Dural Puncture Epidural VS Standard Epidural on Physician Top-ups During Labour Analgesia

Launched by CIUSSS DE L'EST DE L'ÎLE DE MONTRÉAL · Jan 25, 2021

Keywords

ClinConnect Summary

This clinical trial is looking at two different methods of pain relief for women during labor: the dural puncture epidural and the standard epidural. The goal is to see which method requires fewer extra doses from doctors to manage pain during the first stage of labor. This study is currently recruiting healthy pregnant women aged 18 and older who are planning to have an epidural for pain relief during labor.

To be eligible, women must be at term (between 37 to 42 weeks of pregnancy), have a single baby in the correct position for birth, and have a cervix that is not more than 5 centimeters dilated. They should also speak French and have a body mass index (BMI) of 40 or less. Women with certain pregnancy complications or health issues, as well as those with allergies to medications used in the study, will not be eligible. Participants in the trial can expect to receive either of the two pain relief techniques and will help researchers understand which one works better in reducing the need for additional medical help during labor.

Gender

FEMALE

Eligibility 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.