Dural Puncture Epidural Versus Combined Spinal Epidural With Epidural Volume Extension in Labor Analgesia
Status:
Recruiting
Trial end date:
2020-07-01
Target enrollment:
Participant gender:
Summary
Labor is the process where the cervix is prepared to allow the baby to pass from the uterine
cavity to the outside world. In the ordinary course, it ends with spontaneous or instrumental
vaginal delivery or cesarean section. Traditionally, the first stage in which the cervix is
passively dilated in response to uterine contractions consists of the second stage in which
the mother passes the baby through the vagina and the third stage, the exit of the placenta.
In the first stage of labor, pain is caused by uterine contractions and pressure on the
cervix. Pain is transmitted through the T10-L2 spinal nerves and is felt in the abdominal
wall, waist, hips, or thighs. In the second stage, pain from the vagina and perineum is added
to uterine pain. This pain is transmitted by the pudendal nerves through the S2-4 nerve
roots.
In this study, we aimed to investigate the effects of dural puncture epidural analgesia
versus combined spinal-epidural analgesia with epidural volume extension on labor variables.