NCT04234178

Dural Puncture Epidural Versus Combined Spinal Epidural With Epidural Volume Extension in Labor Analgesia

The Effects of Dural Puncture Epidural Versus Combined Spinal Epidural With Epidural Volume Extension Techniques on Birth Variables in Labor Analgesia

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 60 (actual)
• Sponsor: Ataturk University · Academic / Other
• Sex: Female
• Age: 18 Years – 45 Years
• Healthy volunteers: Not accepted

Summary

Labor is the process where the cervix is prepared to allow the baby to pass from the uterine cavity to the outside world. In the ordinary course, it ends with spontaneous or instrumental vaginal delivery or cesarean section. Traditionally, the first stage in which the cervix is passively dilated in response to uterine contractions consists of the second stage in which the mother passes the baby through the vagina and the third stage, the exit of the placenta. In the first stage of labor, pain is caused by uterine contractions and pressure on the cervix. Pain is transmitted through the T10-L2 spinal nerves and is felt in the abdominal wall, waist, hips, or thighs. In the second stage, pain from the vagina and perineum is added to uterine pain. This pain is transmitted by the pudendal nerves through the S2-4 nerve roots. In this study, we aimed to investigate the effects of dural puncture epidural analgesia versus combined spinal-epidural analgesia with epidural volume extension on labor variables.

Conditions

• Labor Pain

Interventions

Type	Name	Description
DRUG	Epidural	2 µg/ml fentanyl + %0,125 bupivacaine (20 ml) to epidural
DRUG	Intrathecal+Epidural	10 µg fentanyl + 2 mg bupivacaine to intrathecal 7.4 ml saline volume to epidural

Timeline

• Start date: 2020-02-01
• Primary completion: 2021-02-01
• Completion: 2021-02-07
• First posted: 2020-01-21
• Last updated: 2022-02-08

Locations

2 sites across 1 country: Turkey (Türkiye)