Nitrous OxideNCT06595303
Nitrous Oxyde During Labour
An observational study of Nitrous Oxide and Labour Analgesia, run by Erasme University Hospital at 1 site in Belgium.
Trial summary
1. Background to the clinical research project Nitrous oxide is a valuable tool in medicine for its rapid and effective analgesic and sedative properties. It is used in 50% gaseous form for painful procedures. One frequent application is obstetric analgesia. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Nitrous Oxide, Labour Analgesia
- What is being tested?
- Nitrous oxide for labour analgesia
- How many people
- 70 participants
- Where
- 1 siteBelgium
- Study dates
- 5 Nov 2024to 20 May 2025
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Women only
- No healthy volunteers
- Adult, Older adult
Study population: Any woman who received nitrous oxide for childbirth at Hôpital Érasme between October 1, 2024 and April 30, 2025 and who signed the consent form for this study.
Who may be able to join
- Any person who received nitrous oxide for childbirth at Hôpital Érasme between October 1, 2024 and April 30, 2025 and who signed the informed consent form for this study.
Who cannot join
- No informed consent
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Feelings of Patients Who Received Nitrous Oxide During Childbirth
- Background to the clinical research project Nitrous oxide is a valuable tool in medicine for its rapid and effective analgesic and sedative properties. It is used in 50% gaseous form for painful procedures. One frequent application is obstetric analgesia. However, in addition to its analgesic effects, many articles mention the psychotropic, even psychedelic, effects of nitrous oxide use. In one of the most recent studies, entitled More than just joy: A qualitative analysis of participant experiences during nitrous oxide sedation, involving healthy volunteers, it is reported that the sensations and feelings of the subjects are not necessarily pleasant, and many volunteers report psychedelic-like sensations, dreams or disturbed perceptions. The authors then question whether these effects are due to an absence of painful stimuli and therefore an absence of a beneficial effect. The same effects have been reported by Atkinson et al, also on volunteer subjects. Parturients feelings are highly variable, with a stronger focus on analgesic efficacy.
- Objectives of the clinical research project 2.1 Primary objective: The main objective will be to evaluate the effects of nitrous oxide, other than analgesia, in the specific context of childbirth. The study will focus mainly on subjective feelings, as well as the effects of disconnection from reality. 2.2 Secondary objectives: As secondary objectives, we will study the efficacy on pain.
- Methodology of the clinical research project All patients who have received nitrous oxide for delivery as part of the standard course of treatment in the delivery room will be contacted within 24 hours by one of the investigators. The protocol, i.e. the questionnaire, will be explained to the patients and, if they accept the protocol, written consent will be obtained. Patients will then complete the questionnaire in the presence of one of the investigators, who will be able to explain the questions if necessary. The questionnaire will take around 20 minutes to complete.
- Design of the clinical research project Prospective study based on a questionnaire.
- Participants Any person who received nitrous oxide for childbirth at Hôpital Érasme between October 1, 2024 and April 30, 2025 and who signed the informed consent form for this study.
- Conditions
- Nitrous Oxide, Labour Analgesia
- Being tested
- Nitrous oxide for labour analgesia
- Keywords
- Nitrous oxide, labour analgesia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Nitrous oxide for labour analgesiaDrug
Any woman may choose to have nitrous oxide inhalation as a standard protocol for labour analgesia
| Study group | Role | What they receive |
|---|---|---|
| N2O for labour analgesia | Any woman who received nitrous oxide for childbirth at Hôpital Érasme between October 1, 2024 and April 30, 2025 and who signed the informed consent form for this study. Receives: Drug: Nitrous oxide for labour analgesia |
What is being measured
The primary outcome is the main question the study is designed to answer.
Unpleasant psychotropic effects
Percentage (%) of patients who report an unpleasant psychotropic effect during nitrous oxide administration for labour analgesia.
Measured: 12 hours
Secondary outcomes (1)
Analgesic effect
All patients will report the analgesic efficiency of nitrous oxide during labour analgesia using a 3 point scale (very effective - somewhat effective - no effect). Percentage (%) of each effect will be presented.
Measured: 12 hours
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Sep 2024
- Study start5 Nov 2024
- Primary completion15 May 2025
- Study completion20 May 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (10)Papers the sponsor has linked to this study.
- Other trials for Nitrous OxideStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 70 participants (actual)
Sponsor and investigators
- Lead sponsor
- Erasme University Hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06595303
- Sponsor's protocol ID
- SRB2024218
- Status last verified
- May 2025
- First submitted
- 10 Sep 2024
- Last updated
- 21 May 2025
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Carles G. [Pregnancy, delivery and customs: transcultural approach in obstetrics]. J Gynecol Obstet Biol Reprod (Paris). 2014 Apr;43(4):275-80. doi: 10.1016/j.jgyn.2013.12.002. Epub 2014 Jan 17. French.
