Effects of; Anesthesia, Spinal and Epidural, in Pregnancy
Conditions
Brief summary
The purpose of this study is to determine if a lateral positioning of the pregnant woman after epidural analgesia increases the incidence of unilateral functioning epidurals.
Detailed description
Pregnant women requesting epidural analgesia will be randomized to either left lateral or semi-recumbent position for 30 minutes after the first epidural bolus-injection. After 30 minutes, the clinical effect of the analgesia will be evaluated by an anesthesiologist if available or by a midwife if the anesthesiologist is unavailable. The study-period is concluded thereafter and further positioning is optional. Maternal and fetal wellbeing are continuously being monitored during the study period and complications/interventions registered. APGAR and CTG results during the intervention will be registered and evaluated at a later stage.
Interventions
PROCEDURElateral position
patients placed on their left side after epidural catheter insertion
Sponsors
Region Skane
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* all adult pregnant women recieiving epidural analgesia
Exclusion criteria
* participation refused * inability to understand study purpose/instructions * study postition could not be maintained for 30 min * ineffective epidural
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| unilateral analgesic effect | evaluation of epidural effect after 30 min | clinical judgement: mothers pain-sensation and cold sensation test |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| maternal comfort and safety in regards to blood pressure and/or unexpected neurological effects from epidural analgesia | evaluation of epidural effect after 30 min | clinical judgement: mothers subjective wellbeing, bloodpressure and incidence of vena cava compression, neurological deficits from epidural |
| fetal/neonatal safety measured with CTG and APGAR score | CTG from start of study until birth, APGAR 2, 5 and 10min after birth | cardiotocographic changes and APGAR-score evaluation |
Countries
Sweden
Outcome results
None listed