One extra injection could make labor pain relief easier and faster
NCT ID NCT07327918
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests whether injecting a small amount of local anesthetic through the epidural needle before inserting the catheter makes placement easier and more successful. Researchers will compare this method to the standard approach in 216 women requesting painless labor. The goal is to see if the injection increases first-attempt success and reduces procedure time.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- local anesthetic (lidocaine or similar)
- What this could lead to
- If it works, this could make epidural placement faster and more reliable for women in labor, reducing discomfort and delays.
- What could go wrong
- This is a single-center trial with 216 participants, so results may not apply to all hospitals. The injection itself carries small risks like allergic reaction or temporary numbness.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
-
About 216 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
-
Jun 2026
An estimate. Start dates often move.
- Expected to finish
-
Feb 2027
An estimate. End dates often move.
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 to 40 years
- Sex
-
Female participants only
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Female patients aged 18-40 years. * ASA physical status II or III. * Singleton pregnancy. * Gestational age ≥37 weeks. * Active labour with cervical dilatation ≥3 cm. * Cephalic presentation. * Requesting epidural analgesia for painless labour. * Ability to provide written informed consent. Exclusion Criteria: * • Refusal to participate or to sign informed consent. * Age \<18 or \>40 years. * ASA status ≥IV. * Allergy to local anesthetics or saline. * Coagulopathy or platelet count \<100,000/mm³. * Local infection at the insertion site. * Severe spinal deformity (scoliosis, kyphosis). * Multiple pregnancy. * Non-cephalic presentation (breech, transverse). * Antepartum hemorrhage or placenta previa. * Severe preeclampsia or eclampsia. * Signs of fetal distress. * Previous lumbar spine surgery. * Difficult epidural anatomy (on ultrasound or palpation). * BMI \>40 kg/m²
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Labour analgesia are added.
By submitting, you agree to our Terms of use
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
-
The places running it
1 site. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
-
Al-Azhar University
Cairo, Egypt, 11865, Egypt
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- AI could personalize epidurals for safer labour pain relief
- Which epidural method works best for labour pain? new study aims to find out
- Website aims to ease labour pain decisions
- New study asks: What's it like to give birth with remifentanil?
- New spinal cocktail aims to ease labor pain
- Water vs. drug: which eases labor back pain better?