A COMPARISON OF EPIDURAL TECHNIQUES FOR LABOUR ANALGESIA – A RANDOMIZED CLINICAL TRIAL

Principal Investigator: Dr. Anton Chau

Primary Contact: Dr. Jonathan Weale, 604-875-2158 loc. 6076

About the study: To alleviate labour pain, anesthesiologists commonly use two techniques to give epidurals: an epidural or a combined spinal epidural (CSE). In most cases, the technique chosen depends on the preference of the anesthesiologist. The epidural is the more commonly used technique because it is slightly simpler to perform and may have fewer side effects than a CSE, which uses spinal medication. However, in this study we will be performing a CSE without injecting spinal medication to compare the different techniques. We are interested to see if the CSE technique without spinal medication will lead to less medication used over the course of labour compared to an epidural.

Why is this research important? The administration of epidural medication can be associated with dose related side effects, such as nausea, itching, shivering, and motor block. By comparing these two commonly used techniques, we are hoping to demonstrate that the CSE technique is associated with a reduction in the total dose of epidural medication administered, and in turn a reduction in the incidence of dose related side effects.

Study status: Recruiting

Who can participate: We are currently and actively recruiting women who fit the following criteria to participate in our study:

  • 19 years or older.
  • Healthy and having a singleton birth (i.e., not twins or more).
  • Considering an epidural for pain relief.

Co-Investigators: Dr. Jonathan Weale, Dr. Vit Gunka, and Ms. Alison Dube.

Patient information form: hyperlink to “Epi-CSE Patient Info V2 document

Consent form: hyperlink to “Epi-CSE Consent form V2 document