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Prosepective,Randomized, controlled study enrolling full termed parturients admitted for vaginal delivery.
At the sencond stage of labor: 3cm of cervix dilatation, patients will be randomized in 2 groups:
Prosepective,Randomized, controlled study enrolling full termed parturients admitted for vaginal delivery.
At the sencond stage of labor: 3cm of cervix dilatation, patients will be randomized in 2 groups:
For the first group: 20 ml of 0,375% isobaric Bupivacain solution will be injected bilaterally under ultrasound direct vision.
Concerning the second group, patients will have a continuous injection of 0,125% Bupivacain solution associated to 0,25 mcg of Sufentanil/ml through an epidural catheter in the L3-L4 or L4-L5 intervertebral space.
For the 2 groups, analgesia will be assessed during all the labor period hourly using the Visual Analog pain Score (VAS).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Epidural Analgesia | Experimental | Patients of this group Will receive an epidural analgesia through a lumbar epidural catheter |
|
| ESP Block | Experimental | Bilateral ESP block performed at the level of the 3 rd Lumbar transverse process. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ESP Block With Bupivacain | Procedure | bilateral lumbar ESP block using 0.375% Bupivacain |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Analgesia during labor | analgesia assessed using VAScore | change in VAS score 1 hour after the beginning of labor |
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Inclusion Criteria:
Exclusion Criteria:
full termed parturients
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Mhamed Sami Mebazaa, Professor | Contact | 0021622252589 | msmebazaa@gamil.com | |
| Ben Souissi Asma, As professor | Contact | 0021698336883 | bsouissiasma@gamil.com |
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| ID | Term |
|---|---|
| D000377 | Agnosia |
| ID | Term |
|---|---|
| D010468 | Perceptual Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D015360 | Analgesia, Epidural |
| ID | Term |
|---|---|
| D000698 | Analgesia |
| D000760 | Anesthesia and Analgesia |
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| Epidural Analgesia |
| Procedure |
Continuous Lumbar Epidural analgesia With 0,125% Bupivacain+0,25 mcg/ml Sufentanil |
|
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |