Pulse Pressure Variability With Position Before EPIdural Analgesia (PP-PERI)

Hopital Foch

Status

Completed

Conditions

Epidural Analgesia

Labor

Treatments

Device: Nicom (TM)

Study type

Interventional

Funder types

Other

Identifiers

NCT03126136

2016- A00846-45 (Other Identifier)

2016/31

Details and patient eligibility

About

Fetal heart rate abnormalities are common. Miller et al. have demonstrated that new onset fetal heart rate abnormalities after initial labor epidural dosing occur more frequently in women with a low admission pulse pressure than those with a normal admission pulse. The aim of the present study is to look for a statistical link between the occurrence of a fetal heart abnormality requiring an intervention and maternal hemodynamic factors (blood pressure, pulse pressure, and cardiac output) measured before epidural analgesia in two positions: dorsal decubitus position and in the left lateral decubitus.

Enrollment

1 patient

Sex

Female

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

pregnant women
gestational age ≥ 36 weeks
single eutrophic fetus
wishing for epidural analgesia
cervical dilatation less than or equal to 5 cm
spontaneous labor
scheduled for a vaginal delivery.

Non-inclusion Criteria:

prematurity (< 36 weeks of amenorrhea) or post-term birth
intention of induction of labour using oxytocin before epidural analgesia or prostaglandin
contraindication to epidural analgesia
history of hypertension or gravidic hypertension or heart disorder
gestational diabetes
foetal malformation or oligohydramnios or fetal growth abnormality
fœtal macrosomia diagnosed by ultrasonic scanning
hematocrit less than 20%

Exclusion Criteria