Continuous Labor Epidural Catheter for Tubal Ligation Study

Not Applicable

Terminated

Brief Summary: This study is to study the success rate of using the epidural catheter that was placed during the labor for the surgical anesthesia to perform a postpartum tubal ligation.

Recruitment & Eligibility

Inclusion Criteria

American Society of Anesthesiologists (ASA) 1-3 postpartum women desiring Postpartum Bilateral Tubal Ligation (PPBTL) for infertility
Functional epidural catheter placed for labor and delivery analgesia
The epidural is still taped within 1cm of the original depth when it was functional for labor analgesia
1-45 years of age

Exclusion Criteria

ASA 4 status
History of dural puncture ("wet tap") during initial epidural catheter insertion
History of marginal or inadequate epidural analgesia for labor
Cesarean section for delivery
Examination demonstrates that the indwelling catheter has migrated more than 1 cm from the original depth when secured
The end of indwelling epidural catheter appears to have not been capped appropriately or the cap was not maintained intact
Prolonged sensory or motor block, bladder or anal sphincter dysfunction, nerve damage, inability to ambulate, post-dural puncture headache (PDHD), or seizures, during or after delivery and following cessation of the epidural catheter dosing
Pseudocholinesterase deficiency
Allergy to Nesacaine® (chloroprocaine) or lidocaine
General anesthesia provided for delivery
History of substance abuse disorder
History of major psychiatric disorder
Non-English reading/speaking participants

Arm && Interventions

Group	Intervention	Description
Spinal Anesthetic Group	Spinal anesthetic	This group will receive spinal anesthetic for the surgical procedure and will serve as the control group for this study.
Epidural Anesthetic Group	Epidural anesthetic	This is the experimental group for this study.

Primary Outcome Measures

Name	Time	Method
Success Rate of Reactivation of Existing Continuous Labor Epidural Catheter for Postpartum Tubal Ligation	at the time of surgery	Rate of reactivation of the epidural catheter for postpartum tubal ligation in the group that was randomized to the epidural anesthetic group. (Need for additional supplemental analgesics and sedatives or the need to convert to general anesthesia.)

Secondary Outcome Measures

Name	Time	Method
Impact of Anesthesia Type on OR (Operating Room) Efficiency	minutes until surgery start	The time minutes)from initiation of anesthesia to surgery start.