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Conversion of Labor Analgesia for Intrapartum Cesarean Delivery: DPE v CSE v Epidural
Sponsor: Mayo Clinic
Summary
As the dural puncture epidural (DPE) is increasing in popularity for labor analgesia, it is important to understand how it impacts outcomes in parturients. Prior studies have found epidural catheters placed via the combined-spinal epidural technique have greater success at surgical conversion for cesarean delivery than catheters placed via traditional techniques. The investigators aim to determine if epidural catheters placed by a DPE technique will also have an increased successful conversion for surgical anesthesia by conducting a retrospective review of all CD during the study period. If an association is found, this could be another benefit of DPE for labor analgesia.
Official title: Conversion of Labor Analgesia for Intrapartum Cesarean Delivery: Dural Puncture Epidural vs Combined Spinal Epidural vs Epidural
Key Details
Gender
FEMALE
Age Range
Any - Any
Study Type
OBSERVATIONAL
Enrollment
1500
Start Date
2017-02-01
Completion Date
2026-07
Last Updated
2025-08-17
Healthy Volunteers
Yes
Conditions
Interventions
Epidural
Traditional epidural catheter placement
Dural Puncture Epidural (DPE) technique
Epidural catheters placed via DPE technique
Combined Spinal-Epidural (CSE) technique
Epidural catheters placed via CSE technique
Locations (2)
Mayo Clinic
Rochester, Minnesota, United States
BC Women's Hospital
Vancouver, British Columbia, Canada