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Dexmedetomidine vs Fentanyl in Controlling Labor Pain

Not Applicable
Completed
Conditions
Labor Pain
Interventions
Registration Number
NCT06392321
Lead Sponsor
Al-Azhar University
Brief Summary

As most woman experience agonizing pain throughout vaginal labor. Adjuvants were added to intrathecal bupivacaine aiming to improve the quality of analgesia. This study aimed to assess the efficacy and outcome of intrathecal dexmedetomidine and fentanyl in controlling pain during delivery.

Detailed Description

Throughout vaginal deliveries, many women suffered from pain. providing suitable analgesia is crucial (Lupu et al., 2023). Spinal anesthesia can provide pain management (Parikh et al., 2018).

Various types of analgesics can be combined to get the needed duration of perioperative analgesia. Dexmedetomidine has been used with effective pain management outcomes (Shrestha et al., 2023). Fentanyl can help pain relief in short duration procedures (Show et al., 2022).

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
90
Inclusion Criteria
  • women planned for spontaneous vaginal delivery.
Exclusion Criteria
  • cardiac, liver or kidney disease, allergy to local anesthetics or the studied drugs, any contraindication of regional anesthesia and intrauterine growth retardation or fetal compromise.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
DexmedetomidineDexmedetomidineBupivacaine 3,75 mg + 2.5 ml saline added to dexmedetomedine 5 microgram + 2.3 ml saline
FentanylFentanylBupivacaine 3,75 mg + 2.5 ml saline added to fentanyl 20 microgram + 2.3 ml saline
Primary Outcome Measures
NameTimeMethod
efficacy of intrathecal dexmedetomidine120 minutes

VAS

Secondary Outcome Measures
NameTimeMethod
patient satisfaction2 hours

satisfaction score

mother's outocme1 and 5 minutes

APGAR

Trial Locations

Locations (1)

Al Azhar University

🇪🇬

Cairo, Naser City, Egypt

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