labor pain, labour pain, saturation, temperature, epidural analgesia, remifentanil baringspijn, saturatie, temperatuur, epiduraal
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age 18 years and older 2. Between 24-42 weeks of gestation 3. ASA I or II
Exclusion criteria
Exclusion criteria: 1. Prior administration of regional or opioid analgesia (during this delivery) 2. Morbid obesity (BMI > 40kg/m2) 3. Drug allergy: history of hypersensitivity to opioid or local anesthetic substances 4. Severe pre-eclampsia (proteinuria > 5 grams) 5. Use of antibiotics during delivery 6. Initial maternal SpO2 of less than 98% 7. Initial maternal temperature of 38 C or higher 8. Cervical dilation of > 7cm 9. Ruptured membranes for more than 24 hours at time of inclusion 10. Contraindication for epidural analgesia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main objective is to compare the side effects of remifentanil PCA with those of epidural analgesia. The evaluation will be based upon the following parameters: 1. maternal temperature 2. maternal saturation | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary objective: To compare other known side effects, in particular; - nausea - pruritus - sedation - hypotension Fetal oucome as determined by: - Apgar scores - umbilical cord pH - NACS - requirement naloxone | — |
Contacts
Leiden University Medical Center Department of Anesthesiology P.O. Box 9600