PubMed 24440128Waldenstrom U, Hildingsson I, Rubertsson C, Radestad I. A negative birth experience: prevalence and risk factors in a national sample. Birth. 2004 Mar;31(1):17-27. doi: 10.1111/j.0730-7659.2004.0270.x.
PubMed 15015989Richardson MG, Raymond BL, Baysinger CL, Kook BT, Chestnut DH. A qualitative analysis of parturients' experiences using nitrous oxide for labor analgesia: It is not just about pain relief. Birth. 2019 Mar;46(1):97-104. doi: 10.1111/birt.12374. Epub 2018 Jul 22.
PubMed 30033596Valtonen P, Markkanen S, Jarventausta K, Tenhunen M, Kalliomaki ML. More than just joy: A qualitative analysis of participant experiences during nitrous oxide sedation. Acta Anaesthesiol Scand. 2024 Aug;68(7):906-912. doi: 10.1111/aas.14428. Epub 2024 Apr 9.
PubMed 38594960Atkinson RM, Green JD, Chenoweth DE, Atkinson JH. Subjective effects of nitrous oxide: cognitive, emotional, perceptual and transcendental experiences. J Psychedelic Drugs. 1979 Oct-Dec;11(4):317-30. doi: 10.1080/02791072.1979.10471415. No abstract available.
PubMed 522172Block RI, Ghoneim MM, Kumar V, Pathak D. Psychedelic effects of a subanesthetic concentration of nitrous oxide. Anesth Prog. 1990 Nov-Dec;37(6):271-6.
PubMed 2097905Migliaccio L, Lawton R, Leeman L, Holbrook A. Initiating Intrapartum Nitrous Oxide in an Academic Hospital: Considerations and Challenges. J Midwifery Womens Health. 2017 May;62(3):358-362. doi: 10.1111/jmwh.12635. Epub 2017 May 29.
PubMed 28556573Moon JS, Kuza CM, Desai MS. William James, Nitrous Oxide, and the Anaesthetic Revelation. J Anesth Hist. 2018 Jan;4(1):1-6. doi: 10.1016/j.janh.2017.10.012. Epub 2017 Dec 1.
PubMed 29559088Kronenberg G, Seifritz E, Olbrich S. Nitrous oxide inhalation: History and experiences. Acta Anaesthesiol Scand. 2024 Sep;68(8):1129. doi: 10.1111/aas.14462. Epub 2024 May 30. No abstract available.
PubMed 38815989Husum B, Stenqvist O, Alahuhta S, Sigurdsson GH, Dale O. Current use of nitrous oxide in public hospitals in Scandinavian countries. Acta Anaesthesiol Scand. 2013 Oct;57(9):1131-7. doi: 10.1111/aas.12165. Epub 2013 Jul 29.
PubMed 23889322
Study at a glance
From the registry record, last updated by the sponsor on 21 May 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Feelings of Patients Who Received Nitrous Oxide During Childbirth
- ClinicalTrials.gov ID
- NCT06595303
- Acronym / sponsor ID
- SRB2024218
- Conditions
- Nitrous Oxide, Labour Analgesia
- Keywords
- Nitrous oxide, labour analgesia
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 70 participants (actual)
- Lead sponsor
- Erasme University HospitalUniversity, hospital or other
- Study start
- 5 Nov 2024 (actual)
- Primary completion
- 15 May 2025 (actual)
- Study completion
- 20 May 2025 (actual)
- First posted
- 19 Sep 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
- Background to the clinical research project Nitrous oxide is a valuable tool in medicine for its rapid and effective analgesic and sedative properties. It is used in 50% gaseous form for painful procedures. One frequent application is obstetric analgesia. However, in addition to its analgesic effects, many articles mention the psychotropic, even psychedelic, effects of nitrous oxide use. In one of the most recent studies, entitled More than just joy: A qualitative analysis of participant experiences during nitrous oxide sedation, involving healthy volunteers, it is reported that the sensations and feelings of the subjects are not necessarily pleasant, and many volunteers report psychedelic-like sensations, dreams or disturbed perceptions. The authors then question whether these effects are due to an absence of painful stimuli and therefore an absence of a beneficial effect. The same effects have been reported by Atkinson et al, also on volunteer subjects. Parturients feelings are highly variable, with a stronger focus on analgesic efficacy.
- Objectives of the clinical research project 2.1 Primary objective: The main objective will be to evaluate the effects of nitrous oxide, other than analgesia, in the specific context of childbirth. The study will focus mainly on subjective feelings, as well as the effects of disconnection from reality. 2.2 Secondary objectives: As secondary objectives, we will study the efficacy on pain.
- Methodology of the clinical research project All patients who have received nitrous oxide for delivery as part of the standard course of treatment in the delivery room will be contacted within 24 hours by one of the investigators. The protocol, i.e. the questionnaire, will be explained to the patients and, if they accept the protocol, written consent will be obtained. Patients will then complete the questionnaire in the presence of one of the investigators, who will be able to explain the questions if necessary. The questionnaire will take around 20 minutes to complete.
