A Comparison of Epidural Techniques for Labour Analgesia
Overview
- Phase
- Not Applicable
- Intervention
- Bupivacaine
- Conditions
- Labour Analgesia
- Sponsor
- University of British Columbia
- Enrollment
- 150
- Locations
- 2
- Primary Endpoint
- Bupivacaine requirement for analgesia
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
A trial comparing outcomes for different epidural techniques in labour analgesia
Detailed Description
Epidurals are the most common form of pain relief in labour. There are two techniques in use at the moment to place the epidural: epidural or combined spinal epidural (CSE). CSE has been shown to work faster and provide better pain relief than epidural alone. The investigators aim to show that CSE also requires less medication over the course of labour as this may mean it has fewer side effects. The amount of medication needed during labour between the two different techniques given in a standardized way will be compared.
Investigators
Anton Chau
Clinical Assistant Professor
University of British Columbia
Eligibility Criteria
Inclusion Criteria
- •Healthy, singleton presentation at term
Exclusion Criteria
- •Significant comorbidities likely to alter outcome of labour
Arms & Interventions
Standard Epidural Technique
Epidural will be performed Initial dose of 16 mL of 0.125% bupivacaine will be given Upon patient request, rescue bolus based on protocol will be administered.
Intervention: Bupivacaine
Combined Spinal Epidural Technique
CSE will be performed Initial dose of 16 mL of 0.125% bupivacaine will be given Upon patient request, rescue bolus based on protocol will be administered.
Intervention: Bupivacaine
Outcomes
Primary Outcomes
Bupivacaine requirement for analgesia
Time Frame: From randomization until delivery
milligram of bupivacaine used per hour