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CTRI Number  CTRI/2018/09/015751 [Registered on: 18/09/2018] Trial Registered Prospectively
Last Modified On: 29/06/2020
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   HEADING TOWARDS BETTERMENT OF PAINLESS DELIVERY OF PREGNANT WOMEN. 
Scientific Title of Study   Intravenous dexamethasone as an adjunct to epidural labour analgesia with 0.125% ropivacaine in parturients. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Jagdish kumar 
Designation  POST GRADUATE STUDENT IN ANAESTHESIOLOGY 
Affiliation  DR SNMC JODHPUR, RAJASTHAN 
Address  DEPARTMENT OF ANAESTHESIA,
DR SNMC, JODHPUR
Jodhpur
RAJASTHAN
342003
India 
Phone  7792009237  
Fax    
Email  drkumawat2084@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR SHOBHA UJWAL 
Designation  SENIOR PROFESSOR 
Affiliation  DR SNMC, JODHPUR 
Address  DEPARTMENT OF ANAESTHESIA,
DR SNMC, JODHPUR
Jodhpur
RAJASTHAN
342003
India 
Phone  9461028789  
Fax    
Email  drshobhaujwal@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DR SHOBHA UJWAL 
Designation  SENIOR PROFESSOR 
Affiliation  DR SNMC, JODHPUR 
Address  DEPARTMENT OF ANAESTHESIA, DR SNMC, JODHPUR

Jodhpur
RAJASTHAN
342003
India 
Phone    
Fax    
Email  drshobhaujwal@gmail.com  
 
Source of Monetary or Material Support  
DR S.N. MEDICAL COLLEGE JODHPUR, RAJASTHAN 
 
Primary Sponsor  
Name  NA 
Address  NA 
Type of Sponsor  Other [NA] 
 
Details of Secondary Sponsor  
Name  Address 
NA  NA 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 2  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Jagdish kumar  MDM HOSPITAL, JODHPUR  LABOUR ROOM,ZANANA WING MDM HOSPITAL. JODHPUR
Jodhpur
RAJASTHAN 
7792009237

drkumawat2084@gmail.com 
Dr JAGDISH KUMAR  UMAID HOSPITAL  LABOUR ROOM,UMAID HOSPITAL,JODHPUR
Barmer
RAJASTHAN 
7792009237

drkumawat2084@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
dr SNMC ethical committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Healthy Human Volunteers  Parturients asa 2 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Group C- Control(placebo) group  The group C will receive 50 ml of plain normal saline only.  
Intervention  Group D- Dexamethasone group  The test drug will be prepared by adding 8 mg of dexamethasone to normal saline( total volume 50 ml) and this will be given to the patient intravenously over 15 min.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  45.00 Year(s)
Gender  Female 
Details  1.Parturients in established labour with cervical dilation >3cm, with intact or absent membranes and having satisfactory uterine contractions with >50% effacement.
2.Singleton pregnancy with vertex presentation at term,
3.Primigravidaor gravida 2 (previously normal delivered),
4.Age 18 years or above, weight less than 100kg, height 150 cm or more.
 
 
ExclusionCriteria 
Details  1.Patient refusal,
2.Any fetal anomalies,
3.History of coagulation disorders,
4.Any contraindications to epidural anaesthesia,
5.History of allergy to local anaesthetics,
6.Any obstetric complications (e.g., premature rupture of amniotic membranes,PIH),
7.Systemic and local sepsis,
8.Parturients having multiple pregnancies and premature labour,
9.History of peptic ulcer disease,
10.Known case of uncontrolled diabetes mellitus, and patient who had received dexamethasone in last 7 days for fetal lung maturity. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
To evaluate hourly average consumption of neuraxially administered ropivacaine for duration of epidural labour analgesia.  hourly 
 
Secondary Outcome  
Outcome  TimePoints 
1.Pain score(VAS SCORING),
2.Maternal satisfaction,
3.Sensory and motor block characteristics,
4.Hemodynamic parameters of mother,
5.Fetal heart rate(FHR),
6.Duration of second stage of labor,
7.Mode of delivery,
8.Apgar scores at 1 and 5 min, and
9.Adverse effects 
NA 
 
Target Sample Size   Total Sample Size="80"
Sample Size from India="80" 
Final Enrollment numbers achieved (Total)= "80"
Final Enrollment numbers achieved (India)="80" 
Phase of Trial   N/A 
Date of First Enrollment (India)   15/10/2018 
Date of Study Completion (India) 31/03/2019 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="4"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
NONE YET 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary
Modification(s)  
80 PARTURIENTS DEMANDING LABOUR ANALGESIA, WILL BE TAKEN FOR STUDY. THE PARTURIENTS  WILL BE RANDOMIZED INTO TWO GROUPS BY COMPUTER GENERATED RANDOMIZATION METHOD.
GROUP D WILL GET IV DEXAMETHASONE PRIOR TO EPIDURAL ANALGESIA OTHER GROUP IS CONTROLL GROUP,MATERNAL SATISFICATION WILL BE COMPARED.
 
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