Evaluation of the Effect the Medical Team in the Delivery Room Has on Pain Management During Labor.
- Conditions
- Labor Pain
- Interventions
- Behavioral: Routine pain managementBehavioral: No inquiry regarding analgesia
- Registration Number
- NCT03045705
- Lead Sponsor
- Rambam Health Care Campus
- Brief Summary
In the current study the investigators wish to evaluate the effect the doctors and midwives in the delivery room have on the timing and modality of analgesia chosen by the participants. The participants will be randomly divided into 2 groups. Both groups will be advised of the different modalities of analgesia available during labor. One group will be managed in the delivery room the same as if not part of the study, meaning the doctors and midwives will treat the participants the way they usually do regarding analgesia. The second group of participants will not be asked by the doctors and midwives about analgesia at all but will be able to receive analgesia by a modality of choice at the timing of choice.
- Detailed Description
After explaining to the participants the study and having signed a confirmed consent, participants will receive an extensive explanation regarding the different modalities of analgesia available during labor. After the explanations the participants will be randomly divided into 2 groups:
1. Routine management-doctors and midwives will treat the participants the way they usually do regarding analgesia including frequent inquiries about wishes for analgesia.
2. Interventional management-participants will not be asked by the doctors and midwives about analgesia at all during labor but will be able to receive analgesia by a modality of choice at the timing of choice after being advised by the medical team.
After delivery, participants will fill a questionnaire regarding the experience of labor in general and the relevance of analgesia during labor including the effect the medical team may have had on decision making during labor.
Medical information regarding visual analogue scale (VAS), analgesia modality, cervical conditions, parity etc. will be extracted from patients' electronic files.
Recruitment & Eligibility
- Status
- WITHDRAWN
- Sex
- Female
- Target Recruitment
- Not specified
- Women planned for vaginal delivery.
- Women planned for cesarean section.
- Women with comorbidities related to pain that may exacerbate during labor.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Labor+routine pain management Routine pain management Women that will be treated by the medical team in the delivery room as if not part of a study regarding pain management. Labor+experimental pain management No inquiry regarding analgesia Women that will not be asked at all by the medical team in the delivery room regarding analgesia during labor but will be able to receive analgesia at wish at the time of choice.
- Primary Outcome Measures
Name Time Method Visual analogue scale at the time of epidural anesthesia Up to 3 days from admission. Visual analogue scale as reflected by the participant at the time of choice to receive epidural anesthesia.
- Secondary Outcome Measures
Name Time Method Analgesia during labor Up to 3 days from admission. Which modalities of analgesia the participant took during labor
Cervical dilatation at the time of epidural anesthesia Up to 3 days from admission. Cervical dilatation at the time of choice to receive epidural anesthesia.
Visual analogue scale at the time of first medical analgesia Up to 3 days from admission. Visual analogue scale as reflected by the participant at the time of choice to receive the first modality of analgesia.
Trial Locations
- Locations (1)
Rambam health care campus
🇮🇱Haifa, Israel