Page last updated: 2024-10-23

bupivacaine and Dystocia

bupivacaine has been researched along with Dystocia in 6 studies

Bupivacaine: A widely used local anesthetic agent.
1-butyl-N-(2,6-dimethylphenyl)piperidine-2-carboxamide : A piperidinecarboxamide obtained by formal condensation of the carboxy group of N-butylpipecolic acid with the amino group of 2,6-dimethylaniline.
bupivacaine : A racemate composed of equimolar amounts of dextrobupivacaine and levobupivacaine. Used (in the form of its hydrochloride hydrate) as a local anaesthetic.

Dystocia: Slow or difficult OBSTETRIC LABOR or CHILDBIRTH.

Research Excerpts

ExcerptRelevanceReference
"To prospectively evaluate if a high rate of epidural analgesia (EDA) with bupivacaine-sufentanil is consistent with a low rate of caesarean section, instrumental deliveries and dystocia and to evaluate maternal and fetal adverse effects of sufentanil."3.71A high rate of epidural analgesia with bupivacaine-sufentanil is consistent with a low rate of caesarean section and instrumental deliveries. ( Hanson, U; Lindeberg, SN; Thorén, T, 2001)
"Dystocia is characterized by abnormal progress of labor and is a common contemporary indication for cesarean delivery in the United States."2.71Local anesthetic requirements are greater in dystocia than in normal labor. ( Panni, MK; Segal, S, 2003)

Research

Studies (6)

TimeframeStudies, this research(%)All Research%
pre-19902 (33.33)18.7374
1990's1 (16.67)18.2507
2000's3 (50.00)29.6817
2010's0 (0.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Panni, MK1
Segal, S1
Halpern, SH1
Muir, H1
Breen, TW1
Campbell, DC1
Barrett, J1
Liston, R1
Blanchard, JW1
Claquin, C1
Lespagnol, M1
Lavigne, F1
Heluin, G1
Frydman, R1
Masliah-Planchon, R1
Nageotte, MP1
Larson, D1
Rumney, PJ1
Sidhu, M1
Hollenbach, K1
Lindeberg, SN1
Thorén, T1
Hanson, U1
Conte, M1
Ruf, H1
Blanc, B1
Rosello, M1
Agher, JP1
Dupont, S1
Adrai, J1
Delpont, PJ1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Impact of Individualized Timing of Analgesia on the Effectiveness of Labor Analgesia: a Randomized Controlled Trial[NCT02920489]200 participants (Actual)Interventional2016-08-31Completed
A Retrospective Case-controlled Study of the Association Between Request to Discontinue Second Stage Labor Epidural Analgesia and Risk of Instrumental Vaginal Delivery[NCT00443560]2,162 participants (Actual)Observational2006-01-31Completed
A Randomized Trial of the Impact of Three Labor Analgesia Techniques on Labor Duration in Spontaneously Laboring Nulliparous Parturients[NCT01982838]129 participants (Actual)Interventional2010-07-31Terminated (stopped due to Low qualified candidate enrollment)
A Randomized Trial of the Impact of Three Labor Analgesia Techniques on Labor Duration in Nulliparous Labor Inductions[NCT01982851]134 participants (Actual)Interventional2010-07-31Terminated (stopped due to low qualified candidate enrollment)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Duration of Labor Analgesia

Time in minutes from initiation of labor analgesia until delivery of the infant (NCT00443560)
Timeframe: Time form initiation of labor analgesia to delivery (up to 24 hours)

Interventionminutes (Median)
Instrumental Vaginal Delivery (IVD)420
Spontaneous Vaginal Delivery (SVD)300

Number of Parturients With a Decrease in the Infusion of Epidural Analgesia During Second Stage of Labor

At the request of the obstetric provider, second stage analgesia density was decreased by decreasing the basal infusion rate if there was dissatisfaction with the progress of labor or a perceived inability to push. The basal infusion was never totally discontinued. (NCT00443560)
Timeframe: Second stage of labor up to 3 hours

Interventionparticipants (Number)
Instrumental Vaginal Delivery (IVD)146
Spontaneous Vaginal Delivery (SVD)51

Number of Participants With Breakthrough Pain in the First Stage of Labor

Pain not responding to epidural analgesia in the first stage of labor was treated with bolus dose of bupivacaine 1.25 mg/mL or lidocaine 10 mg/mL, 10 to 15 mL. If pain relief was obtained the infusion concentration was increased. If the patient had no pain relief following the bolus injection, the epidural catheter was replaced. (NCT00443560)
Timeframe: Supplemental analgesia in first stage of labor (<24 hours)

