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A trial comparing outcomes for different epidural techniques in labour analgesia
Epidurals are the most common form of pain relief in labour. There are two techniques in use at the moment to place the epidural: epidural or combined spinal epidural (CSE). CSE has been shown to work faster and provide better pain relief than epidural alone. The investigators aim to show that CSE also requires less medication over the course of labour as this may mean it has fewer side effects. The amount of medication needed during labour between the two different techniques given in a standardized way will be compared.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard Epidural Technique | Active Comparator | Epidural will be performed Initial dose of 16 mL of 0.125% bupivacaine will be given Upon patient request, rescue bolus based on protocol will be administered. |
|
| Combined Spinal Epidural Technique | Experimental | CSE will be performed Initial dose of 16 mL of 0.125% bupivacaine will be given Upon patient request, rescue bolus based on protocol will be administered. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Bupivacaine | Drug | 16 mL of 0.125% bupivacaine |
|
| Measure | Description | Time Frame |
|---|---|---|
| Bupivacaine requirement for analgesia | milligram of bupivacaine used per hour | From randomization until delivery |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Anton Chau, MD MMSc | UBC | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| BC Women's Hospital | Vancouver | British Columbia | V6H 3N1 | Canada | ||
| British Columbia's Women's Hospital |
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| ID | Term |
|---|---|
| D002045 | Bupivacaine |
| ID | Term |
|---|---|
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 | Aniline Compounds |
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| Vancouver |
| British Columbia |
| V6H 3N1 |
| Canada |
| D000588 |
| Amines |