Implementation of a Disparities in Labor Outcomes Dashboard
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- University of Pennsylvania
- Enrollment
- 2,300
- Locations
- 1
- Primary Endpoint
- Fidelity to a labor induction protocol recommendation to perform all cervical exams performed in latent labor were performed less than or equal to 4.5 hours apart
Study Overview
Brief Summary
This proposal will determine if a Disparities in Labor Outcomes dashboard can be used as an implementation strategy to increase compliance to an evidence-based set of interventions for labor induction in a two-site difference-in-differences study design.
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Sequential
- Primary Purpose
- Health Services Research
- Masking
- None
Eligibility Criteria
- Sex
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •full term (greater than or equal to 37 weeks gestation)
- •singleton gestations
- •intact membranes
- •undergoing an induction of labor requiring cervical ripening
Exclusion Criteria
- •- prior cesarean
Arms & Interventions
Pre period
Post period
Intervention: Disparities in Labor Outcomes Dashboard (Other)
Outcomes
Primary Outcomes
Fidelity to a labor induction protocol recommendation to perform all cervical exams performed in latent labor were performed less than or equal to 4.5 hours apart
Time Frame: from first cervical exam after admission for labor induction until the patient's cervical exam reaches 6cm dilation
Reported as binary - compliant or noncompliant; Time between cervical exams from first exam at admission for labor induction to reaching 6cm dilation will be calculated. If any time between exams is \>=4.5 hours, the outcome will be considered "non-compliant". If all are \<4.5 hours, the outcome will be "compliant."
Secondary Outcomes
- Cesarean delivery(single time point, at the time of delivery)
- Maternal morbidity(from delivery until 30 days postpartum)
- Time to delivery(as time from start of induction to delivery in hours)