Is There a Relation Between Unilateral Epidural Block and Repeated Epidural Anesthesia?

• Status: Completed
• Trial end date: 2018-09-11
• Target enrollment: 0
• Participant gender: Female

Summary

epidural block is today the most common method of pain relief during labor. With increased use of epidural analgesia, many women are found in the second or third pregnancy and require repeated epidural analgesia. But there was a higher incidence of unilateral blockade among women receiving their repeated epidural which causes patient unsatisfaction.

Objectives: Examination of the performance and outcome of women receiving their first versus repeated epidural block.

Patients and methods: The study included 140 American Society of Anesthesiologists (ASA) Physical Status II patients (age range 20 to 40 years) and scheduled for normal vaginal delivery. The patients were divided randomly into two equal groups. Group (A) in which 70 women primipara subjected to their first epidural block while group (B) in which 70 women multipara subjected to their repeated epidural block. For each patient, the following data were collected: demographic data, details of labor (gestation, cervical dilatation), visual analogue scale (VAS) before the epidural and 30 minutes after injection of local anesthetic and incidence of unilateral block.

• Phase: Phase 4
• Accepts Healthy Volunteers?: Accepts Healthy Volunteers

Details

• Lead Sponsor: Ain Shams University
• Treatments: Bupivacaine

Criteria

Inclusion Criteria:

• healthy ASA II female patients,

• 20-40 years of age,

• scheduled for normal vaginal delivery.

• Exclusion Criteria:

• - Any physical reason for difficult epidural performance e.g.: morbid obesity, or scoliosis,

• Severe hypertension,

• Congestive heart failure,

• Coagulopathy,

• Significant hepatic or renal disease,

• Or withdrawal of consent.