Dural Puncture Epidural VS Standard Epidural on Physician Top-ups During Labour Analgesia
Labor Pain | Anesthesia | Obstetric PainThe purpose of this prospective randomized controlled study is to compare the number of physician top-up interventions during the first stage of labour between two different neuraxial analgesia techniques : the dural puncture epidural and the standard epidural.
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Participation Requirements
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Sex:
FEMALE -
Eligible Ages:
18 and up
Participation Criteria
Inclusion Criteria:
1. Healthy pregnant women (ASA 1 and 2) requesting epidural analgesia during labour.
2. Primiparous and multiparous parturients at term gestation (37 to 42 weeks).
3. Women 18 years old and older.
4. Administration of epidural analgesia between 7am and 4pm on weekdays.
5. Singleton and vertex presentation foetus.
6. Cervical dilatation ≤ 5 cm.
7. BMI ≤ 40.
8. French speaking
Exclusion Criteria:
1. Pregnancy diseases such as gestational hypertension, preeclampsia and gestational diabetes.
2. Contraindications to neuraxial analgesia: thrombocytopenia \< 70 x 109/L, spinal cord anomalies, anticoagulation therapy, etc.
3. Known important fetal anomalies.
4. Allergy to any of the medications used in the study.
5. Suspected chorioamnionitis with spontaneous premature rupture of membranes (PROM).
6. Difficulty understanding and speaking French.
Study Location
CIUSSS de l'Est de l'Île de Montréal
CIUSSS de l'Est de l'Île de MontréalMontreal, Quebec
Canada
Contact Study Team
- Study Sponsored By
- Ciusss de L'Est de l'Île de Montréal
- Participants Required
- More Information
- Study ID:
NCT04728048