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| Name | Class |
|---|---|
| Helsinki University Central Hospital | OTHER |
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Those prospective parturients that express that they may want an epidural labour analgesia for their delivery will be informed about the possibility to choose between a pump driven epidural or midwife administered intermittent boluses.
The purpose is to compare parturient and midwife satisfaction with the epidural labour analgesia when epidural analgesia is maintained by an epidural bolus pump (automated mandatory boluses with patient controlled boluses without background infusion) or midwife administered on-demand boluses.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Midwife administered boluses | The epidural analgesia is initiated by a manual bolus of the epidural solution (ropivacaine 1 mg/ml fentanyl 2.5 mug/ml) 10 + 10 ml and then continued on-demand by similar boluses until delivery |
| |
| Automated and parturient controlled epidural boluses | The epidural analgesia is initiated by a manual bolus of the epidural solution (ropivacaine 1 mg/ml fentanyl 2.5 mug/ml) 10 + 10 ml and then continued by automated boluses of the same solution (6ml every 40 minutes) with possibility for the parturient to administer 6 ml extra doses with a 20 minute lock-out. Maximum hourly dose 20 ml. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ropivacaine Hydrocloride | Drug | 1 mg/ml |
|
| Measure | Description | Time Frame |
|---|---|---|
| Parturient satisfaction with analgesia | Visual analog scale 0-100 mm (0=dissatisfied; 100=maximum satisfaction) | During use of labour analgesia (up to 6 hours) |
| Measure | Description | Time Frame |
|---|---|---|
| Midwife satisfaction with epidural labour analgesia | Visual analog scale 0-100 mm (0=dissatisfied; 100=maximum satisfaction) | During use of labour analgesia (up to 6 hours) |
| Support person's satisfaction with epidural labour analgesia |
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Inclusion Criteria:
Exclusion Criteria:
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Parturients coming to the delivery hospital (a tertiary delivery hospital with 8000 deliveries per year and 85 % epidural rate) for intended vaginal delivery and requesting epidural analgesia
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Antti J Vaananen, MD PhD | Contact | +358504271850 | antti.vaananen@hus.fi | |
| Riina Jernman, MD PhD | Contact | +358504272584 | riina.jernman@hus.fi |
| Name | Affiliation | Role |
|---|---|---|
| Riina Jernman, MD PhD | Helsinki University Hospital Women's hospital | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| HUS/Women's hospital dept of anaesthesia | Helsinki | 00029 | Finland |
Anonymous data upon reasonable request with accepted study plan from an academic institution can be shared based on case-by-case assessment by the researchers
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| ID | Term |
|---|---|
| D048949 | Labor Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D005283 | Fentanyl |
| ID | Term |
|---|---|
| D010880 | Piperidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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| Fentanyl Citrate | Drug | 2.5 micrograms/ml |
|
Visual analog scale 0-100 mm (0=dissatisfied; 100=maximum satisfaction)
| During use of labour analgesia (up to 6 hours) |