To compare the efficacy of epidural analgesia and combined spinal epidural analgesia for painless labour in primigravida patients.
- Conditions
- Health Condition 1: O80- Encounter for full-term uncomplicated delivery
- Registration Number
- CTRI/2022/04/041914
- Lead Sponsor
- Rajendra Institute of Medical Sciences Ranchi
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Yet Recruiting
- Sex
- Not specified
- Target Recruitment
- 0
1. Only booked primigravida parturient with all antenatal investigations within normal limits.
2. ASA physical status I and II.
3. Age group between 18-35 years.
4. Height > 140 cms.
5. Patients with full term singleton pregnancy (gestational age between 37-42 weeks) in active phase of first stage of labour with good uterine contractions and cervical dilatation 3-5 cm with vertex presentation.
6. Cervical dilation >3 cm and <5 cm.
1. ASA grade III and IV.
2. Age <18 years or >35 years.
3. Preterm gestation.
4. Patients who did not give consent.
5. Patient with severe anaemia, bleeding disorders, coagulation abnormalities or on anticoagulant therapy or history of prolonged aspirin ingestion.
6. Patients with spine deformity.
7. Patients with history of spine surgery.
8. Patient with history of chronic backache.
9. Patients with pre-existing neurological or spinal disease, cardiovascular or respiratory impairment, local or systemic infection, cephalopelvic disproportion, feto placental insufficiency.
10. Fetal distress.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method To compare the quality of analgesia during the labour in both the groups.Timepoint: VAS and MBS will be assessed every 15 min.
- Secondary Outcome Measures
Name Time Method To study the side effects of the drugs and procedureTimepoint: Vital parameters (pulse rate, mean arterial pressure, respiratory rate, spo2) will be recorded at <br/ ><br>0 (before anaestheia), 5, 15 min and then every 15 min till 1 h and then every 30 min until the <br/ ><br>delivery.