,
Interventionparticipants (Number)
Supplemental bolusInfusion increaseConcentration increase
Instrumental Vaginal Delivery (IVD)80214932
Spontaneous Vaginal Delivery (SVD)2438719

Trials

3 trials available for bupivacaine and Dystocia

ArticleYear
Local anesthetic requirements are greater in dystocia than in normal labor.
    Anesthesiology, 2003, Volume: 98, Issue:4

    Topics: Adult; Analgesia, Epidural; Analgesia, Obstetrical; Anesthetics, Local; Bupivacaine; Cesarean Sectio

2003
Local anesthetic requirements are greater in dystocia than in normal labor.
    Anesthesiology, 2003, Volume: 98, Issue:4

    Topics: Adult; Analgesia, Epidural; Analgesia, Obstetrical; Anesthetics, Local; Bupivacaine; Cesarean Sectio

2003
Local anesthetic requirements are greater in dystocia than in normal labor.
    Anesthesiology, 2003, Volume: 98, Issue:4

    Topics: Adult; Analgesia, Epidural; Analgesia, Obstetrical; Anesthetics, Local; Bupivacaine; Cesarean Sectio

2003
Local anesthetic requirements are greater in dystocia than in normal labor.
    Anesthesiology, 2003, Volume: 98, Issue:4

    Topics: Adult; Analgesia, Epidural; Analgesia, Obstetrical; Anesthetics, Local; Bupivacaine; Cesarean Sectio

2003
A multicenter randomized controlled trial comparing patient-controlled epidural with intravenous analgesia for pain relief in labor.
    Anesthesia and analgesia, 2004, Volume: 99, Issue:5

    Topics: Adult; Analgesia, Epidural; Analgesia, Obstetrical; Analgesia, Patient-Controlled; Analgesics; Analg

2004
Epidural analgesia compared with combined spinal-epidural analgesia during labor in nulliparous women.
    The New England journal of medicine, 1997, Dec-11, Volume: 337, Issue:24

    Topics: Adult; Analgesia, Epidural; Analgesia, Obstetrical; Analgesics, Opioid; Anesthesia, Spinal; Anesthet

1997
Epidural analgesia compared with combined spinal-epidural analgesia during labor in nulliparous women.
    The New England journal of medicine, 1997, Dec-11, Volume: 337, Issue:24

    Topics: Adult; Analgesia, Epidural; Analgesia, Obstetrical; Analgesics, Opioid; Anesthesia, Spinal; Anesthet

1997
Epidural analgesia compared with combined spinal-epidural analgesia during labor in nulliparous women.
    The New England journal of medicine, 1997, Dec-11, Volume: 337, Issue:24

    Topics: Adult; Analgesia, Epidural; Analgesia, Obstetrical; Analgesics, Opioid; Anesthesia, Spinal; Anesthet

1997
Epidural analgesia compared with combined spinal-epidural analgesia during labor in nulliparous women.
    The New England journal of medicine, 1997, Dec-11, Volume: 337, Issue:24

    Topics: Adult; Analgesia, Epidural; Analgesia, Obstetrical; Analgesics, Opioid; Anesthesia, Spinal; Anesthet

1997

Other Studies

3 other studies available for bupivacaine and Dystocia

ArticleYear
[Peridural analgesia with 0.375 percent bupivacaine in labor with dystocia].
    Cahiers d'anesthesiologie, 1984, Volume: 32, Issue:7

    Topics: Adult; Anesthesia, Epidural; Anesthesia, Obstetrical; Apgar Score; Bupivacaine; Delivery, Obstetric;

1984
A high rate of epidural analgesia with bupivacaine-sufentanil is consistent with a low rate of caesarean section and instrumental deliveries.
    European journal of obstetrics, gynecology, and reproductive biology, 2001, Volume: 98, Issue:2

    Topics: Analgesia, Epidural; Analgesics, Opioid; Bupivacaine; Cesarean Section; Delivery, Obstetric; Dystoci

2001
[The labor test under epidural analgesia. Apropos of 87 cases].
    Revue francaise de gynecologie et d'obstetrique, 1985, Volume: 80, Issue:10

    Topics: Adult; Anesthesia, Epidural; Anesthesia, Obstetrical; Apgar Score; Bupivacaine; Cesarean Section; De

1985