Comparison of Dural Puncture Epidural Versus Conventional Epidural for Labour Analgesia in Primigravida

Launched by SOHAG UNIVERSITY · Jan 5, 2025

Keywords

ClinConnect Summary

This clinical trial is looking at two different methods for providing pain relief during labor for first-time mothers. The two techniques being compared are the Dural Puncture Epidural (DPE) and the Conventional Epidural (CE). The goal is to see which method is more effective and safe for managing labor pain in women who are pregnant for the first time.

To participate in this study, women must be between the ages of 18 and 40, in their 37th to 42nd week of pregnancy, and in active labor with less than 5 cm of cervical dilation. They need to be healthy with no serious medical conditions and agree to take part in the study. If eligible, participants can expect to receive either the DPE or CE method of pain relief during labor, and their experiences will be closely monitored to help determine which method works better. This trial is not yet recruiting participants, so further information will be available once it begins.

Gender

FEMALE

Eligibility criteria

• Inclusion Criteria:
• • 1. Primigravida women aged 18-40 years.
• • 2. Gestational age between 37 and 42 weeks.
• • 3. Single pregnancy with vertex presentation.
• • 4. Patients in active labor with cervical dilation of less than 5 cm at the time of epidural placement.
• • 5. American Society of Anesthesiologist physical status I or II.
• • 6. Patients who provide informed consent for participation in the study.
• Exclusion Criteria:
• • 1. Patients with contraindications to neuraxial anesthesia (e.g., coagulopathy, infection at the puncture site).
• • 2. History of preeclampsia, gestational diabetes, or any other significant medical conditions that could influence labor or anesthesia outcomes.
• • 3. Patients with a history of previous uterine surgery, including cesarean section.
• • 4. Known fetal anomalies or non- vertex presentations.
• • 5. Patients with morbid obesity (BMI \> 40 kg/m²).
• • 6. Allergy or hypersensitivity to local anesthetic-s used in the study.