Laborpain.
Conditions
Interventions
1. 10 patients will receive remifentanil patient controlled analgesia
2. 10 patients will receive epidural analgesia
Medication will be started in active labor and will be continued untill full dilation of the cervix is achieved.
Sponsors
Leiden University Medical Centre.
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age ? 18 years; 2. Between 37 and 42 weeks of gestation; 3. Singleton pregnancy; 4. ASA physical status I or II.
Exclusion criteria
Exclusion criteria: 1. ASA physical status ? III; 2. Morbid obesity (BMI ? 40 kg/m2); 3. Substance abuse history; 4. High risk patients: including pre-eclampsia (diastolic pressure ? 100 mmHg, proteinuria), severe asthma (daily use of medication), insulin dependent diabetes mellitus, hepatic insufficiency or renal failure; 5. Premature labor; 6. Drug allergy; history of hypersensitivity to opioid or local anesthetic substances; 7. Cervical dilation >5cm.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Quality of pain relief as determined by Visual Analogue Scale scores; 2. Patient satisfaction; 3. Fetal outcome as determined by Apgar scores, umbilical cord pH, NACS and requirement for naloxone. | — |
Contacts
Public ContactM.R. Douma
Leiden University Medical Center Department of Anesthesiology P.O. Box 9600
Outcome results
None listed