This study aims to explore the effect of intravenous vitamin C infusion on intrapartum fever after epidural labor analgesia, to reduce the impact of intrapartum fever on maternal and infant, improve maternal and infant outcomes, and provide a reference for clinical preventive medication.
Parturients who request pain relief would receive epidural labor analgesia after the obstetrician and anesthesiologist jointly evaluated and approved. The epidural catheter was inserted at the intervertebral space of either L2-3 or L3-4. 5 ml 1.5% chloroprocaine (with 1:200,000 epinephrine) as a test was delivered to parturients via the catheter. Then parturients would be observed for 5 min whether there were adverse reactions and then were given an initial dose of 10 ml ropivacaine 0.08% with sufentanil 0.3 µg/ml. After that, a patient-controlled epidural analgesia (PCEA) pump (240ml 0.08% ropivacaine with sufentanil 0.3 µg/ml) would be attached to the catheter. The pump would be set to administer an 8 ml bolus every 20 minutes and a 2 ml patient-controlled bolus with the same interval. Subsequently, trained nursing staff would take charge of the parturients and inform the obstetrician. The basic condition of parturients was monitored during the whole process. After that, parturients in each group will be administered vitamin C intravenously except the group for placebo-controlled.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
400
Drug Specification: 5ml: 1g. Method: parturients in each group will be intravenously injected with corresponding dose after receiving epidural labor analgesia.
The placebo comparator will receive normal saline with the same volume and be administered after the induction of epidural labor anesthesia.
Third Affiliated Hospital of Zhengzhou University
Zhengzhou, Henan, China
RECRUITINGIntrapartum fever or not
The temperature of parturients ≥ 37.5℃
Time frame: Every two hours after receiving epidural labor analgesia, until baby delivery
The temperature of parturients
After receiving epidural labor analgesia
Time frame: Every two hours after receiving epidural labor analgesia, until baby delivery.
The duration of intrapartum fever
If parturients develop intrapartum fever, record the lasting time of fever.
Time frame: Every two hours after receiving epidural labor analgesia, until baby delivery.
Complete blood count indicators
Record the blood cell indicators for three times totally
Time frame: Take blood test immediately before analgesia, immediately when parturients is developing intrapartum fever and immediately after delivery
Visual analogue scale(VAS)
Record the Visual analogue scale(VAS) of parturients at every time point. The visual analogue scale scores ranged from 0 to 10, with higher scores indicating increased pain levels.
Time frame: Every two hours after receiving epidural labor analgesia, until baby delivery.
Amount of total analgesics
Record the amount of total analgesics
Time frame: immediately After the baby is delivered
Side effects on mothers
Record the incidence of pruritus, vertigo, prosthesis, dyspnea, nausea and vomiting of parturients
Time frame: immediately After the baby is delivered
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the duration of total labor
Delivery characteristics 1
Time frame: immediately After the baby is delivered
Incidence of rupture of membranes
Delivery characteristics 1
Time frame: immediately After the baby is delivered
Delivery characteristics 2
Record the incidence of lateral vaginal incision, postpartum hemorrhage, amniotic fluid contamination.
Time frame: immediately After the baby is delivered
Record the weight of the baby.
Infant characteristics 1
Time frame: immediately After the baby is delivered
Record the gender of the baby.
Infant characteristics 2
Time frame: immediately After the baby is delivered
Apgar score
Record the 1min, 5min Apgar score of the baby.
Time frame: immediately After the baby is delivered
the incidence of fetal distress
Infant characteristics 4
Time frame: immediately After the baby is delivered
Record the infant ward administration.
Infant characteristics 4
Time frame: immediately After the baby is delivered