Parturient Satisfaction With Epidural Analgesia by PCEA or Manual Boluses

Women's Hospital HUS

Status: Not yet enrolling

Conditions: Labor Pain

Treatments: Drug: Ropivacaine Hydrocloride; Drug: Fentanyl Citrate

Study type: Observational

Funder types: Other

Identifiers

NCT06094946

PCEA_15102023

Details and patient eligibility

About

Those prospective parturients that express that they may want an epidural labour analgesia for their delivery will be informed about the possibility to choose between a pump driven epidural or midwife administered intermittent boluses.

Full description

The purpose is to compare parturient and midwife satisfaction with the epidural labour analgesia when epidural analgesia is maintained by an epidural bolus pump (automated mandatory boluses with patient controlled boluses without background infusion) or midwife administered on-demand boluses.

Enrollment: 100 estimated patients

Sex: Female

Ages: 18 to 55 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Age 18 years or older
• Admitted to the delivery hospital with the prospect of vaginal delivery
• On admission when questioned about planned analgesia expresses that may want an epidural analgesia for the planned vaginal delivery
• After reading the study prochure signs the participation (consent) form
• Sufficient command of Finnish or Swedish to facilitate interview

Exclusion criteria

• Contraindications for epidural analgesia
• Planned cesarean delivery
• Age under 18 years

Trial design

100 participants in 2 patient groups

Midwife administered boluses

Description:

The epidural analgesia is initiated by a manual bolus of the epidural solution (ropivacaine 1 mg/ml fentanyl 2.5 mug/ml) 10 + 10 ml and then continued on-demand by similar boluses until delivery

Treatment:

Drug: Fentanyl Citrate

Drug: Ropivacaine Hydrocloride

Automated and parturient controlled epidural boluses

Description:

The epidural analgesia is initiated by a manual bolus of the epidural solution (ropivacaine 1 mg/ml fentanyl 2.5 mug/ml) 10 + 10 ml and then continued by automated boluses of the same solution (6ml every 40 minutes) with possibility for the parturient to administer 6 ml extra doses with a 20 minute lock-out. Maximum hourly dose 20 ml.

Treatment:

Drug: Fentanyl Citrate

Drug: Ropivacaine Hydrocloride