Status:

COMPLETED

A Novel Approach to Optimize Programmed Intermittent Epidural Bolus (PIEB) Delivery for Labour Analgesia

Lead Sponsor:

IWK Health Centre

Conditions:

Labor Pain

Eligibility:

FEMALE

18-45 years

Phase:

NA

Brief Summary

Programmed intermittent epidural bolus (PIEB) for labour analgesia allows an epidural pump to be programmed to deliver small amounts of the local anesthetic and opioid solution at regularly timed inte...

Eligibility Criteria

Inclusion

  • Nulliparous,
  • English speaking
  • 18-45 years
  • single gestation ≥ 37 weeks
  • vertex presentation
  • American Society of Anesthesiologists (ASA) Physical Status II (mild and controlled systemic disease and/or pregnancy)
  • requesting an epidural for labour analgesia
  • cervical dilation ≤ 7 cm at the time of initiation of epidural analgesia.

Exclusion

  • Preeclampsia or HELLP syndrome
  • maternal cardiac disease
  • severe or uncontrolled maternal systemic disease
  • contraindication to neuraxial analgesia (i.e. coagulopathy, infection, neuropathy)
  • abnormal spinal anatomy (i.e. severe scoliosis, spina bifida, spinal instrumentation)
  • chronic analgesic use
  • a physical or psychiatric condition which may impair cooperation
  • known fetal anomalies/intrauterine fetal demise
  • height \< 5'0"
  • Body Mass Index \> 45 kg/m2

Key Trial Info

Start Date :

April 29 2019

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

June 30 2022

Estimated Enrollment :

55 Patients enrolled

Trial Details

Trial ID

NCT03871530

Start Date

April 29 2019

End Date

June 30 2022

Last Update

September 26 2022

Active Locations (1)

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1

IWK Health Centre

Halifax, Nova Scotia, Canada, B3K 6R8