Optimal Epidural Catheter Length for Labor Pain Relief in Non-obese Women
Optimum Length of Catheter in the Epidural Space for Labor Analgesia in Non-obese Women: a Randomised Controlled Trial of 4 Cm Versus 5 Cm
This study tests whether using a 4 cm or 5 cm epidural catheter helps non-obese women have better pain relief during labor.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 200 (estimated) |
| Ages | 18 Years to 50 Years |
| Sex | Female |
| Sponsor | Samuel Lunenfeld Research Institute, Mount Sinai Hospital Academic / other |
| Locations | 1 site (Toronto, Ontario) |
| Trial ID | NCT04946032 on ClinicalTrials.gov |
What this trial studies
This clinical trial investigates the optimal length of epidural catheter to be left in the epidural space for effective labor analgesia in non-obese women. It compares the efficacy of 4 cm versus 5 cm catheter lengths during the second stage of labor, aiming to standardize practices and improve outcomes. The study addresses issues such as catheter dislodgement and misdirection, which can lead to ineffective pain relief. By evaluating these lengths, the trial seeks to enhance the quality of labor analgesia and maternal-fetal outcomes.
Who should consider this trial
Good fit: Ideal candidates for this study are women aged 18 and older, in the established second stage of labor with a cervical dilation of 3-7 cm and a BMI under 40 kg/m2.
Not a fit: Patients who may not benefit from this study include those with contraindications to epidural insertion, high BMI over 40 kg/m2, or those requiring imminent instrumental or operative delivery.
Why it matters
Potential benefit: If successful, this study could lead to improved labor pain management and better outcomes for mothers and their babies.
How similar studies have performed: Previous studies have explored various catheter lengths, but this specific comparison of 4 cm versus 5 cm in non-obese women is novel and has not been extensively tested.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * All women aged 18 years and above. * In established second stage of labor. * 3-7 cm dilation at time of insertion. * Women with BMI \< 40 kg/m2 Exclusion Criteria: * Known contraindication to epidural insertion. * Inability or unwillingness to provide written consent. * Previous difficult epidural insertion. * Previous failed epidural. * Imminent instrumental or operative delivery. * Dural puncture. * Combined spinal epidural analgesia. * High BMI \> 40 kg/m2
Where this trial is running
Toronto, Ontario
- Mount Sinai Hospital — Toronto, Ontario, Canada (Recruiting)
Study contacts
- Principal investigator: Mrinalini Balki, MD — Mount Sinai Hospital
- Study coordinator: Mrinalini Balki, MD
- Email: mrinalini.balki@uhn.ca
- Phone: 416-586-4800
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.