Comparing Effectiveness of CSE Versus DPE for Labor Analgesia
Labor Pain
About this trial
This is an interventional treatment trial for Labor Pain focused on measuring labor analgesia, neuraxial technique, combined spinal epidural, dural puncture epidural
Eligibility Criteria
Inclusion Criteria:
- Ages 18-45, singleton, vertex fetuses at 37-41 weeks' gestation, nulliparous and multiparous women, cervical dilation of 2-7cm, pain score > 4, and English-speaking ability
Exclusion Criteria:
- Women with major cardiac disease, chronic pain, chronic opioid use
Sites / Locations
- Duke University HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
Combined Spinal Epidural
Dural Puncture Epidural
10 mcg of preservative-free fentanyl and 2 mg of preservative-free isobaric 0.25% bupivacaine will be administered into the intrathecal space to initiate analgesia. Labor analgesia will be maintained by programmed intermittent bolus with patient-controlled epidural analgesia (PCEA) as per standard of care.
A 25-G Whitacre needle will be used to puncture the dura. An initiation dose of 20 mL of ropivacaine 0.1% with fentanyl (2 mcg/mL) will be administered. Labor analgesia will be maintained by programmed intermittent bolus with patient-controlled epidural analgesia (PCEA) as per standard of care.