To compare the effect of two techniques of maintenance of neuraxial blockade on fetal parameters in pregnant patients undergoing painless labour
Phase 4
- Registration Number
- CTRI/2023/10/058827
- Lead Sponsor
- Department of Anaesthesia and Intensive Care
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Yet Recruiting
- Sex
- Not specified
- Target Recruitment
- 0
Inclusion Criteria
Full term uncomplicated pregnancy
ASA I or II
Primigravida
Spontaneous onset of labour
Cephalic presentation
Singleton pregnancy
Request for labour analgesia
VAS > 30
Able to use PCEA pumps
Exclusion Criteria
Refusal by the parturient
Obesity( >100 kg)
Parturient who had received parenteral opioids in the last 4 hours
Systemic and local sepsis
Deranged coagulation profile
Multiple pregnancies( >1 fetus)
Obstetric complications
Non-cephalic presentation
Allergy to the study drugs
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Comparison of fetal heart rate pattern and umbilical cord blood parameters in parturients undergoing labour analgesia with continuous epidural infusion or programmed intermittent epidural bolus after combined spinal epidural analgesia.Timepoint: Fetal Heart rate pattern at 30 min before induction of CSEA, during induction of CSEA,15 min,30 min,45 min and 60 min post CSEA induction <br/ ><br>Umbilical cord blood abg at birth of baby
- Secondary Outcome Measures
Name Time Method Maternal satisfaction <br/ ><br>Pain score (VAS) <br/ ><br>Sensory and motor block characteristics <br/ ><br>Hemodynamic parameters of mother <br/ ><br>Duration of second stage of labour <br/ ><br>Mode of delivery <br/ ><br>Apgar scores at 1,2 and 5 min <br/ ><br>Adverse effects, if anyTimepoint: during the course of labour till the delivery of the baby