Continuous Versus Intermittent Administration of Epidural Analgesia During Labor

NCT ID: NCT04826120

Last Updated: 2021-04-01

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

54 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-06-01

Study Completion Date

2021-01-31

Brief Summary

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prospective randomized single blind study, including full term adult parturients, ASA 2, 3 status, scheduled for vaginal delivery. patients were randomized at 3 cm of cervix dilatation, into 2 groups.

Epidural analgesia was initiated and maintained with a solution of Bupivacaine 0,125% and Sufentanil 0,25 mcg/ml. After an initial bolus of 16 ML, patients were randomly assigned to receive intermittent boluses of 8 ml every 60 minutes after the initial dose followed by supplementary PCEA boluses of 8 ml for the first group ( PCEA group) or a continuous epidural infusion at the rate of 8 ml/h adjustable and starting immediately after The initial bolus of 16 ml for patients of the second group (CEI Group).

Detailed Description

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prospective randomized single blind study, including full term adult parturients, ASA 2, 3 status, scheduled for vaginal delivery. patients were randomized at 3 cm of cervix dilatation, into 2 groups.

Epidural analgesia was initiated and maintained with a solution of Bupivacaine 0,125% and Sufentanil 0,25 mcg/ml. After an initial bolus of 16 ML, patients were randomly assigned to receive intermittent boluses of 8 ml every 60 minutes after the initial dose followed by supplementary PCEA boluses of 8 ml for the first group ( PCEA group) or a continuous epidural infusion at the rate of 8 ml/h adjustable and starting immediately after The initial bolus of 16 ml for patients of the second group (CEI Group).

The main outcome of this study was: the incidence of motor Blockage. Our secondary outcomes were: maternal satisfaction, local anaesthetic and sufentanil cumulated doses, duration of the second stage of labor, mode of delivery and pain during labor using the Visual analogic score (VAS score).

Conditions

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Epidural; Analgesia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

parturients randomized in 2 groups and receiving 2 different interventions
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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PCEA group

Patients of this group had intermittent epidural analgesia via PCEA associated to systematic 8 ml boluses every 60 min during the second stage of labor.

Group Type ACTIVE_COMPARATOR

PCEA Infusion

Intervention Type PROCEDURE

Patients of this group Had PCEA during the second stage of labor

CEI Group

Patients of this group had continuous epidural infusion at the rate of 8 ml/h during the second stage of labor.

Group Type EXPERIMENTAL

Continuous epidural infusion

Intervention Type PROCEDURE

Patients of this group Had continuous epidural infusion during the second stage of labor

Interventions

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PCEA Infusion

Patients of this group Had PCEA during the second stage of labor

Intervention Type PROCEDURE

Continuous epidural infusion

Patients of this group Had continuous epidural infusion during the second stage of labor

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Full term parturients scheduled for vaginal delivery

Exclusion Criteria

* patients in whom cesarean section delivery was indicated during labor
Minimum Eligible Age

17 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Mongi Slim Hospital

OTHER

Sponsor Role lead

Responsible Party

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Mhamed Sami Mebazaa

Professor, head of department of anesthesia and critical care

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Mongi Slim University Hospital

La Marsa, Tunis Governorate, Tunisia

Site Status

Mongi Slim Hospital

Tunis, , Tunisia

Site Status

Countries

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Tunisia

Other Identifiers

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Epidural in Labor

Identifier Type: -

Identifier Source: org_study_id

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