Predictive Value of a Postural Test on Pulse Pressure Variation During Labor With Epidural Analgesia on Fetal Heart Rate Abnormalities
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Labor
- Sponsor
- Hopital Foch
- Enrollment
- 1
- Locations
- 4
- Primary Endpoint
- Fetal heart rate
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
Fetal heart rate abnormalities are common. Miller et al. have demonstrated that new onset fetal heart rate abnormalities after initial labor epidural dosing occur more frequently in women with a low admission pulse pressure than those with a normal admission pulse. The aim of the present study is to look for a statistical link between the occurrence of a fetal heart abnormality requiring an intervention and maternal hemodynamic factors (blood pressure, pulse pressure, and cardiac output) measured before epidural analgesia in two positions: dorsal decubitus position and in the left lateral decubitus.
Investigators
Eligibility Criteria
Inclusion Criteria
- •pregnant women
- •gestational age ≥ 36 weeks
- •single eutrophic fetus
- •wishing for epidural analgesia
- •cervical dilatation less than or equal to 5 cm
- •spontaneous labor
- •scheduled for a vaginal delivery.
- •Non-inclusion Criteria:
- •prematurity (\< 36 weeks of amenorrhea) or post-term birth
- •intention of induction of labour using oxytocin before epidural analgesia or prostaglandin
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Fetal heart rate
Time Frame: 4 days
Fetal heart rate abnormalities occurring during the first hour of epidural analgesia and requiring an intervention. Relationship between maternal hemodynamic factors (heart rate, blood pressure, pulse pressure, and cardiac output) measured before epidural analgesia in two positions (dorsal decubitus position and in the left lateral decubitus) and fetal heart rate abnormalities occurring during the first hour of epidural analgesia and requiring an intervention.
Secondary Outcomes
- Newborn heart rate, blood pressure, pulse pressure, and cardiac output(4 days)
- Mode of delivery(4 days)
- Number of patients with hemodynamic abnormalities(4 days)
- Fetal heart rate(4 days)