Comparative Study of epidural analgesia using ropivacaine and fentanyl VS epidural analgesia using ropivacaine and fentanyl with Breathing Technique during Labour
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- To compare the effectiveness of epidural analgesia alone versus epidural analgesia combined with breathing techniques in reducing pain intensity during active labor, as assessed by Visual Analog Scale
研究概览
简要总结
Epidural analgesia fulfills the objective of decreasing the pains of Labor without affecting other sensations such as a desire to push and to allow normal walking while preserving the tone of pelvic floor muscles as well as retaining the sensation of the baby’s head in the vagina; thus, allowing labor to proceed unhindered. Adding opioids improves the analgesic quality and reduces the side effects as it allows reduction of the concentration of the local anesthetic.
Non-Pharmacological methods to relieve pain are effective, affordable, accessible and less hazardous. Therefore, we used breathing technique on pain intensity, physiological response to labor pain, labor type and the outcomes.
研究设计
- 研究类型
- Interventional
- 分配方式
- Coin toss, Lottery, toss of dice, shuffling cards etc
- 盲法
- Outcome Assessor Blinded
入排标准
- 年龄范围
- 19.00 Year(s) 至 39.00 Year(s)（—）
- 性别
- Female
入选标准
- •single pregnancy cephalic position primi gravida 37-42 weeks of pregnancy.
排除标准
- •contraindications to epidural analgesia maternal complications of pregnancy maternal medical condition allergy yo local anaesthetic agent inability to communicate refusal of epidural analgesia.
结局指标
主要结局
To compare the effectiveness of epidural analgesia alone versus epidural analgesia combined with breathing techniques in reducing pain intensity during active labor, as assessed by Visual Analog Scale
时间窗: at 15 minutes, 30 minutes 1 hour and every hourly till delivery happens.
次要结局
- To assess maternal satisfaction with pain relief & overall childbirth experience between the two groups(maternal mean arterial pressure & heart rate at 15 minutes, 30 minutes 1 hour & then every hourly till delivery happens)
- comparison of neonatal apgar score between both the groups(Apgar score at 1 and 5 minutes)
- to assess the number of top up dose needed in both the groups(this observation dose not need time frame as it counts number of doses given till startpoint till delivery of child happens)