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临床试验/NCT07367347
NCT07367347已完成不适用

The Effect of Increased BMI on Efficacy of Labor Analgesia: A Retrospective Cohort Study

Mariah Arif1 个研究点 分布在 1 个国家目标入组 9,000 人开始时间: 2025年2月2日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
9,000
试验地点
1
主要终点
Success rate of labor analgesia

研究概览

简要总结

This study seeks to identify the most effective neuraxial technique for labor analgesia in Class III parturient

详细描述

This retrospective cohort study collected data on eligible participants from the electronic medical records.

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Retrospective

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
Female
接受健康志愿者
是

入选标准

  • •Age > or equal to 18 years
  • •BMI ≥ 40 kg/m²
  • •Gestational age ≥ 28 weeks

排除标准

  • •Age < 18 years
  • •BMI < 40 kg/m²
  • •History of venous thromboembolism or arterial disease (e.g., DVT, PE, angina, MI, or stroke)
  • •Severe active lung, cardiovascular, renal, or liver disorders; autoimmune disease; or hemoglobinopathies
  • •Hereditary or acquired thrombophilia (e.g., Factor V Leiden mutation or antithrombin deficiency)
  • •In utero fetal demise (IUFD)
  • •Failed operative vaginal delivery
  • •Cesarean for the second twin or multiple pregnancies (triplets or higher)
  • •IVF pregnancy
  • •Intraoperative bleeding>1500mL
  • •Emergency cesarean section (Category I)
  • •Presence of large uterine fibroid ≥10 cm.

研究组 & 干预措施

Class III obese parturient

Class III obese parturient receiving neuraxial analgesia

干预措施: Neuraxial analgesia (Procedure)

结局指标

主要结局

Success rate of labor analgesia

时间窗: onset of neuraxial analgesia to completion of labor

The success rate of each technique will be determined by: Number of patients requiring a physician top-up bolus Block symmetry First-attempt success rate

次要结局

  • Maternal adverse events(onset of neuraxial analgesia to completion of labor)
  • Fetal adverse events(at 1 and 5 minutes after birth)

研究者

发起方
Mariah Arif
申办方类型
Other Gov
责任方
Sponsor Investigator
主要研究者

Mariah Arif

Resident Physician

Hamad General Hospital

研究点 (1)

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