Obstetric Pain Clinical Trial
Official title:
Epidural Dexamethasone for Labor Analgesia: the Effects on Ropivacaine Consumption and Labour Outcome. A Randomized Double Blind Placebo Study
To assess the efficacy of epidural dexamethasone administration, compared to placebo, in reducing local anesthetics consumption during labor epidural analgesia in parturient women
It is hypothesized that reducing the consumption of local anesthetics during labor epidural
analgesia could lower their side effects (rate of motor block, nausea and emesis during
labor, maternal hypotension, maternal fever) and improve the duration of the second part of
the labor, and the new-born adaptation to child-birth and during the first 24 hours. The use
of instruments for assisted vaginal delivery and the needs to perform emergency cesarean
could also be impacted.
The efficacy of the dexamethasone will be assessed by the hourly Ropivacaine consumption
(milligrams/hour) measured from randomization time to the end of epidural analgesia.
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