Can a smarter epidural pump reduce leg weakness during labor?

NCT ID NCT04011150

First seen Aug 14, 2026 ยท Last updated Aug 14, 2026

Summary

This trial tests a new epidural pump method for women in labor. The method, called variable volume automated mandatory boluses, delivers pain medication in a way that may spread the drug more evenly, potentially reducing leg weakness while still controlling pain. The study includes healthy first-time mothers at term with a single baby, who request an epidural. Researchers will compare this new method to standard care, looking at how often motor block occurs and whether it affects the need for assisted delivery.

What this could mean

Our plain-language read of the trial. This is informational only โ€” not medical advice or a prediction.

Active substance
An epidural infusion pump delivering a combination of ropivacaine (a local anesthetic) and fentanyl (an opioid) into the space around the spinal cord.
What this could lead to
If successful, this could lead to a more personalized epidural technique that reduces leg weakness during labor and lowers the chance of needing forceps or vacuum delivery.
What could go wrong
This is a single-hospital trial, and results may not apply to all settings. The new pump method might not reduce motor block or could have unforeseen effects on pain relief or delivery outcomes.

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Conditions

The condition(s) this trial relates to.

Breakthrough Pain Labor Pain

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • KK Women's and Children's Hospital

    Singapore, 229899, Singapore

More trials for these conditions

Other studies related to the condition(s) this trial covers.