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Obstetric analgesia: a comparison of patient controlled pethidine, remifentanil and fentanyl in labour

Completed
Conditions
abour pain
Pregnancy and Childbirth
Labour
Registration Number
ISRCTN12122492
Lead Sponsor
Bronovo Hospital (The Netherlands)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
240
Inclusion Criteria

1. Aged at least 18 years old
2. Between 37 and 42 weeks of gestation
3. American Society of Anaesthesiologists (ASA) physical status I or II

Exclusion Criteria

1. ASA physical status greater than or equal to III
2. Obesity (body mass index [BMI] equal or more than 40 kg/m^2)
3. Substance abuse history
4. High risk patients: including pre-eclampsia (diastolic pressure equal or more than 100, proteinuria), hepatic insufficiency or renal failure, severe asthma, poorly controlled diabetes mellitus
5. Premature labour
6. Drug allergy; history of hypersensitivity to opioid substances

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
1. Quality of pain relief determined by Visual Analogue Scale, patient controlled analgesia (PCA) demands/rewards and the number of patients crossing over to epidural analgesia. Pain scores will be assessed every hour. <br>2. Patient satisfaction, assessed every hour<br>3. Foetal outcome as determined by Apgar, NACS and requirement for naloxone, taken after delivery<br>4. Presence of opioid substances in umbilical and maternal blood samples, taken after delivery
Secondary Outcome Measures
NameTimeMethod
o secondary outcome measures
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