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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03084549
Other study ID # CHD065-16
Secondary ID
Status Completed
Phase Phase 3
First received
Last updated
Start date October 24, 2017
Est. completion date November 4, 2020

Study information

Verified date January 2021
Source Centre Hospitalier Departemental Vendee
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Episiotomy is a common obstetric gesture (20 to 30% of deliveries by the low route). In postpartum, perineal pains associated with episiotomy are common, about 70% on D7 and persistent 13% at 5 months. Most studies of obstetrical analgesia have focussed on pain during labor or following a caesarean section. The perineal pain associated with the realization of an episiotomy has been much less studied and often undervalued. Local ropivacaine has shown its effectiveness in the reduction of postoperative pain in many indications (wall surgery, hemorrhoidectomy, infiltration of trocar scars during laparoscopy). This product has the advantage of being well tolerated, easy access and administration. Three recent studies compared the post-episiotomy analgesic efficacy of local ropivacaine versus lidocaine versus placebo and lidocaine versus no infiltration. Two of these studies showed statistically significant results. However, they focused on the results at 24 and 48 hours and did not evaluate the analgesic efficacy in the medium and long term.


Recruitment information / eligibility

Status Completed
Enrollment 272
Est. completion date November 4, 2020
Est. primary completion date November 4, 2020
Accepts healthy volunteers No
Gender Female
Age group 18 Years and older
Eligibility Inclusion Criteria: - Major Patient (= 18 years) - Term = 37 weeks of amenorrhea - Right medio-lateral episiotomy performed for medical need - Delivery of a single fetus in a cephalic presentation with or without instrumental extraction - Delivery under epidural anesthesia - Patient to be monitored over 6 months of study - Patient in ability to understand protocol - Patient having given consent and signed informed consent - Patient with social coverage Exclusion Criteria: - Hypersensitivity or known allergy to Ropivacaine or to other amide-linked local anesthetics or to any of the excipients - General contraindication specific to local anesthesia, irrespective of the local anesthetic used - Contraindication for Ropivacaine- Obstetric paracervical anesthesia - Hypovolemia - Weight <50 kg - Contra-indication or refusal of the epidural - Poor understanding of the French language - Substance addiction. - Chronic pain syndrome. - Severe hepatic or renal impairment. - Acute porphyria. - Caesarean section programmed. - Tear of the 3rd degree according to the associated French classification. - Refusal to participate in the study - Patient under tutelage, curatorship, or deprived of liberty

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Administration of Ropivacaïne
Administration of Ropivacaïne in the margins of the episiotomy
Administration of placebo
Administration of placebo in the margins of the episiotomy

Locations

Country Name City State
France Centre Hospitalier Departemental Vendee La Roche sur Yon
France Centre Hospitalier Universitaire Nantes Nantes

Sponsors (1)

Lead Sponsor Collaborator
Centre Hospitalier Departemental Vendee

Country where clinical trial is conducted

France, 

Outcome

Type Measure Description Time frame Safety issue
Primary Compare the analgesic efficacy of ropivacaine 75 mg infusion versus placebo (physiological saline) in patients with right mid-lateral episiotomy during postpartum D7 delivery. Digital pain scale 7 days after episiotomy
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