Comparing higher and lower lumbar epidural catheter placement during labor
Higher vs Lower Lumber Epidural Catheter Insertion During Labour: A Randomised Trial to Compare Efficacy.
This study is testing whether placing an epidural catheter higher or lower in the back during labor gives better pain relief and satisfaction for pregnant women.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 162 (estimated) |
| Sex | Female |
| Sponsor | The Rotunda Hospital Academic / other |
| Locations | 1 site (Dublin, Dublin) |
| Trial ID | NCT06850636 on ClinicalTrials.gov |
What this trial studies
This study randomizes pregnant women who choose epidural analgesia during labor to receive the catheter at either a higher or lower lumbar level. The aim is to assess the efficacy of pain relief and maternal satisfaction associated with each placement method. By evaluating outcomes such as the success or failure of the epidural catheter, the study seeks to determine which approach provides better analgesia during labor. This prospective randomized design builds on previous findings regarding epidural analgesia techniques.
Who should consider this trial
Good fit: Ideal candidates for this study are pregnant women who elect to have epidural analgesia during labor.
Not a fit: Patients with known contraindications to epidural analgesia, such as neurological illnesses or multiple gestations, may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could enhance pain management strategies for women in labor, leading to improved maternal satisfaction and comfort.
How similar studies have performed: Previous studies have shown varying success with different epidural placement techniques, indicating that this approach is building on established findings rather than being entirely novel.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: Women electing to have epidural analgesia in labour Exclusion Criteria: Known contraindication to epidural analgesia. Neurological illness Multiple gestation Fetal abnormalities In distress or requiring immediate epidural catheter placement
Where this trial is running
Dublin, Dublin
- The Rotunda Hospital, Dublin — Dublin, Dublin, Ireland (Recruiting)
Study contacts
- Study coordinator: Thomas Drew, FCAI
- Email: tdrew@rotunda.ie
- Phone: 018171753
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.