Using ultrasound to predict difficult epidural placement during labor
Official title: Prospective Observational Study: Ultrasound Predictors of Difficulty in Performing Epidural Anesthesia for Labor in Pregnant Patients.
Run by University of Padova · NCT07056166 · Data updated 2026-11-12
This tests whether a quick ultrasound of the lower back can help predict when placing an epidural will be difficult for women in labor.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | Women only |
| Enrollment | 563 (estimated) |
| Sponsor | University of Padova Academic / other |
| Locations | 1 site (Padua) |
| Status | Recruiting |
| Started | August 13, 2025 |
| Main results expected | July 2027 |
| Study ends | July 2027 |
| Registry record updated | September 18, 2025 |
| Trial ID | NCT07056166 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Pregnant women aged 18 years or older who request an epidural for labor analgesia at the enrolling hospital and provide consent are ideal candidates.
✕Probably not a fit
People who are not planning an epidural, are under 18, or give birth at a different hospital would not benefit from participation in this protocol.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This single-center, prospective observational study at the University Hospital of Padua enrolls pregnant women who request epidural analgesia during labor. Participants receive a brief lumbar ultrasound before the epidural procedure, and clinicians record demographic, anatomical, ultrasound measurement, and procedural data. Investigators will compare ultrasound findings with how easy or difficult the epidural placement was. No experimental treatments are given and all care follows standard clinical practice.
Why it matters
Potential benefit: If successful, this could help clinicians anticipate difficult epidural placements so they can prepare appropriate equipment or expertise and reduce procedure time and complications.
How similar studies have gone: Prior studies have shown that lumbar ultrasound can improve landmark identification and reduce technical failures, so this work builds on encouraging existing evidence rather than being entirely novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
-Inclusion Criteria: Pregnant women aged ≥18 years Candidates for epidural catheter placement for labor analgesia Provided written informed consent Exclusion Criteria: * None
Where it's running
-
University Hospital of Padua
Padua, Italy Recruiting
Study contacts
- Study coordinator: Alessandro De Cassai, Medical Doctor
- Email: alessandro.decassai@aopd.veneto.it
- Phone: +390498213090
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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.