Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
The analgesic approach in labor can be done in different ways, among which the neuraxial approach has shown the best analgesic results and fetal outcomes. Currently, programmed epidural intermittent bolus has been included in the neuraxial approach for a better distribution of the solution into the epidural space as compared with the continuous infusion strategy. In this study, the investigators seek to compare both strategies in 132 laboring women.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Continuous Epidural Infusion | Active Comparator |
|
|
| Programmed Intermittent Epidural Bolus | Experimental |
|
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Bupivacaine and Fentanyl Initial Dose | Drug | 10 ml of 0.1% bupivacaine (2 ml of 0.5% bupivacaine and 50 mcg / ml fentanyl in 7 ml of normal saline solution) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pain level in laboring women measured by the Numeric Analog Scale | to compare pain level in each arm once epidural analgesia is applied until birth | one year |
Not provided
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital Universitario Fundación Santa Fe | Bogotá | Bogota D.C. | Colombia |
Not provided
Not provided
Not provided
Not provided
Not provided
| Bupivacaine and Fentanyl: Continuous Epidural Infusion | Drug | 0.1% bupivacaine and fentanyl 2 mcg / ml (8-12 ml / hour) |
|
| Bupivacaine and Fentanyl: Programmed Intermittent Epidural Bolus | Drug | A 0.1% bupivacaine and fentanyl 2 mcg / ml (8-12ml) bolus will be administered each hour at a rate of 500ml/hour |
|
| Rescue Bolus | Drug | Upon patient request, rescue bolus of 8-10 ml of 0.1% bupivacaine will be administered. |
|
| Lidocaine | Drug | If needed, during the second phase (9-10 centimeters of cervical dilation) a 2% lidocaine without epinephrine (8-10 cc) bolus will be administered. |
|
| ID | Term |
|---|---|
| D048949 | Labor Pain |
| D000377 | Agnosia |
| D017060 | Patient Satisfaction |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010468 | Perceptual Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009422 | Nervous System Diseases |
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |
Not provided
Not provided
| ID | Term |
|---|---|
| D002045 | Bupivacaine |
| D008012 | Lidocaine |
| ID | Term |
|---|---|
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 | Aniline Compounds |
| D000588 | Amines |
| D000083 | Acetanilides |
Not provided
Not provided