At a glance
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A Randomized Controlled Trial Comparing Combined Spinal- Epidural Dosing Strategies for External Cephalic Version
In Brief
A clinical study evaluating Group 2.5, Group 5, and 2 other interventions for Pregnancy and Pain. Completed, enrolled 240 participants across 1 site.
Detailed Summary
We plan to conduct a prospective, single blinded, randomized clinical trial to assess the impact of combined spinal-epidural dosing on the success rate of, and patient satisfaction during, external version for breech fetal position and the incidence of vaginal vs. Cesarean delivery. The research aim of this project is to determine the ideal neuraxial dosing strategy to maximize success of external cephalic version (ECV). The research questions, does a combined spinal-epidural (CSE) of a higher dose result in greater success in converting a breech presentation to vertex during external cephalic version (ECV). The hypotheses of this project is that CSE at higher dose will result in greater ECV success than analgesic dosing. The research significance:Increasing the success and comfort of ECV for fetal malpresentation may help decrease the cesarean section rate.
Study Details
Timeline
Interventions
Administration of bupivacaine 2.5 mg.
Administration of 5 mg bupivacaine
Administration of 7.5 mg bupivacaine
Administration of 10mg bupivacaine.