Do Epidurals Placed at a Lower Level Improve Labor Analgesia?
Not Applicable
- Conditions
- Labor Analgesia
- Interventions
- Procedure: epidural placed lowProcedure: high epidural
- Registration Number
- NCT00954317
- Lead Sponsor
- Royal Victoria Hospital, Canada
- Brief Summary
The investigators wish to compare the analgesia provided by epidurals placed high in the lumbar spine versus epidurals place low in the lumbar spine.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- Female
- Target Recruitment
- 100
Inclusion Criteria
- women in active labor
Exclusion Criteria
- known contraindications to epidural analgesia
- moderate to severe systemic illness as evidenced by an American Society of Anesthesiologists (ASA) score of 3 or higher.
- known abnormalities of the spinal column
- any neurologic illness
- multiple gestations, fetal abnormalities or fetal presentation other than vertex
- recent history of analgesic usage
- an inability to communicate in English or French
- Body Mass Index greater than 40
- patients in pain requesting an immediate epidural
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Low epidural epidural placed low epidural placed in the lower lumbar vertebral column high epidural high epidural high epidural
- Primary Outcome Measures
Name Time Method Number of epidural medication boluses required 30 minutes and 1 hour
- Secondary Outcome Measures
Name Time Method Labour progress 24 hours
Trial Locations
- Locations (1)
Royal Victoria Hospital
🇨🇦Montreal, Quebec, Canada