A trial to check if breathing techniques helps pain killing effects of epidural analgesia or not

Not yet recruiting

Conditions: Obstetrics,

Registration Number: CTRI/2025/04/085896

Lead Sponsor: Dr Shivangi Patel

Brief Summary: 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.

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: Female

Target Recruitment: 60

Inclusion Criteria

single pregnancy cephalic position primi gravida 37-42 weeks of pregnancy.

Exclusion Criteria

contraindications to epidural analgesia maternal complications of pregnancy maternal medical condition allergy yo local anaesthetic agent inability to communicate refusal of epidural analgesia.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
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	at 15 minutes, 30 minutes 1 hour and every hourly till delivery happens.

Secondary Outcome Measures

Name	Time	Method
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

Trial Locations

Locations (1): GMERS medical college and hospital junagadh
🇮🇳
Junagadh, GUJARAT, India
GMERS medical college and hospital junagadh
🇮🇳Junagadh, GUJARAT, India
Dr Shivangi Patel
Principal investigator
shivangipatel133@gmail.com