First Pregnancy
Conditions
Keywords
epidural, primiparous patient, deambulation
Brief summary
Assess the impact of instrumentation and caesarean related to dyskinesia by reducing the concentration of local anesthetic and therefore the motor block.
Detailed description
Prospective, randomized and double-blind study performed on primiparous parturient divided into two distinct groups.
Interventions
Levobupivacaine 0.1% + Sufentanil 0.2µg/ml
Levobupivacaine 0.07% + Sufentanil 0.3µg/ml
Introduction of a catheter in lumbar epidural space
Sponsors
Study design
Eligibility
Inclusion criteria
* Free written consent. * ASA I or II, * Primipara, unique and pregnancy over 36 weeks fetus in cephalic, cervical dilation between 3-6 cm * VAS\> 30 mm * No contraindications to peridural
Exclusion criteria
* Twin pregnancy, less than 36 weeks and 42 weeks * Fetus in breech position * Analgesia and sedation within 6h * Contraindications to peridural
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time between peridural application and childbirth | at delivery | This will be used to assess labor. |
| Caesarian | at delivery | This will be used to assess labor. Was a caesarian necessary (yes-no) ? |
| Instrumentalisation | at delivery | This will be used to assess labor. Was an instrumentalisation (defined as the use of forceps or suction cups) necessary at delivery (yes-no) ? |
| Apgar score of the baby | at delivery | Evaluation of the baby, using the Apgar score. This will be used to assess labor. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Romberg test | 1h after the start of the peridural | Romberg test during 20-30 seconds. This will be used to assess perambulation (proprioception). |
| Arterial tension | 1h after the start of the peridural | Absence of orthostatic hypotension (i-e less than 20% of the usual arterial tension of the patient). |
| Bromage score | 1h after the start of the peridural | Modified Bromage score (Breen et al) \>5 and ability to stand on one leg alternatively. This will be used to assess perambulation (motricity). |
Countries
Belgium