Do Epidurals Placed at a Lower Level Improve Labor Analgesia?
Study Details
Study Description
Brief Summary
The investigators wish to compare the analgesia provided by epidurals placed high in the lumbar spine versus epidurals place low in the lumbar spine.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Low epidural epidural placed in the lower lumbar vertebral column |
Procedure: epidural placed low
epidural placed low
|
Experimental: high epidural high epidural |
Procedure: high epidural
high epidural
|
Outcome Measures
Primary Outcome Measures
- Number of epidural medication boluses required [30 minutes and 1 hour]
Secondary Outcome Measures
- Labour progress [24 hours]
Eligibility Criteria
Criteria
Inclusion Criteria:
- women in active labor
Exclusion Criteria:
-
known contraindications to epidural analgesia
-
moderate to severe systemic illness as evidenced by an American Society of Anesthesiologists (ASA) score of 3 or higher.
-
known abnormalities of the spinal column
-
any neurologic illness
-
multiple gestations, fetal abnormalities or fetal presentation other than vertex
-
recent history of analgesic usage
-
an inability to communicate in English or French
-
Body Mass Index greater than 40
-
patients in pain requesting an immediate epidural
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Royal Victoria Hospital | Montreal | Quebec | Canada | H3A 1A1 |
Sponsors and Collaborators
- Royal Victoria Hospital, Canada
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- SDR-08-052