Influence of Maternal Postioning on Spread of Local Anesthetic After Epidural Analgesia

Region Skane

Status: Completed

Conditions: Effects of; Anesthesia, Spinal and Epidural, in Pregnancy

Treatments: Procedure: lateral position

Study type: Interventional

Funder types: Other

Identifiers

NCT02617823

SUSAN-KK

Details and patient eligibility

About

The purpose of this study is to determine if a lateral positioning of the pregnant woman after epidural analgesia increases the incidence of unilateral functioning epidurals.

Full description

Pregnant women requesting epidural analgesia will be randomized to either left lateral or semi-recumbent position for 30 minutes after the first epidural bolus-injection.

After 30 minutes, the clinical effect of the analgesia will be evaluated by an anesthesiologist if available or by a midwife if the anesthesiologist is unavailable. The study-period is concluded thereafter and further positioning is optional.

Maternal and fetal wellbeing are continuously being monitored during the study period and complications/interventions registered. APGAR and CTG results during the intervention will be registered and evaluated at a later stage.

Enrollment: 950 patients

Sex: Female

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• all adult pregnant women recieiving epidural analgesia

Exclusion criteria

• participation refused
• inability to understand study purpose/instructions
• study postition could not be maintained for 30 min
• ineffective epidural

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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950 participants in 2 patient groups

semi-recumbent

No Intervention group

Description:

rutine positioning at the hospital today

lateral position

Experimental group

Description:

experimental position to be evaluated against rutine

Treatment:

Procedure: lateral position