Clinical trials: Labor Epidural Analgesia
Pregnancy
Does Ultrasound Help With Placement of Labor Analgesia in Pregnant Patients?
The investigators believe that ultrasound guided CSE technique will accurately place the epidural needle in the midline position compared to epidural needle placement via palpation of anatomical landmarks.
- Trial name
- NCT02207972
- Testing
- Use of Ultrasound, No ultrasound used
- Where
- United States
- Volunteers
- 46 people, healthy volunteers welcome
- Sponsor
- St. Luke's-Roosevelt Hospital Center
Pregnancy
Sleep Efficiency and Quantification After Labor Epidural Analgesia
The specific aim is to attempt to quantify the amount and efficiency of sleep that parturients receive after placement of labor epidural analgesia.
- Trial name
- Actiwatch (NCT02862951)
- Where
- United States
- Volunteers
- 36 people
- Sponsor
- University of Virginia
Labor Pain
Pain Selective Anesthesia for Labor Mobility (PSALM Study): a Randomized Controlled Trial of Combined Lidocaine - Chlorprocaine for Labor Epidural Analgesia
The current "gold standard" epidural analgesia for labor is associated with unwanted side effects, such as motor block (affecting ambulation and the ability to push) and sympathetic blockade (causing maternal hypotension).
- Trial name
- PSALM (NCT06302257)
- Testing
- Chlorprocaine, Lidocaine, Lidocaine-chlorprocaine combination
- Where
- 3 sites in Israel
- Volunteers
- 303 people
- Sponsor
- Hadassah Medical Organization
Anxiety, Pain
Presence of a Companion During Performance of Neuraxial Labor Analgesia
The purpose of the study is to evaluate if maternal anxiety is improved when a parturient gets her choice with regard to the presence of a companion during epidural catheter placement for labor analgesia.
- Conditions
- Anxiety, Pain, Health Knowledge, Attitudes, Practice
- Trial name
- Companion (NCT02982213)
- Testing
- Companion Present
- Where
- United States
- Volunteers
- 150 people
- Sponsor
- Northwestern University
Pyrexia, Abdominal Delivery
Combined Anesthesia for Labor and Maternal Temperature
Maternal intra-partum fever commonly complicates the process of labour. Its occurrence is often regarded as being synonymous with the presence of chorioamnionitis.
- Trial name
- feveranalg (NCT01078519)
- Testing
- Combined epidural and spinal anesthesia
- Volunteers
- 70 people, healthy volunteers welcome
- Sponsor
- Instituto Materno Infantil Prof. Fernando Figueira
Pregnancy, Labor Pain
Epidural Volume Extension During a Combined Spinal-Epidural Technique for Labor Analgesia.
Combined spinal-epidurals (CSE) involve the injection of pain relief medication into the cerebral spinal fluid (CSF) and the insertion of an epidural catheter in the epidural space to continue to give pain relief medication.
- Trial name
- NCT01810406
- Testing
- CSE with 10 ml EVE, CSE without EVE
- Where
- Canada
- Volunteers
- 60 people
- Sponsor
- IWK Health Centre
Labor Pain
Pain Relief Effects on Length of Labor
This study divides patients into two groups when they ask for medicine to help relieve the pain of contractions. One group will be selected to receive an epidural and another group will be selected to receive both a spinal dose…
- Trial name
- NCT01750099
- Testing
- Combined Spinal-epidural, Continuous Lumbar epidural
- Where
- United States
- Volunteers
- 202 people
- Sponsor
- University of Texas Southwestern Medical Center
Labor Pain
Combined Spinal/Epidural (CSE) Saline Duration/Spread
An attempt is being made to see if by injecting a set volume of sterile saline into the epidural space during the treatment of labor pain with a combined spinal/epidural (CSE) increases the amount of pain relief obtained and…
- Trial name
- NCT01062893
- Testing
- Sterile normal saline 0 mls, 15 mls sterile normal saline
- Where
- United States
- Volunteers
- 82 people
- Sponsor
- Wake Forest University Health Sciences
Labor Epidural Analgesia, Perfusion Index
Perfusion Index Variability During Epidural Labor Analgesia
This prospective, single-centre observational study evaluates changes in the peripheral Perfusion Index (PI) - a non-invasive parameter derived from the pulse-oximetry photoplethysmographic waveform - in women receiving epidural…
- Conditions
- Labor Epidural Analgesia, Perfusion Index, Pain
- Trial name
- NCT07831967
- Testing
- Epidural (or opioid-only combined spinal-epidural) labor analgesia
- Where
- Poland
- Volunteers
- 200 people
- Sponsor
- Medical University of Gdansk
Quality Health Care
Dural Puncture Epidural Vs Standard Epidural Technique in Parturient Receiving Continuous Labour Epidural Infusion
The goal of this study is to evaluate the quality and safety of labor analgesia by comparing the use of Dural puncture epidural technique to Standard epidural technique while maintaining labor analgesia by means of continuous…
- Trial name
- NCT06653036
- Testing
- Dural puncture epidural, Standard Epidural Technique
- Where
- Pakistan
- Volunteers
- 38 people, healthy volunteers welcome
- Sponsor
- Aga Khan University
Labor Pain
Assessment of Sensory Block During Labour Epidural Analgesia in Patients Experiencing Pain During First Stage of Labour.
