Comparing two epidural techniques for labor pain relief
Official title: Dural Puncture Epidural Vs Standard Epidural Technique in Parturient Receiving Continuous Labour Epidural Infusion: a Randomized Controlled Trial
Run by Aga Khan University · NCT06653036 · Data updated 2026-11-12
This study tests which of two epidural techniques provides better pain relief for women in labor.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | Women only |
| Enrollment | 38 (estimated) |
| Sponsor | Aga Khan University Academic / other |
| Locations | 1 site (Karachi, Sindh) |
| Status | Recruiting |
| Started | November 28, 2024 |
| Main results expected | November 30, 2025 |
| Study ends | December 31, 2025 |
| Registry record updated | January 30, 2025 |
| Trial ID | NCT06653036 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are nulliparous or multiparous women aged over 18 years, with a singleton vertex presentation and gestational age between 37 to 42 weeks, who are in established labor with a pain score of 3 or higher.
✕Probably not a fit
Patients with major cardiac disease, chronic pain, or those on anticoagulants will not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study evaluates the effectiveness and safety of two different epidural techniques—Dural puncture epidural and Standard epidural technique—in providing continuous labor analgesia for women in labor. It aims to assess the quality of pain relief, the frequency of catheter adjustments, the need for catheter replacements, and the incidence of failed regional anesthesia that may require conversion to general anesthesia. The study focuses on parturient women who are experiencing established labor and have a pain score of 3 or higher.
Why it matters
Potential benefit: If successful, this study could improve labor pain management and enhance the overall childbirth experience for women.
How similar studies have gone: Previous studies comparing different epidural techniques have shown varying degrees of success, indicating that this approach is relevant but may still yield novel insights.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Nulliparous / Multiparous women * Age \>18 years * ASA 1 \& 2 * Singleton vertex presentation * Gestational age 37-42 weeks * Parturient with established labor and pain score ≥ 3 Exclusion Criteria: * Major cardiac disease * History of chronic pain * Chronic opioid user * Platelet count \< 70 x 109/L * spinal cord anomalies * Use of anticoagulants * Allergic to local anesthetics * Patients with preeclampsia/ eclampsia * Known fetal anomalies
Where it's running
-
Aga Khan University
Karachi, Sindh, Pakistan Recruiting
Study contacts
- Study coordinator: Samina Ismail, MBBS, FCPS
- Email: samina.ismail@aku.edu
- Phone: +922134864331
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.