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Comparison of Epidural Analgesia and Dural Puncture Analgesia (Spinal/CSE) in Painless Natural Childbirth for Hospitalized Pregnant Women

Comparison of Epidural Analgesia and Dural Puncture Analgesia (Spinal/CSE) in Painless Natural Childbirth for Hospitalized Pregnant Women

Status
Recruiting
Phases
Phase 3
Study type
Interventional
Source
IRCT
Registry ID
IRCT20191007045023N2
Enrollment
126
Registered
2025-06-29
Start date
2025-07-06
Completion date
Unknown
Last updated
2025-07-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Analgesia. Newborn (suspected to be) affected by maternal anesthesia and analgesia in pregnancy, labor and delivery

Interventions

Intervention 1: Intervention group: After identifying the epidural space in the DPE group, a 27-gauge Whitacre pencil-point needle will be inserted using the needle-through-needle technique, perforati

Sponsors

Iran University of Medical Sciences
Lead Sponsor

Eligibility

Sex/Gender
Female
Age
18 Years to 40 Years

Inclusion criteria

Inclusion criteria: Age over 18 and under 40 years Full-term pregnancy (gestational age between 37-42 weeks) American Society of Anesthesiologists (ASA) class I and II Body mass index between 20 and 25 kg/m² ervical dilation between 2 and 5 centimeters

Exclusion criteria

Exclusion criteria: Unwillingness to participate in the study Cases complicated by brain or cardiovascular dysfunction Patients who received opioid injections prior to the induction of anesthesia; Patients with spinal column disorders; Preterm delivery Patients with adverse pregnancy outcomes Contraindications for epidural block Patients who deliver within less than one hour from the placement of the epidural catheter

Design outcomes

Primary

MeasureTime frame
Achieving the desired anesthesia. Timepoint: 10 minutes after the interventions. Method of measurement: Visual Analogue Scale.

Secondary

MeasureTime frame
Maternal satisfaction with analgesia. Timepoint: after intervention. Method of measurement: Checklist.;Newborn Apgar score. Timepoint: 1 and 5 minutes after birth. Method of measurement: Checklist.

Countries

Iran (Islamic Republic of)

Contacts

Public ContactAmineh Shafei nia

Iran University of Medical Sciences

shafeinia.a@iums.ac.ir+98 21 5560 6034

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026