pregnancy in active phase of first stage of labor who requested analgesia. labor pain fentanyl analgesia pain score
Conditions
Interventions
o 1 ml of 50 micrograms fentanyl will be diluted in 3 ml normal saline (total volume 4 ml/50 mcg), 2 ml of drug solution will be slowly pus via intravenous for 1-2 minutes.
o and additional intraveno
Active Comparator Drug,Active Comparator Drug
Sponsors
Khon Kaen hospital
Eligibility
Sex/Gender
Female
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. age 18 years or older 2. prefer not using an epidural 3. term pregnancy (37-42 weeks of gestation) 4. plan a vaginal birth 5. has a viable single fetus 6. with vertex presentation 7. no known psychological disorders 8. cervical dilatation of at 5-8 cm 9. visual analogue scale at least 4
Exclusion criteria
Exclusion criteria: 1. had received opioid such as pethidine or fentanyl within previous 24 hours 2. maternal respiratory rate less than 10 or maternal bradycardia (pulse rate less than 60) or oxygen saturation less than 95% 3. were diagnosed with conditions (a) severe bronchial asthma (b) Glaucoma (c) heart or liver problems (d) allergy or previous adverse reaction to opioids (such as fentanyl or pethidine) (e) opioid substances dependency in last year (f) taken antidepressants within the previous 14 days (g) cognitive impairments or had an intellectual disability.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| pain score after 30 minutes visual analogue scales | — |
Secondary
| Measure | Time frame |
|---|---|
| pulse rate, respiratory rate, MAP, Oxygen saturation after 30 minutes vital sign monitoring,sedative score after 30 minutes sedative score,total dose after last dose count,abnormal EFM 20 minutes after medication EFM,apgar score at 5 min 5 minutes after birth count,NICU admission after birth count,difficulties in astablishing breastfeeding 2 hours after birth Infant Breastfeeding Assessment Tool,Naloxone treatment at birth count,Satisfaction-would use treatment again after give birth Questionaire | — |
Countries
Thailand
Contacts
Public ContactVeeraphol Srinil
Khon Kaen Hospital
Outcome results
None listed