Efficacy and Safety of Intravenous Paracetamol in Manament of Labour Pain

NCT ID: NCT04744727

Last Updated: 2021-02-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

96 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-03-01

Study Completion Date

2020-05-10

Brief Summary

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to compare between the use of single dose of paracetamol and pethidine hydrochloride intravenously in management of labour pains

Detailed Description

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investigators conducted a randomized clinical study included including 96 primiparous women admitted to Obstetrics and Gynecology Department, Menoufia University Hospitals, starting the study from May 2019 to March 2020 to assess the use of paracetamol intravenously versus Pethidine HCL intravenously in management of intrapartum pain. After obtaining approval from the local ethics committee, women who agreed to participate gave their signed informed consent after explanation of the trial benefits and hazards

Conditions

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Labor Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Cases were divided into 2 groups:

Group I (paracetamol group): Included 48 pregnant women who received 1000 mg of intravenous paracetamol. The treatment was administered at the begining of the active phase of 1st stage of labor \[roughly defined as a cervical dilatation of 3-4 cm and a cervical effacement ≥ 50%\].

Group 2 (pethidine group): Included 48 pregnant women who received 50 mg of intravenous pethidine HCL diluted in 10 ml normal saline. The treatment was administered at the beginning of the active phase of 1st stage of labor \[roughly defined as a cervical dilatation of 3-4 cm and a cervical effacement ≥ 50%\]. Randomization was done by a computer-generated randomization system. Letters of the allocated were concealed in serially numbered opaque envelope that were only released after recruitment.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants
Letters of the allocated were concealed in serially numbered opaque envelope that were only released after recruitment.

Study Groups

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paracetamol group

Included 48 pregnant women who received 1000 mg of intravenous paracetamol. The treatment was administered at the begining of the active phase of 1st stage of labor \[roughly defined as a cervical dilatation of 3-4 cm and a cervical effacement ≥ 50%\].

Group Type ACTIVE_COMPARATOR

paracetamol-pethidine

Intervention Type DRUG

100 ml containing 1000 mg paracetamol -50 mg pethidine HCL

pethidine group

Included 48 pregnant women who received 50 mg of intravenous pethidine HCL diluted in 10 ml normal saline. The treatment was administered at the beginning of the active phase of 1st stage of labor \[roughly defined as a cervical dilatation of 3-4 cm and a cervical effacement ≥ 50%\].

Group Type ACTIVE_COMPARATOR

paracetamol-pethidine

Intervention Type DRUG

100 ml containing 1000 mg paracetamol -50 mg pethidine HCL

Interventions

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paracetamol-pethidine

100 ml containing 1000 mg paracetamol -50 mg pethidine HCL

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Primiparous
* aged 18-35 years,
* Term live singleton pregnancy,
* Vertex presentation,
* Spontaneous onset of labor at term 37-42 weeks gestation,
* In active phase of of 1st stage of labour (cervix dilatation 3- 4 cm).

Exclusion Criteria

Clinical evidence of cephalopelvic disproportion

* Use of any kind of analgesia prior to study
* Any medical disorder during pregnancy (liver or kidney impairment)
* Induction of labor, Intrauterine fetal death
* Evidence of fetal distress
* Antenatal diagnosis of congenital malformation
* Previous history of hypersensitivity to either drug
* Extremes of age (i.e. below 18 or above 35)
* Multiple pregnancies
* Cervical dilatation more than 6 cm.
Minimum Eligible Age

18 Years

Maximum Eligible Age

35 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Menoufia University

OTHER

Sponsor Role lead

Responsible Party

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Mohamed Elsibai Anter

lecturer of obstetrics and gynecology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mohamed Anter

Role: STUDY_DIRECTOR

Faculty of medicine-Menoufia university-shebin elkom -egypt

Locations

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Menoufia University hospital

Shibīn al Kawm, Menoufia, Egypt

Site Status

Countries

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Egypt

References

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Anter ME, Abdel Attey Saleh S, Shawkey Allam S, Mohamed Nofal A. Efficacy and safety of intravenous paracetamol in management of labour pains in a low resource setting: a randomized clinical trial. J Matern Fetal Neonatal Med. 2022 Dec;35(25):6320-6328. doi: 10.1080/14767058.2021.1911995. Epub 2021 Apr 26.

Reference Type DERIVED
PMID: 33902372 (View on PubMed)

Other Identifiers

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11/2019OBSGN/27

Identifier Type: -

Identifier Source: org_study_id

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