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prospective randomized single blind study, including full term adult parturients, ASA 2, 3 status, scheduled for vaginal delivery. patients were randomized at 3 cm of cervix dilatation, into 2 groups.
Epidural analgesia was initiated and maintained with a solution of Bupivacaine 0,125% and Sufentanil 0,25 mcg/ml. After an initial bolus of 16 ML, patients were randomly assigned to receive intermittent boluses of 8 ml every 60 minutes after the initial dose followed by supplementary PCEA boluses of 8 ml for the first group ( PCEA group) or a continuous epidural infusion at the rate of 8 ml/h adjustable and starting immediately after The initial bolus of 16 ml for patients of the second group (CEI Group).
prospective randomized single blind study, including full term adult parturients, ASA 2, 3 status, scheduled for vaginal delivery. patients were randomized at 3 cm of cervix dilatation, into 2 groups.
Epidural analgesia was initiated and maintained with a solution of Bupivacaine 0,125% and Sufentanil 0,25 mcg/ml. After an initial bolus of 16 ML, patients were randomly assigned to receive intermittent boluses of 8 ml every 60 minutes after the initial dose followed by supplementary PCEA boluses of 8 ml for the first group ( PCEA group) or a continuous epidural infusion at the rate of 8 ml/h adjustable and starting immediately after The initial bolus of 16 ml for patients of the second group (CEI Group).
The main outcome of this study was: the incidence of motor Blockage. Our secondary outcomes were: maternal satisfaction, local anaesthetic and sufentanil cumulated doses, duration of the second stage of labor, mode of delivery and pain during labor using the Visual analogic score (VAS score).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PCEA group | Active Comparator | Patients of this group had intermittent epidural analgesia via PCEA associated to systematic 8 ml boluses every 60 min during the second stage of labor. |
|
| CEI Group | Experimental | Patients of this group had continuous epidural infusion at the rate of 8 ml/h during the second stage of labor. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PCEA Infusion | Procedure | Patients of this group Had PCEA during the second stage of labor |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of motor Blockage | Bromage scale 1, 2 or 3 | during the epidural analgesia |
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Inclusion Criteria:
Exclusion Criteria:
parturients scheduled for vaginal delivery
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mongi Slim University Hospital | La Marsa | Tunis Governorate | 2046 | Tunisia | ||
| Mongi Slim Hospital |
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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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parturients randomized in 2 groups and receiving 2 different interventions
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| Continuous epidural infusion |
| Procedure |
Patients of this group Had continuous epidural infusion during the second stage of labor |
|
| Tunis |
| 2046 |
| Tunisia |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |