A Comparison of Epidural Techniques for Labour Analgesia

University of British Columbia

Status: Completed

Conditions: Labour Analgesia

Treatments: Drug: Bupivacaine

Study type: Interventional

Funder types: Other

Identifiers

NCT03065569

H16-03380

Details and patient eligibility

About

A trial comparing outcomes for different epidural techniques in labour analgesia

Full description

Epidurals are the most common form of pain relief in labour. There are two techniques in use at the moment to place the epidural: epidural or combined spinal epidural (CSE). CSE has been shown to work faster and provide better pain relief than epidural alone. The investigators aim to show that CSE also requires less medication over the course of labour as this may mean it has fewer side effects. The amount of medication needed during labour between the two different techniques given in a standardized way will be compared.

Enrollment: 150 patients

Sex: Female

Ages: 19+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Healthy, singleton presentation at term

Exclusion criteria

• Significant comorbidities likely to alter outcome of labour

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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150 participants in 2 patient groups

Standard Epidural Technique

Active Comparator group

Description:

Epidural will be performed Initial dose of 16 mL of 0.125% bupivacaine will be given Upon patient request, rescue bolus based on protocol will be administered.

Treatment:

Drug: Bupivacaine

Combined Spinal Epidural Technique

Experimental group

Description:

CSE will be performed Initial dose of 16 mL of 0.125% bupivacaine will be given Upon patient request, rescue bolus based on protocol will be administered.

Treatment:

Drug: Bupivacaine