Is There a Relation Between Unilateral Epidural Block and Repeated Epidural Anesthesia?
Status:
Completed
Trial end date:
2018-09-11
Target enrollment:
Participant gender:
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.