Status:

RECRUITING

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

Lead Sponsor:

Ciusss de L'Est de l'Île de Montréal

Conditions:

Obstetric Pain

Labor Pain

Eligibility:

FEMALE

18+ years

Phase:

NA

Brief Summary

The 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 techni...

Detailed Description

Providing adequate labour analgesia has always been an important issue in obstetrical anesthesia. Different types of neuraxial techniques include standard epidural analgesia (EPL), combined spinal epi...

Eligibility Criteria

Inclusion

  • Healthy pregnant women (ASA 1 and 2) requesting epidural analgesia during labour.
  • Primiparous and multiparous parturients at term gestation (37 to 42 weeks).
  • Women 18 years old and older.
  • Administration of epidural analgesia between 7am and 4pm on weekdays.
  • Singleton and vertex presentation foetus.
  • Cervical dilatation ≤ 5 cm.
  • BMI ≤ 40.
  • French speaking

Exclusion

  • Pregnancy diseases such as gestational hypertension, preeclampsia and gestational diabetes.
  • Contraindications to neuraxial analgesia: thrombocytopenia \< 70 x 109/L, spinal cord anomalies, anticoagulation therapy, etc.
  • Known important fetal anomalies.
  • Allergy to any of the medications used in the study.
  • Suspected chorioamnionitis with spontaneous premature rupture of membranes (PROM).
  • Difficulty understanding and speaking French.

Key Trial Info

Start Date :

January 19 2021

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2025

Estimated Enrollment :

130 Patients enrolled

Trial Details

Trial ID

NCT04728048

Start Date

January 19 2021

End Date

December 1 2025

Last Update

July 17 2024

Active Locations (1)

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CIUSSS de l'Est de l'Île de Montréal

Montreal, Quebec, Canada, H1T2M4