Labour Analgesia
Conditions
Brief summary
To evaluate the efficacy and safety of dexmedetomidine as an adjuvant to bupivacain and fentanyl in spinal Analgesia to decreases pain during normal labour
Detailed description
Effect of adding dexmedetomidine to bupivacain fentanyl mixture in spinal analgesia for normal labour
Interventions
injecting dexmedetomidine intrathecally during labour pain
injecting mixture of bupivacaine fentanyl intrathecally
Sponsors
Study design
Masking description
Masking Description
Intervention model description
effect of adding dexmetomidine to bupivcain fentanyl mixture in spinal analgesia for normal labour
Eligibility
Inclusion criteria
Age of patint is between 18 and 40 years. gestational age of fetus is more than 37 weeks. singleton viable fetus and cephalic presentation. spontaneous labor with cervix dilation more than 5cm.
Exclusion criteria
Drug allergy. Blood Disease. Infection at site of injection. patient takes anticoagulants. patient has pre-eclampsia ,cardiac disease (NYHA III-IV) or diabetes mellitus type I prior to the pregnancy patients refuse
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| changes in numeric pain intensity score ( NPSI) maximum 10 minimum 0 | baseline | evaluate the safety and effecacy of dexmetomidine for labour pain by numeric pain intensity score maximum 10 ( sever pain ), minimum 0 ( no pain ) |
| duration of sensory blockade | 5 minutes after injection of analgesic agents till normal delivery done | change in numeric pain intensity score ( NPIS ) |
| changes in numeric pain intensity score ( NPIS ) | 5 minutes, 10 minutes, 15 minutes, 30 minutes and 45 minintes after injection of analgesic agents | Scores range from 0-10 points, maximum ( 10 ) means sever pain, minimum ( 0 ) means no pain |
Countries
Egypt