Labor Analgesia
Conditions
Keywords
epidural, labour analgesia
Brief summary
The investigators wish to compare the analgesia provided by epidurals placed high in the lumbar spine versus epidurals place low in the lumbar spine.
Interventions
epidural placed low
high epidural
Sponsors
Study design
Eligibility
Inclusion criteria
* women in active labor
Exclusion criteria
* known contraindications to epidural analgesia * moderate to severe systemic illness as evidenced by an American Society of Anesthesiologists (ASA) score of 3 or higher. * known abnormalities of the spinal column * any neurologic illness * multiple gestations, fetal abnormalities or fetal presentation other than vertex * recent history of analgesic usage * an inability to communicate in English or French * Body Mass Index greater than 40 * patients in pain requesting an immediate epidural
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of epidural medication boluses required | 30 minutes and 1 hour |
Secondary
| Measure | Time frame |
|---|---|
| Labour progress | 24 hours |
Countries
Canada