- Design of the clinical research project Prospective study based on a questionnaire.
- Participants Any person who received nitrous oxide for childbirth at Hôpital Érasme between October 1, 2024 and April 30, 2025 and who signed the informed consent form for this study.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| N2O for labour analgesia | – | Drug: Nitrous oxide for labour analgesiaAny woman who received nitrous oxide for childbirth at Hôpital Érasme between October 1, 2024 and April 30, 2025 and who signed the informed consent form for this study. |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Any woman who received nitrous oxide for childbirth at Hôpital Érasme between October 1, 2024 and April 30, 2025 and who signed the consent form for this study.
Key inclusion criteria (1 listed)
- Any person who received nitrous oxide for childbirth at Hôpital Érasme between October 1, 2024 and April 30, 2025 and who signed the informed consent form for this study.
Key exclusion criteria (1 listed)
- No informed consent
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Nitrous oxide for labour analgesiaAny woman may choose to have nitrous oxide inhalation as a standard protocol for labour analgesia | Drug | N2O for labour analgesia |
Primary outcome
Unpleasant psychotropic effects
Time frame: 12 hours
Percentage (%) of patients who report an unpleasant psychotropic effect during nitrous oxide administration for labour analgesia.
1 secondary outcome
Analgesic effect
Time frame: 12 hours
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 May 2025.
- Background: PubMed 24440128Carles G. [Pregnancy, delivery and customs: transcultural approach in obstetrics]. J Gynecol Obstet Biol Reprod (Paris). 2014 Apr;43(4):275-80. doi: 10.1016/j.jgyn.2013.12.002. Epub 2014 Jan 17. French.
- Background: PubMed 15015989Waldenstrom U, Hildingsson I, Rubertsson C, Radestad I. A negative birth experience: prevalence and risk factors in a national sample. Birth. 2004 Mar;31(1):17-27. doi: 10.1111/j.0730-7659.2004.0270.x.
- Background: PubMed 30033596Richardson MG, Raymond BL, Baysinger CL, Kook BT, Chestnut DH. A qualitative analysis of parturients' experiences using nitrous oxide for labor analgesia: It is not just about pain relief. Birth. 2019 Mar;46(1):97-104. doi: 10.1111/birt.12374. Epub 2018 Jul 22.
- Background: PubMed 38594960Valtonen P, Markkanen S, Jarventausta K, Tenhunen M, Kalliomaki ML. More than just joy: A qualitative analysis of participant experiences during nitrous oxide sedation. Acta Anaesthesiol Scand. 2024 Aug;68(7):906-912. doi: 10.1111/aas.14428. Epub 2024 Apr 9.
- Background: PubMed 522172Atkinson RM, Green JD, Chenoweth DE, Atkinson JH. Subjective effects of nitrous oxide: cognitive, emotional, perceptual and transcendental experiences. J Psychedelic Drugs. 1979 Oct-Dec;11(4):317-30. doi: 10.1080/02791072.1979.10471415. No abstract available.
- Background: PubMed 2097905Block RI, Ghoneim MM, Kumar V, Pathak D. Psychedelic effects of a subanesthetic concentration of nitrous oxide. Anesth Prog. 1990 Nov-Dec;37(6):271-6.
- Background: PubMed 28556573Migliaccio L, Lawton R, Leeman L, Holbrook A. Initiating Intrapartum Nitrous Oxide in an Academic Hospital: Considerations and Challenges. J Midwifery Womens Health. 2017 May;62(3):358-362. doi: 10.1111/jmwh.12635. Epub 2017 May 29.
- Background: PubMed 29559088Moon JS, Kuza CM, Desai MS. William James, Nitrous Oxide, and the Anaesthetic Revelation. J Anesth Hist. 2018 Jan;4(1):1-6. doi: 10.1016/j.janh.2017.10.012. Epub 2017 Dec 1.
- Background: PubMed 38815989Kronenberg G, Seifritz E, Olbrich S. Nitrous oxide inhalation: History and experiences. Acta Anaesthesiol Scand. 2024 Sep;68(8):1129. doi: 10.1111/aas.14462. Epub 2024 May 30. No abstract available.
- Background: PubMed 23889322Husum B, Stenqvist O, Alahuhta S, Sigurdsson GH, Dale O. Current use of nitrous oxide in public hospitals in Scandinavian countries. Acta Anaesthesiol Scand. 2013 Oct;57(9):1131-7. doi: 10.1111/aas.12165. Epub 2013 Jul 29.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Nitrous Oxide and Labour Analgesia, run by Erasme University Hospital at 1 site in Belgium.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 21 May 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Belgium. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Unpleasant psychotropic effects (time frame: 12 hours). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06595303, which also lists 10 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 May 2025.