Comparison of Epidural Labor Pain Relief Techniques on Maternal and Fetal Outcomes
Overview
- Phase
- Phase 4
- Intervention
- Not specified
- Conditions
- Laboring Women Requesting Neuraxial Labor Analgesia
- Sponsor
- Brigham and Women's Hospital
- Enrollment
- 120
- Locations
- 1
- Primary Endpoint
- Maternal Outcomes
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
The primary objective of this study is to compare the onset and duration of the initial dose of medications given through three different epidural (conventional epidural, combined spinal epidural and dural puncture epidural) techniques for labor pain relief.
The secondary objective of this study is to compare the fetal effects of these three epidural labor analgesia techniques.
Investigators
Lawrence Ching Tsen
Associate Professor, Harvard Medical School
Brigham and Women's Hospital
Eligibility Criteria
Inclusion Criteria
- •Nulliparous (first baby) parturient
- •Singleton, vertex gestation at term (37-42 weeks)
- •Less than 5 cm dilation
- •Desires an epidural technique for labor analgesia
Exclusion Criteria
- •Current or historical evidence of clinically significant disease or condition, including diseases of pregnancy (i.e preeclampsia, gestational diabetes)
- •Any contraindication to the administration of an epidural technique
- •History of hypersensitivity or idiosyncratic reaction to local anesthetic or opioid medications
- •Current or historical evidence of a disease which may result in the risk of a cesarean delivery.
- •Evidence of anticipated fetal anomalies
Outcomes
Primary Outcomes
Maternal Outcomes
Time Frame: Participants will be followed for the duration of labor analgesia from initiation to delivery, an expected average of 12 hours
Onset, quality, and duration of analgesia, occurrences of hypotension, bradycardia, pruritus, nausea, emesis.
Secondary Outcomes
- Fetal Outcomes(Participants will be followed for the duration of labor analgesia from initiation to delivery, an expected average of 12 hours)