeks According to the midwifery examination, cervical dilatation is 4 to 5 cm, the mother is in sitting position while receiving intrave
Sponsors
Rafsanjan University of Medical Sciences
Eligibility
Sex/Gender
Female
Age
15 Years to 48 Years
Inclusion criteria
Inclusion criteria: This study is a clinical trial that pregnant nolipar mothers who are candidates for vaginal delivery can enter the study.
Exclusion criteria
Exclusion criteria: 1- mothers who do not have the consent of themselves or the gynecologist to perform saddle technique with intrathecal drug. 2- Platelets less than 100000 3- Taking aspirin warfarin and injectable anticoagulants 4- Taking oral or injectable analgesic 24 hours before delivery 5. Contraindications to vaginal delivery: including pelvic stenosis, non-cephalic presentation, fetal distress, meconium , and other cases identified by a gynecologist during analgesia.6- Maternal addiction
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The effect of saddle block on intensity of labor pain in the active phase of labor from 4 Cm dilatation to giving birth. Timepoint: Pain a few minutes before injection in the saddle block, pain after injection (15 to 30 minutes), pain immediately after delivery and pain one hour after delivery. Method of measurement: visual analogue scale.;The effect of saddle block on duration of active phase of labor from 4 Cm dilatation to giving birth. Timepoint: from 4 cm Dilatation of cervix Simultaneously with saddle block until giving birth in terms of hours is recorded in check list by painless delivery specialist. Method of measurement: It is recorded in the check list once. | — |
Secondary
| Measure | Time frame |
|---|---|
| Neonate respiratory distress syndrom : Shortly after birth, the baby breathe is grunting and needing supplemental oxygen. Timepoint: Immediately after birth until the first first lactation. Method of measurement: Observe the clinical signs of the infant by the trained person.;Perineal rupture: A rupture between the vagina and anus that the probability of occurrence is between 10 to 20% during vaginal delivery and this rupture is divided into four degrees depending on depth of rupture, which is recorded in the check list according to the midwife examination. Timepoint: Once after the baby is born. Method of measurement: Depending on the depth of perineal rupture, grade one to four.;Instrumental delivery :forceps ,vacuum. Timepoint: one time:delivery time. Method of measurement: forceps,vacuum.;Maternal Satisfaction: After delivery, the mother's satisfaction is questioned. Timepoint: once. Method of measurement: good,intermediate,low.;Frequency of cesarean section: How many mothers enter the study ends in cesarean section?. Timepoint: once. Method of measurement: See the final method of baby birth. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public Contactfatemeh jadidi
Rafsanjan University of Medical Sciences
Outcome results
None listed