Epidural pain relief and the outcome of labour

Not Applicable

Recruiting

• Conditions: Pelvic floor trauma following vaginal delivery; Reproductive Health and Childbirth - Other reproductive health and childbirth disorders; Renal and Urogenital - Other renal and urogenital disorders; Anaesthesiology - Pain management

• Registration Number: ACTRN12614000448640
• Lead Sponsor: Prof. Hans Peter Dietz

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2014-05-01
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Recruiting
• Sex: Female
• Target Recruitment: 200

Inclusion Criteria

1.Primigravidas or those without previous pregnancies that progressed to 20+ weeks of gestation.
2.Singleton pregnancy.
3.Aiming for vaginal delivery.
4.Participant is able to understand the risks and potential benefits of participating in the study.
5.Participant is willing and fit to provide a written consent.
6.Participant is willing and has the ability to comply with specified follow-up evaluations.
7.Aged 16 and above

Exclusion Criteria

1.Contraindication to epidural.
2.Neurological disease.
3.Muscular or skin disorder affecting tissue elasticity.
4.Previous pelvic surgery affecting vaginal anatomy.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Pelvic floor trauma namely perineal tears, vaginal tears, anal sphincter injuries and levator ani avulsions, assessed by clinical examination and translabial and transperineal ultrasound.[3 months and 2 years postpartum.]

Secondary Outcome Measures

Name	Time	Method
The obstetric outcomes as a composite outcome : the length of first and second stage of labour, rate of instrumental delivery and caesarean section, obtained from review electronic medical and labour records.[Immediate postpartum];The clinical efficacy (analgesia, motor and sympathetic block); assessed by the Bromage score.[In labour (intrapartum)]