Status:

COMPLETED

Transversus Abdominis Plane Block Versus Spinal Morphine After Caesarean Section : A Comparison Study

Lead Sponsor:

Mbarara University of Science and Technology

Conditions:

Pregnancy, Ceasarian Section, Anaesthesia

Eligibility:

FEMALE

18-45 years

Phase:

PHASE3

Brief Summary

Many counties in sub-Saharan Africa have very limited post-operative nursing capacity, and relatively little data have been published about post-operative maternal pain control in these settings. Cesa...

Detailed Description

Intrathecal morphine (ITM), administered as a part of spinal anesthesia for caesarian section, can produce significant post-operative analgesia for several hours. The Tranversus Abdominis Plane (TAP) ...

Eligibility Criteria

Inclusion

  • Women between the age of 18-45;
  • Greater than 50 kilograms in weight;
  • Routine spinal anesthetic without sedation for an uncomplicated caesarean delivery via a low, transverse abdominal incision (Pfannenstiel);
  • In good health with no major medical problems including gastric ulcers, liver or renal dysfunction
  • Able to communicate freely with a provided non-family member interpreter fluent in the patient's language so that informed consent may be obtained

Exclusion

  • Patients with allergies to bupivacaine, paracetamol, or diclofenac;
  • Patients undergoing a surgical approach is other than a low, transverse abdominal incision (Pfannenstiel);
  • Pre-eclampsia, uterine rupture, placental abruption with this pregnancy;
  • Prior complicated abdominal surgery;
  • Medical history of gastric ulcers, liver or kidney dysfunction; and
  • Patient refusal to be involved in the study. Failure to attain informed consent from the patient due to age or level of consciousness
  • Voluntary or involuntary withdraw from the study
  • Referral to another health centre or Hospital for further management.

Key Trial Info

Start Date :

March 15 2014

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

June 20 2016

Estimated Enrollment :

130 Patients enrolled

Trial Details

Trial ID

NCT03263689

Start Date

March 15 2014

End Date

June 20 2016

Last Update

August 28 2017

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