Do Epidurals Placed at a Lower Level Improve Labor Analgesia?
1 other identifier
interventional
100
1 country
1
Brief Summary
The investigators wish to compare the analgesia provided by epidurals placed high in the lumbar spine versus epidurals place low in the lumbar spine.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Sep 2009
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 5, 2009
CompletedFirst Posted
Study publicly available on registry
August 7, 2009
CompletedStudy Start
First participant enrolled
September 1, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2014
CompletedNovember 30, 2012
November 1, 2012
4.3 years
August 5, 2009
November 29, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Number of epidural medication boluses required
30 minutes and 1 hour
Secondary Outcomes (1)
Labour progress
24 hours
Study Arms (2)
Low epidural
ACTIVE COMPARATORepidural placed in the lower lumbar vertebral column
high epidural
EXPERIMENTALhigh epidural
Interventions
Eligibility Criteria
You may qualify if:
- women in active labor
You may not qualify if:
- known contraindications to epidural analgesia
- moderate to severe systemic illness as evidenced by an American Society of Anesthesiologists (ASA) score of 3 or higher.
- known abnormalities of the spinal column
- any neurologic illness
- multiple gestations, fetal abnormalities or fetal presentation other than vertex
- recent history of analgesic usage
- an inability to communicate in English or French
- Body Mass Index greater than 40
- patients in pain requesting an immediate epidural
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Royal Victoria Hospital
Montreal, Quebec, H3A 1A1, Canada
Related Publications (1)
Moore A, Villeneuve V, Bravim B, El-Bahrawy A, El-Mouallem E, Kaufman I, Hatzakorzian R, Li Pi Shan W. The Labor Analgesia Requirements in Nulliparous Women Randomized to Epidural Catheter Placement in a High or Low Intervertebral Space. Anesth Analg. 2017 Dec;125(6):1969-1974. doi: 10.1213/ANE.0000000000002076.
PMID: 28504988DERIVED
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Dr.
Study Record Dates
First Submitted
August 5, 2009
First Posted
August 7, 2009
Study Start
September 1, 2009
Primary Completion
January 1, 2014
Study Completion
January 1, 2014
Last Updated
November 30, 2012
Record last verified: 2012-11