The effect of dural epidural puncture technique in comparison with combined epidural-spinal and epidural techniques in painless delivery and the consequences of labor, mother and newbor
- Conditions
- Painless delivery.Encounter for full-term uncomplicated delivery
- Registration Number
- IRCT20211112053042N4
- Lead Sponsor
- Karaj University of Medical Sciences
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- Female
- Target Recruitment
- 90
Pregnant women with ASA Class I, II
Gestation age 38-42weeks
Singleton
Vertex presentation
Entering the active phase of labor with dilatation less than 5 cm
A candidate for painless delivery
Pregnant women with consent to participate in the project
Pregnant women with lack of consent to participate in the project
History of back surgery
Diseases related to pregnancy such as gestational hypertension, preeclampsia, gestational diabetes
Contraindications for performing neuraxial analgesia techniques
Known fetal anomaly
A condition with an increased risk of cesarean section, such as a history of previous cesarean section, a history of uterine rupture
Diseases of the central nervous system
Allergy to the drugs used in the study
Coagulation disorders, decreased platelet count
Local or systemic infection
The presence of blood or cerebrospinal fluid in the epidural catheter during the procedure
History of drug abuse
People who are unable to maintain the position when the needle is inserted
History of spine surgery
Presence of wound and infection at the needle entry site
Study & Design
- Study Type
- interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Pain. Timepoint: Before the start of the procedure, 5, 10, 15, 30, 45, 60, 90, 120, 180, 240 minutes after the procedure, cervical dilatation 6 cm, cervical dilatation 10 cm, immediately after the exit of the fetus. Method of measurement: Visual Analogue Scale.
- Secondary Outcome Measures
Name Time Method