Management of Indwelling Labor Epidural Catheters and Pain During Cesarean Delivery: a Prospective Single-center Patient-reported Outcome Study
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 200
- 主要终点
- Pain during cesarean delivery
研究概览
简要总结
This is a prospective observational study that will survey patients who had an indwelling labor epidural catheter and subsequently underwent cesarean delivery. We hypothesize that patients who had removal of indwelling labor epidural catheters and had a new neuraxial anesthetic technique attempted will have a lower incidence of self-reported pain during cesarean delivery compared to patients who had top up of their indwelling labor epidural catheters.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 50 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •ages 18-50 years
- •had cesarean delivery at Baylor Scott & White Medical Center from January 1, 2026 through December 31, 2026
- •Fluent in the English language (our catastrophizing survey is validated in English language only)
- •Can provide their own consent
- •Identifies as Black or African American only, Hispanic, or White or Caucasian only
- •had administration of local anesthetic through indwelling labor epidural or removal of indwelling labor epidural followed by single injection spinal or combined spinal epidural
排除标准
- •less than 18 years old, older than 50 years old
- •had cesarean delivery at Baylor Scott & White Medical Center before January 1, 2026 or after December 31, 2026
- •Employee of Baylor Scott & White Health labor and delivery unit
- •Student of a school that performs clinical rotations at Baylor Scott & White Medical Center-Temple
- •Incarcerated at the time of study enrollment
- •Underwent scheduled cesarean hysterectomy
- •Underwent cesarean delivery with general anesthesia as either the primary anesthetic technique or had conversion to general anesthesia because of failure of neuraxial anesthesia
- •Admitted to the intensive care unit immediately following cesarean delivery
- •Did not have intrathecal morphine or intrathecal fentanyl if receiving spinal anesthesia
- •Had anesthesia for an attempted external cephalic version within 24 hours of cesarean delivery
研究组 & 干预措施
Cesarean delivery patients
Patients who had an indwelling labor epidural catheter and subsequently underwent cesarean delivery.
结局指标
主要结局
Pain during cesarean delivery
时间窗: Patients will be asked this question once 24-72 hours after their cesarean delivery.
Patients will answer "yes" or "no" to whether they experienced pain during their cesarean delivery.
次要结局
未报告次要终点