Labor Pain Clinical Trial
Official title:
Pain Management During Labor: Use of Intermittent Drug Delivery Devices for Obstetric and Neonatal Outcome Improvement and Health-care Burden Reduction
The study aims to determine whether the use of automated intermittent devices for labor
analgesia could prevent the increase of instrumental deliveries, with same analgesia.
Moreover it will evaluate if automated devices can allow a reduction of health-care burden.
Epidural analgesia is recognized as the most effective technique to control labor pain,
although its possible adverse events. Continuous epidural administration of local anesthetics
can stabilize the analgesic block and reduce the anesthesiologists' workload but is
associated with an increase in operative vaginal delivery.
Epidural intermittent boluses performed by anesthetist are associated to reduction of
dosages, but they could provide insufficient analgesia and they involve the constant
anesthetist's presence in the operating room.
This is a multicenter randomized controlled trial with two arms, funded by grant of Regione
Emilia Romagna, in which we will compare two different epidural analgesia protocols:
anesthesiologist's supervised versus intermittent boluses with PCEA.
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