Clinical trial Recruiting at 1 site Interventional Ages 18 and up Women only

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 typeInterventional
Ages18 Years and up
SexWomen only
Enrollment38 (estimated)
SponsorAga Khan University
Academic / other
Locations1 site (Karachi, Sindh)
StatusRecruiting
StartedNovember 28, 2024
Main results expectedNovember 30, 2025
Study endsDecember 31, 2025
Registry record updatedJanuary 30, 2025
Trial IDNCT06653036 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.