Impact of Dural Puncture Epidural Versus Traditional Lumbar Epidural on Onset of Labor Analgesia
| Status: | Completed |
|---|---|
| Conditions: | Women's Studies |
| Therapuetic Areas: | Reproductive |
| Healthy: | No |
| Age Range: | 18 - 40 |
| Updated: | 8/18/2016 |
| Start Date: | August 2014 |
| End Date: | June 2016 |
This study is to examine the onset of pain relief with two different methods of labor
epidural. The traditional labor epidural involves the placement of numbing and anti-pain
medicine in the epidural space which surrounds the spinal cord. In order to take effect, the
medication has to cross a layer of tissue called the dura. In the current study, the same
medications are placed in the epidural space after the dura is punctured with a fine needle.
This research, will help evaluate whether this technique will result in earlier onset of
pain relief.
epidural. The traditional labor epidural involves the placement of numbing and anti-pain
medicine in the epidural space which surrounds the spinal cord. In order to take effect, the
medication has to cross a layer of tissue called the dura. In the current study, the same
medications are placed in the epidural space after the dura is punctured with a fine needle.
This research, will help evaluate whether this technique will result in earlier onset of
pain relief.
Inclusion Criteria:
- Pregnant patients in active painful labor
- ASA I and II parturients
- Women Ages 18+ to 40
- Patients who have labor epidural as part of their labor plan will be recruited
Exclusion Criteria:
- Patients admitted to the Labor and Delivery Suite who are committed to have a
delivery with the current admission but who do not want a labor epidural
- Patients with the following: bleeding disorders, infection at the site of epidural
placement, generalized sepsis, stenotic heart valve lesions, increased intracranial
pressure, patients with hypovolemia, and patient refusal
- Parturients with chronic pain syndromes
- Patients on MAO inhibitors
- Patients with allergies to bupivacaine and fentanyl (and other amide local
anesthetics) patients with substance abuse history will be excluded
- Non English-speaking patients will be excluded
We found this trial at
1
site
171 Ashley Avenue
Charleston, South Carolina 29425
Charleston, South Carolina 29425
843-792-1414
Principal Investigator: Latha Hebbar, MD
Phone: 843-792-2322
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