Programmed Intermittent Epidural Bolus Compared With Continuous Infusion in Multiparous Wo
The goal of this randomized controlled trial is to examine the impact of programmed intermittent bolus epidural analgesia technique on the incidence of breakthrough pain during labor in multiparous women compared to continuous epidural infusion. multiparous women will randomly be divided during labor into two groups; s
| Condition(s) | Breakthrough Pain |
|---|---|
| Status | Recruiting |
| Phase | NA |
| Study type | Interventional |
| Summary | The goal of this randomized controlled trial is to examine the impact of programmed intermittent bolus epidural analgesia technique on the incidence of breakthrough pain during labor in multiparous women compared to continuous epidural infusion. multiparous women will randomly be divided during labor into two groups; study group will receive mix of Bupivacaine and fentanyl once (bolus) every 60 minutes; the control group will receive continuously the same dose during an hour, until delivery. |
| Who can participate | Inclusion Criteria: 1. multiparous women 2. Term pregnancy 3. Singleton 4. Vertex presentation 5. Latent phase (cervical dilatation less than 6 cm) 6. Epidural analgesia request 7. Visual Analogue Scale score greater than 40 Exclusion Criteria: 1. Estimated fetal weight greater than 4.0 kg 2. Intra uterine fetal death 3. Drug sensitivity 5\. Anomalous fetus 6. Contraindication for epidural analgesia |
| Sex | Female |
| Accepts healthy volunteers | Yes |
| Lead sponsor | Holy Family Hospital, Nazareth, Israel |
| Locations | Nazareth, Israel |
| Start date | 2024-09-25 |
| NCT ID | NCT06580327 |
| Official listing | https://clinicaltrials.gov/study/NCT06580327 |