Analgesia in Labor
Conditions
Keywords
analgesia, vaginal delivery, ESP, EPIDURAL
Brief summary
Prosepective,Randomized, controlled study enrolling full termed parturients admitted for vaginal delivery. At the sencond stage of labor: 3cm of cervix dilatation, patients will be randomized in 2 groups: * ESP group: patients will receive ultrasound guided, bilateral ESP Block performed at the level of the 3 rd Lumbar transverse process. * Epidural Analgesia Group: Patients will have a classic lumbar continuous epidural analgesia.
Detailed description
Prosepective,Randomized, controlled study enrolling full termed parturients admitted for vaginal delivery. At the sencond stage of labor: 3cm of cervix dilatation, patients will be randomized in 2 groups: * ESP group: patients will receive ultrasound guided, bilateral ESP Block performed at the level of the 3 rd Lumbar transverse process. * Epidural Analgesia Group: Patients will have a classic lumbar continuous epidural analgesia. For the first group: 20 ml of 0,375% isobaric Bupivacain solution will be injected bilaterally under ultrasound direct vision. Concerning the second group, patients will have a continuous injection of 0,125% Bupivacain solution associated to 0,25 mcg of Sufentanil/ml through an epidural catheter in the L3-L4 or L4-L5 intervertebral space. For the 2 groups, analgesia will be assessed during all the labor period hourly using the Visual Analog pain Score (VAS).
Interventions
PROCEDUREESP Block With Bupivacain
bilateral lumbar ESP block using 0.375% Bupivacain
PROCEDUREEpidural Analgesia
Continuous Lumbar Epidural analgesia With 0,125% Bupivacain+0,25 mcg/ml Sufentanil
Sponsors
Mongi Slim Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Full termed parturients admitted for vaginal delivery * singleton pregnancy * No contraindications to perimedullar analgesia techniques
Exclusion criteria
* Indication to Cesarean section during labor period
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Analgesia during labor | change in VAS score 1 hour after the beginning of labor | analgesia assessed using VAScore |
Contacts
Primary ContactMhamed Sami Mebazaa, Professor
Backup ContactBen Souissi Asma, As professor
Outcome results
None listed