Effect of Epidural Analgesia During Labor on Force of Maternal Push
Labor Pain, Analgesia, Maternal; Procedure
About this trial
This is an interventional health services research trial for Labor Pain
Eligibility Criteria
Inclusion Criteria:
- Adult (18 years and older)
- Pregnant women in their third trimester
- Able to read and speak English
- Capacity to consent to participate
- Receiving a labor epidural catheter during their labor and delivery at HFH-Main
Exclusion Criteria:
- Severe cardiac disease
- People who are unable/medically recommended not to perform valsalva maneuvers
- People who are not undergoing labor epidural analgesia
Sites / Locations
- Henry Ford Hospital
Arms of the Study
Arm 1
Experimental
Epidural Analgesia
All subjects will be given epidural analgesia to treat their labor pain. As part of standard protocol for all patients who receive a labor epidural, the epidural will then be tested using 3ml of 1.5% lidocaine and 1:200,000 epinephrine test solution, and the epidural catheter will then be loaded with 10ml of 0.125% bupivacaine solution. The epidural catheter will then be connected to a programmed intermittent epidural bolus pump which will administer 5ml of a 0.125% bupivacaine/2mcg fentanyl solution every 30minutes. The first dose will be given following 30minutes after the loading dose. 30 minutes after loading the loading dose and after the first pump dose has been given, we will assess the VAS pain scores and the level of the analgesic based on decreased sensation to ice.