DEXMEDETOMIDINE in NORMAL VAGINAL DELIVERY

INTRAVENOUS Versus EPIDURAL DEXMEDETOMIDINE for ANALGESIA in NORMAL VAGINAL DELIVERY: A RANDOMIZED CONTROLED STUDY

compare the effect of intravenous and epidural dexmetomidine as an adjuvant to local anesthetics in epidural labor analgesia in normal labor

Inclusion Criteria:

• Full term (≥ 37 weeks) healthy primigravida parturients ASA2
• with single fetus scheduled for vaginal delivery
• with cephalic presentation
• requesting labor analgesia.

Exclusion Criteria:

• Allergy to dexmetomidine.(based on previous history)
• Cardiac conduction abnormalities.(all degrees of heart block , tachyarrythmias)
• Twins.
• Malpresentation.
• Preeclampsia or gestational hypertension
• Uncontrolled diabetes HBA1c ≥ 6.5%
• Uncontrolled renal failure
• Uncontrolled liver disease
• Bleeding tendency or coagulopathy.
• Contraindication or patient refusal to epidural block.
• Body mass index ≥ 35.