Epidural labor analgesia. Other complications of spinal and epidural anesthesia during labor and delivery
Conditions
Interventions
Intervention 1: Intervention group 1: Term women with gestational age 37 weeks or more who have entrance condition to the study, amount of 3cc test dose of Dexmedetomidine 0.5µg/ml and Rupivacain %0.1
Sponsors
Iran University of Medical Sciences
Eligibility
Sex/Gender
Female
Age
18 Years to 45 Years
Inclusion criteria
Inclusion criteria: Term woman with gestational age 37 weeks or more Cervical dilation Larger than 4 cm Spontaneous or induced labor pain Applying for epidural analgesia Weight 55 to 85 kg
Exclusion criteria
Exclusion criteria: Patients with past medical history of sever cardiovascular diseases and bradycardia Contraindication of epidural analgesia Patients that are candidate for cesarean section ( multiple pregnancy , gestational age more than 37 weeks, preeclampsia , etc ) Patient discontent Opium addiction Height less than 150 cm
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Maternal satisfaction of labor analgesia. Timepoint: At the end of labor. Method of measurement: Visual analogue scale.;Total dose of Dexmedetomidine using in the end of labor. Timepoint: At the end of labor. Method of measurement: Based on checklist - in milliliters.;Total dose of Rupivacain using in the end of labor. Timepoint: At the end of labor. Method of measurement: Based on checklist - in milliliters. | — |
Secondary
| Measure | Time frame |
|---|---|
| New born Infant Apgar score. Timepoint: In the first and fifth minute after fetal delivery. Method of measurement: Apgar score.;Infant Arterial Blood Gas. Timepoint: Five minutes after fetal delivery. Method of measurement: Umbilical cord arterial blood.;Incidence rate of instrumental delivery. Timepoint: The last stage of delivery. Method of measurement: Record in the end of labor.;Duration of delivery. Timepoint: Duration of delivery from the time of patient entrance in the labor until the time of fetal delivery. Method of measurement: Based on checklist - minute unit.;Side effects including nausea, vomiting, itching, decrease blood pressure, bradycardia. Timepoint: From the loading dose of epidural analgesia every hour till the end of labor. Method of measurement: Patient's sign and symptoms and record in the checklist.;Incidence rate of motor block. Timepoint: From the beginning of Epidural analgesia every hour till the end of labor. Method of measurement: Bromage score (0- 1- 2- 3). | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactGolnoosh Khosravian
Iran University of Medical Sciences
Outcome results
None listed