Epidural analgesia is the gold standard for pain control during labour and an essential component of delivering effective and safe epidural analgesia is the assessment of the epidural sensory block.
- Trial name
- NCT05881395
- Where
- Canada
- Volunteers
- 30 people
- Sponsor
- Samuel Lunenfeld Research Institute, Mount Sinai Hospital
Labor Pain
Gender of Anesthesiologist and Time to Labor Epidural
The goal of this retrospective cohort study is to learn about wether the gender of the anesthetist affects time to epidural anesthesia (EDA) for laboring women . The main questions it aims to answer are: 1.
- Trial name
- NCT05744570
- Testing
- Epidural anesthesia
- Where
- Sweden
- Volunteers
- 1,200 people
- Sponsor
- Umeå University
Labor Pain
Does Having a Spouse Present During Epidural Analgesia Affect Stress Levels in the Parturient and Her Spouse?
It is unclear the effect of a spouse's presence on the partureint's and the spouse's stress level during the performance of epidural analgesia during labor.
- Trial name
- NCT00763126
- Testing
- stress level
- Where
- Israel
- Volunteers
- 200 people
- Sponsor
- Rabin Medical Center
Obesity, Labor Onset and Length Abnormalities
Ambulation With Labor Epidural in Obese Women
The purpose of this study is to determine if ambulation with a labor epidural in place is associated with decreased rate of cesarean delivery in obese patients.
- Trial name
- NCT04504682
- Testing
- Ambulation
- Where
- United States
- Volunteers
- 14 people, healthy volunteers welcome
- Sponsor
- University of Chicago
Labor Pain, Maternal Hypotension
Lower Limb Compression Prevents Hypotension After Epidural in Labor
The goal of this study is to determine whether the use of sequential compression devices (lower limb compression) can reduce the rate of maternal hypotension after epidural, and therefore reduce the incidence of fetal heart…
- Trial name
- NCT04750486
- Testing
- Sequential compression devices
- Where
- United States
- Volunteers
- 240 people, healthy volunteers welcome
- Sponsor
- Wayne State University
Pain, Labor Complications
Dilute Versus Concentrated Epidural Bupivacaine in Labor
This study studies labor epidural analgesia and compares dilute (0.0625%) with concentrated (0.25%) bupivacaine. We hypothesize that patients randomize to receive the concentrated drug will require more drug, will have a more…
- Trial name
- NCT00197327
- Testing
- Epidural bupivacaine (0.25% versus 0.0625%)
- Where
- Israel
- Volunteers
- 60 people
- Sponsor
- Hadassah Medical Organization
Labor Pain, Breakthrough Pain
Development of Variable Volume Automated Mandatory Boluses for Patient-controlled Epidural Analgesia During Labour
A novel epidural delivery regimen was developed: Variable volume automated mandatory bolus (AMB) (VVAMB) will advance individualisation of labour epidural analgesia, by which a larger volume of bolus may contribute to better…
- Trial name
- VVAMB (NCT04011150)
- Testing
- Epidural infusion pump, Ropivacaine, Fentanyl
- Where
- Singapore
- Volunteers
- 197 people
- Sponsor
- KK Women's and Children's Hospital
Labor Pain
Ten-year Practice of Labor Pain Control in China
Since 1999, labor pain control has being performed in China, and the initial time of analgesia is at the cervix >= 2 cm. Meanwhile, American Society of Obstetrics \& Gynecology recommended that the labor analgesia with neuraxial…
- Trial name
- POPIC (NCT00776581)
- Testing
- CSEA with PCA, CSEA with IBI, EA with PCA
- Where
- China
- Volunteers
- 40,000 people
- Sponsor
- Nanjing Medical University
Analgesia, Obstetrical, Postpartum Hemorrhage
Prospective Effect of Intravenous Ketorolac on Opioid Use, EBL and Complications Following Cesarean Delivery
In this randomized, double-blind control trial to evaluate the effect of ketorolac given at the time of cord clamp has on estimated blood loss and postcesarean pain control.
- Conditions
- Analgesia, Obstetrical, Postpartum Hemorrhage, Opioid Use, Nonsteroidals (NSAIDs)Toxicity
- Trial name
- NCT02509312
- Testing
- Ketorolac
- Where
- United States
- Volunteers
- 70 people, healthy volunteers welcome
- Sponsor
- University Hospitals Cleveland Medical Center
Laboring Women Requesting Neuraxial Labor Analgesia
Comparison of Epidural Labor Pain Relief Techniques on Maternal and Fetal Outcomes
The primary objective of this study is to compare the onset and duration of the initial dose of medications given through three different epidural (conventional epidural, combined spinal epidural and dural puncture epidural)…
- Trial name
- NCT02008591
- Testing
- Epidural Technique versus Dural Puncture Epidural Technique versus Combined Spinal Epidural Technique
- Where
- United States
- Volunteers
- 120 people
- Sponsor
- Brigham and Women's Hospital