To evaluate the minimum effective dose of epidural levobupivacaine with fentanyl for pain relief in labour after combined spinal epidural labour analgesia
- Conditions
- Health Condition 1: null- Primigravida women requesting labour analgesia with full term gestation 36-40 weeks, singleton pregnancy with cephalic presentation having American Society Of Anesthesiologists physical status II
- Registration Number
- CTRI/2017/08/009542
- Lead Sponsor
- Dr L H Hiranandani Hospital
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Open to Recruitment
- Sex
- Not specified
- Target Recruitment
- 0
1.Primigravida women requesting labour analgesia with full term gestation 36-40 weeks, singleton pregnancy with cephalic presentation having American Society Of Anesthesiologists physical status II
2.Patients giving valid informed consent.
3.Patients in active stage of induced labour with cervical dilatation of 4-5 cm at the time of epidural catheter placement
1.Patient refusal
2.Gestational age >36 weeks with malpresentation/ multiple gestation.
3.Patients with PIH / Eclampsia.
4.Patients who have received IV/ IM opioids within 4 hours of epidural insertion.
5.Entered in second stage of labour.
6.Delivery within 30mins of intrathecal analgesia.
7.Delivery without the requirement of epidural top up.
8.Failure to obtain VAS <2 after 15minutes of intrathecal drug injection.
9.Patient with motor block higher than T4 dermatomal level at any time post procedure suspecting intrathecal epidural catheter insertion.
10.Inadvertent dural puncture during epidural space localization.
11. Patients with contraindication to regional analgesia
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method
- Secondary Outcome Measures
Name Time Method