Dural Puncture Epidural VS Standard Epidural on Physician Top-ups During Labour Analgesia
A Randomized Clinical Study to Compare the Number of Physician Top-up Interventions During the First Stage of Labour Between Two Different Neuraxial Analgesia Techniques: the Dural Puncture Epidural and the Standard Epidural
Ciusss de L'Est de l'Île de Montréal
130 participants
Jan 19, 2021
INTERVENTIONAL
Conditions
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 techniques : the dural puncture epidural and the standard epidural.
Eligibility
Inclusion Criteria8
- 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 Criteria6
- 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.
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Interventions
already described
already described
Locations(1)
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NCT04728048