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The aim of this study is to compare the effect of epidural analgesia versus low-dose spinal analgesia in parturient in the late first stage of labor regarding time needed to perform the block, duration of the intra- and postoperative analgesia and incidence of procedure related adverse events.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Epidural Anesthesia | Active Comparator | Patients will receive epidural analgesia with 15 ml isobaric bupivacaine 0.125% plus fentanyl 2 μg/mL |
|
| Spinal Anesthesia | Active Comparator | Patients will receive Spinal analgesia with 5 mg bupivacaine and 25 μg of fentanyl in a 2 ml volume. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Epidural Anesthesia | Procedure | Patients will receive epidural analgesia with 15 ml isobaric bupivacaine 0.125% plus fentanyl 2 μg/mL. |
|
| Measure | Description | Time Frame |
|---|---|---|
| The time to perform the block | The time from the preparation of the block until the full injection of anesthetic drugs, | Intraoperative |
| Measure | Description | Time Frame |
|---|---|---|
| Mean arterial blood pressure (MAP) | MAP will be recorded at baseline; 5 minutes prior to the neuroaxial block, and at 5 minutes, 10 minutes, 15 minutes, and 20 minutes after the injection of the local anesthetic and then every 15 minutes till the end of third stage of labor | Intraoperative |
| Heart rate (HR) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ain Shams University Hospitals | Cairo | Egypt |
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| ID | Term |
|---|---|
| D000767 | Anesthesia, Epidural |
| ID | Term |
|---|---|
| D000765 | Anesthesia, Conduction |
| D000758 | Anesthesia |
| D000760 | Anesthesia and Analgesia |
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| Spinal Analgesia | Procedure | Patients will receive Spinal analgesia with 5 mg bupivacaine and 25 μg of fentanyl in a 2 ml volume. |
|
HR will be recorded at baseline; 5 minutes prior to the neuroaxial block, and at 5 minutes, 10 minutes, 15 minutes, and 20 minutes after the injection of the local anesthetic and then every 15 minutes till the end of third stage of labor |
| Intraoperative |
| Number of participnts with Postoperative nausea and vomiting (PONV) | PONV will be recorded and categorized as 'no PONV, mild PONV, moderate PONV, and severe PONV' | First 24 hours postoperatively |