Assess the impact of instrumentation and caesarean related to dyskinesia by reducing the concentration of local anesthetic and therefore the motor block.
Prospective, randomized and double-blind study performed on primiparous parturient divided into two distinct groups.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
164
Levobupivacaine 0.1% + Sufentanil 0.2µg/ml
Levobupivacaine 0.07% + Sufentanil 0.3µg/ml
Introduction of a catheter in lumbar epidural space
CHUB
Brussels, Belgium
Time between peridural application and childbirth
This will be used to assess labor.
Time frame: at delivery
Caesarian
This will be used to assess labor. Was a caesarian necessary (yes-no) ?
Time frame: at delivery
Instrumentalisation
This will be used to assess labor. Was an instrumentalisation (defined as the use of forceps or suction cups) necessary at delivery (yes-no) ?
Time frame: at delivery
Apgar score of the baby
Evaluation of the baby, using the Apgar score. This will be used to assess labor.
Time frame: at delivery
Bromage score
Modified Bromage score (Breen et al) \>5 and ability to stand on one leg alternatively. This will be used to assess perambulation (motricity).
Time frame: 1h after the start of the peridural
Romberg test
Romberg test during 20-30 seconds. This will be used to assess perambulation (proprioception).
Time frame: 1h after the start of the peridural
Arterial tension
Absence of orthostatic hypotension (i-e less than 20% of the usual arterial tension of the patient).
Time frame: 1h after the start of the peridural
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