Painless delivery. Encounter for full-term uncomplicated delivery
Conditions
Interventions
Intervention 1: The first intervention group: Dural epidural puncture group: With the needle-through-needle technique, a Whitacre 25 gage spinal needle is used to confirm dural puncture in the axis of
Sponsors
Karaj University of Medical Sciences
Eligibility
Sex/Gender
Female
Age
18 Years to 50 Years
Inclusion criteria
Inclusion criteria: Pregnant women with ASA Class I, II Gestation age 38-42weeks Singleton Vertex presentation Entering the active phase of labor with dilatation less than 5 cm A candidate for painless delivery Pregnant women with consent to participate in the project
Exclusion criteria
Exclusion criteria: Pregnant women with lack of consent to participate in the project History of back surgery Diseases related to pregnancy such as gestational hypertension, preeclampsia, gestational diabetes Contraindications for performing neuraxial analgesia techniques Known fetal anomaly A condition with an increased risk of cesarean section, such as a history of previous cesarean section, a history of uterine rupture Diseases of the central nervous system Allergy to the drugs used in the study Coagulation disorders, decreased platelet count Local or systemic infection The presence of blood or cerebrospinal fluid in the epidural catheter during the procedure History of drug abuse People who are unable to maintain the position when the needle is inserted History of spine surgery Presence of wound and infection at the needle entry site
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain. Timepoint: Before the start of the procedure, 5, 10, 15, 30, 45, 60, 90, 120, 180, 240 minutes after the procedure, cervical dilatation 6 cm, cervical dilatation 10 cm, immediately after the exit of the fetus. Method of measurement: Visual Analogue Scale. | — |
Secondary
| Measure | Time frame |
|---|---|
| Analgesia onset time. Timepoint: When with the first bolus injection, the pain score is <= 3 based on VAS. Method of measurement: Ask the patient.;Movement block. Timepoint: every 15 minutes. Method of measurement: Based on scoring Bromage criteria.;Sensory block. Timepoint: every 15 minutes. Method of measurement: Sensory block at S2 and T10 levels.;Systolic blood pressure. Timepoint: Before the procedure, 5, 10, 15, 30, 45, 60, 75, 105, 135, 165 minutes later. Method of measurement: Measurement with pressure gauge.;Diastolic blood pressure. Timepoint: Before the procedure, 5, 10, 15, 30, 45, 60, 75, 105, 135, 165 minutes later. Method of measurement: Measurement with pressure gauge.;Heart rate. Timepoint: Before the procedure, 5, 10, 15, 30, 45, 60, 75, 105, 135, 165 minutes later. Method of measurement: Measurement with non-invasive devices.;Oxygen saturation. Timepoint: Before the procedure, 5, 10, 15, 30, 45, 60, 75, 105, 135, 165 minutes later. Method of measurement: Pulse Oximetry.;Apgar score. Timepoint: At 1 and 5 minutes after birth. Method of measurement: Neonatal specialist examination. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMohammad Hossein Delshad MD.
Karaj University of Medical Sciences
Outcome results
None listed