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To compare the pain relief during labour using a epidural three concentration of local anaesthetic and opoid.

Not Applicable
Registration Number
CTRI/2020/06/025870
Lead Sponsor
Dr S N Medical College
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
33
Inclusion Criteria

1) American Society of Anesthesiologists (ASA) grade I and II

2) Age >18 years

3) Primigravida

4) Single gestation

5) Cephalic presentation at > 37 wk of gestation

6)In early spontaneous labour (cervical dilation 50% effacement

7) Requesting epidural analgesia for labour

Exclusion Criteria

1)Refusal by parturient.

2) Systemic and local sepsis.

3)Deranged coagulation profile.

4)Parturients having multiple pregnancies and premature labour.

5)Obstetric complications (e.g., premature rupture of amniotic membranes).

6)Allergy to study drugs, i.e. levobupivacaine and fentanyl.

7)Body mass index >35mg/m2

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Hourly (total dose )consumption of levobupivacaine and fentanyl mixture, including both continuous background infusion plus bolus doses (in ml) corrected for the duration of labour. <br/ ><br> <br/ ><br>Timepoint: at the end of delivery <br/ ><br> <br/ ><br>
Secondary Outcome Measures
NameTimeMethod
Maternal satisfaction and Pain score (VAS) <br/ ><br>Haemodynamic parameters <br/ ><br>Sensory block <br/ ><br> Lower limb motor block( modified Bromage scale) <br/ ><br>Foetal heart rate- Continuous foetal heart rate monitoring. <br/ ><br>Apgar scoreTimepoint: every 5 min for first 30 min then next 30 min then 60 min next hours until delivery. <br/ ><br>Apgar score-1min and 5 min <br/ ><br>
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