Success Rate and Procedural Confidence of Second-Year Anesthesiology Residents Performing Dural Puncture Epidural Versus Conventional Epidural for Labor Analgesia

Status

Active, not recruiting

Phases

Phase 3

Study type

Interventional

Source

TCTR

Registry ID

TCTR20260605003

Enrollment

160

Registered

2026-06-05

Start date

2026-06-15

Completion date

Unknown

Last updated

2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Labor pain during vaginal delivery requiring neuraxial labor analgesia Second-Year Anesthesiology Residents, Dural Puncture Epidural, Conventional Epidural, Labor Analgesia

Interventions

Participants randomized to this group will receive labor epidural analgesia using the dural puncture epidural technique. After identification of the epidural space, a small spinal needle will be advan

Experimental Procedure/Surgery,Experimental Procedure/Surgery

dural puncture epidural (DPE) technique ,conventional epidural

Eligibility

Sex/Gender

All

Age

18 Years to 55 Years

Inclusion criteria

Inclusion criteria: I. Pregnant women who 1. Requesting neuraxial analgesia for labor 2. Age 18 years or above 3. Gestational age of 36 weeks or above 4. Singleton pregnancy 5. In active labor with no immediate indication for cesarean delivery 6. Ability to communicate effectively and assess pain using standard pain scales 7. Ability to understand the study information in Thai sufficiently to provide valid written informed consent. II. Second-year anesthesiology residents who have performed fewer than 10 epidural procedures before study participation.

Exclusion criteria

Exclusion criteria: Pregnant women who have 1. Contraindications to neuraxial anesthesia, including but not limited to coagulopathy or thrombocytopenia, local infection at the puncture site, systemic infection or sepsis, and increased intracranial pressure 2. History of spinal deformity or prior spinal surgery 3. Body mass index (BMI) equal to or above 40 4. Inability to cooperate with the procedure or to reliably report pain scores 5. Known allergy or hypersensitivity to local anesthetics or opioids used in the study protocol

Design outcomes

Primary

Measure	Time frame
pain score 30 minutes numeric rating scale (NRS) pain score	—

Secondary

Measure	Time frame
Motor block 30 minutes modified Bromage scale,Confidence of trainee at the end of procedure self-report Resident Confidence Questionnaire	—

Countries

Thailand

Contacts

Public ContactJitsupa Nithiuthai

Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University

jitsupa.nit@mahidol.ac.th0654536516

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 10, 2026