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| Name | Class |
|---|---|
| elite medical hospital | UNKNOWN |
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The primary outcome of this clinical trial is to compare the pain scores during labour and delivery of combined spinal epidural without intrathecal opioids and dural puncture epidural
The secondary objective of this study is to compare the and fetomaternal outcomes
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| combined spinal epidural group | Active Comparator | Bupivacaine 2.5 mg |
|
| dura puncture epidural group | Active Comparator | Bupivacaine 0.125% with Fentanyl 2 mcg/mL, 20 mL load over 5 min |
|
| epidural | Active Comparator | Bupivacaine 0.125% with Fentanyl 2 mcg/mL, 20 mL load over 5 min |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dural Puncture Epidural Technique | Procedure | three labor analgesia techniques |
|
| Measure | Description | Time Frame |
|---|---|---|
| epidural Local anesthetic consumption | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Maternal hypotension | maternal mean arterial blood pressure less than 50 mmhg | 1 year |
| incidence of fetal bradycardia | a fetal heart rate of less than 100 beats per minute |
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Inclusion Criteria:
Exclusion Criteria:
females requesting labor analgesia
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ain Shams University | Cairo | Abbasyia | 002 | Egypt | ||
| Elite Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34349372 | Derived | Bakhet WZ. A randomized comparison of epidural, dural puncture epidural, and combined spinal-epidural without intrathecal opioids for labor analgesia. J Anaesthesiol Clin Pharmacol. 2021 Apr-Jun;37(2):231-236. doi: 10.4103/joacp.JOACP_347_19. Epub 2021 Jul 15. |
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| ID | Term |
|---|---|
| D007268 | Injections, Epidural |
| ID | Term |
|---|---|
| D007278 | Injections, Spinal |
| D007267 | Injections |
| D004333 | Drug Administration Routes |
| D004358 | Drug Therapy |
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Randomized controlled trial assignment placed in sealed envelopes.
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| Combined Spinal Epidural without intrathecal opioids | Procedure | three labor analgesia techniques |
|
| epidural | Procedure | three labor analgesia techniques |
|
| 1 year |
| incidence of maternal pruritus | Participants will be assessed for pruritus every hour, by grading the severity on a scale ranging from 0-3; 0 = none, 1 = mild, 2= moderate and 3 = severe | 1 year |
| labour pain scores | Visual analogue scale with its 0 to 10 score range: (0 (no pain) to 10 ( Severe pain) | 1 year |
| Kuwait City |
| Abbasyia |
| 002 |
| Kuwait |
| D013812 |
| Therapeutics |