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Clinical Trial to evaluate the efficacy and safety of two drugs for pain relieve for pregnant women whose fetus is breech, to attempt to turn the baby

Conditions
The objective is to demonstrate the superiority of remifentanil versus nitrous oxide as adjuvant analgesic treatment to increase the chances of success of external cephalic version in the management of breech presentation in women with singleton pregnancy at term. Another objective is to compare their safety, tolerability and acceptability.
Therapeutic area: Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] - Investigative Techniques [E05]
Registration Number
EUCTR2011-003952-37-ES
Lead Sponsor
IS FERNÁNDEZ- LLEBREZ DEL REY
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
Female
Target Recruitment
Not specified
Inclusion Criteria

a) pregnancy at term (? 37 weeks)
b) singleton fetus in breech presentation
c) correct fetal cardiotocographic record
d) obstetrical ultrasound examination without findings of serious fetal malformations
e) indication for the performance of ECV
f) acceptance of ECV g) age ? 18 years h) signature of informed consent
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 180
F.1.3 Elderly (>=65 years) no
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

a) Previous version in the same pregnancy
b) Contraindications to ECV: 1-Placenta praevia, 2- placental abruption, 3-oligohydramnios (SPD <2), 4-fetal compromise 5-fetal death, 6-severe malformations, 7-multiple pregnancy, 8- Rh sensibilization, 9- uterine abnormalities, 10- clotting disorders;
c) Contraindications to Nitrous Oxide: 1-Patients who require pure oxygen ventilation 2- intracranial hypertension 3- disorders of consciousness that impede the cooperation of the patient, 4-Pneumothorax; 5-Emphysematous Bulla, 6-embolism; 7-immersion accident, 8-bloating abdominal 9- facial trauma that affects the area of ??application of the mask,10- patients who received the type gases SF6, C3F8, C2F6 (used in eye surgery), at least in the previous three months.
d) Contraindications for remifentanil: hypersensitivity to remifentanil, fentanyl or fentanyl analogs, or any component of its formulation.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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