Parturient Satisfaction With Epidural Analgesia During Parturient Controlled Pump
Overview
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Women's Hospital HUS
- Enrollment
- 100
- Locations
- 1
- Primary Endpoint
- Parturient satisfaction with analgesia
Overview
Brief Summary
Those prospective parturients that express that they may want an epidural labour analgesia for their delivery will be informed about the possibility to choose between a pump driven epidural or midwife administered intermittent boluses.
Detailed Description
The purpose is to compare parturient and midwife satisfaction with the epidural labour analgesia when epidural analgesia is maintained by an epidural bolus pump (automated mandatory boluses with patient controlled boluses without background infusion) or midwife administered on-demand boluses.
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Prospective
Eligibility Criteria
- Ages
- 18 Years to 55 Years (Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Age 18 years or older
- •Admitted to the delivery hospital with the prospect of vaginal delivery
- •On admission when questioned about planned analgesia expresses that may want an epidural analgesia for the planned vaginal delivery
- •After reading the study prochure signs the participation (consent) form
- •Sufficient command of Finnish or Swedish to facilitate interview
Exclusion Criteria
- •Contraindications for epidural analgesia
- •Planned cesarean delivery
- •Age under 18 years
Arms & Interventions
Midwife administered boluses
The epidural analgesia is initiated by a manual bolus of the epidural solution (ropivacaine 1 mg/ml fentanyl 2.5 mug/ml) 10 + 10 ml and then continued on-demand by similar boluses until delivery
Intervention: Ropivacaine Hydrocloride (Drug)
Midwife administered boluses
The epidural analgesia is initiated by a manual bolus of the epidural solution (ropivacaine 1 mg/ml fentanyl 2.5 mug/ml) 10 + 10 ml and then continued on-demand by similar boluses until delivery
Intervention: Fentanyl Citrate (Drug)
Automated and parturient controlled epidural boluses
The epidural analgesia is initiated by a manual bolus of the epidural solution (ropivacaine 1 mg/ml fentanyl 2.5 mug/ml) 10 + 10 ml and then continued by automated boluses of the same solution (6ml every 40 minutes) with possibility for the parturient to administer 6 ml extra doses with a 20 minute lock-out. Maximum hourly dose 20 ml.
Intervention: Ropivacaine Hydrocloride (Drug)
Automated and parturient controlled epidural boluses
The epidural analgesia is initiated by a manual bolus of the epidural solution (ropivacaine 1 mg/ml fentanyl 2.5 mug/ml) 10 + 10 ml and then continued by automated boluses of the same solution (6ml every 40 minutes) with possibility for the parturient to administer 6 ml extra doses with a 20 minute lock-out. Maximum hourly dose 20 ml.
Intervention: Fentanyl Citrate (Drug)
Outcomes
Primary Outcomes
Parturient satisfaction with analgesia
Time Frame: During use of labour analgesia (up to 6 hours)
Visual analog scale 0-100 mm (0=dissatisfied; 100=maximum satisfaction)
Secondary Outcomes
- Midwife satisfaction with epidural labour analgesia(During use of labour analgesia (up to 6 hours))
- Support person's satisfaction with epidural labour analgesia(During use of labour analgesia (up to 6 hours))
Investigators
Antti Vaananen
Anesthesiologist MD PhD
Helsinki University Central Hospital