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A Comparison of Epidural Techniques for Labour Analgesia

Not Applicable
Completed
Conditions
Labour Analgesia
Interventions
Registration Number
NCT03065569
Lead Sponsor
University of British Columbia
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.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
150
Inclusion Criteria
  • Healthy, singleton presentation at term
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Exclusion Criteria
  • Significant comorbidities likely to alter outcome of labour
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Standard Epidural TechniqueBupivacaineEpidural 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.
Combined Spinal Epidural TechniqueBupivacaineCSE 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.
Primary Outcome Measures
NameTimeMethod
Bupivacaine requirement for analgesiaFrom randomization until delivery

milligram of bupivacaine used per hour

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (2)

British Columbia's Women's Hospital

🇨🇦

Vancouver, British Columbia, Canada

BC Women's Hospital

🇨🇦

Vancouver, British Columbia, Canada

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