Health Disparities on the Labor Floor

Active, not recruiting

• Conditions: Pain; Pregnancy Related
• Interventions: Other: Retrospective Electronic Medical Record Review

• Registration Number: NCT04633824
• Lead Sponsor: University of Alabama at Birmingham

Brief Summary

The Agency for Healthcare Research and Quality (AHRQ) defines a disparity as a difference or a gap that exist between two groups, which is both statistically significant, larger than 10%, and indicates poor quality for the minority (non-referent) group. Despite advances in public health initiatives and medicine, disparities in healthcare are persistent. For example, in the United States, maternal mortality ratio has doubled since 1987 to 2009 where African American women were 4 times as likely to die from childbirth. Although there was no observed racial disparity in maternal deaths at University of Alabama Birmingham, there is anecdotal experience that may suggest health disparities do exist on the labor floor when examining neuraxial utilization and effectiveness. This retrospective study will seek to examine the successful extension of labor analgesia for cesarean section as it relates to insurance status.

Detailed Description

Not available

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study First Submitted: 2020-11-11
• Study First Submitted QC: 2020-11-11
• Study First Posted: 2020-11-18
• Study Start: 2021-02-01
• Status Verified: 2024-11
• Last Update Submitted: 2024-11-14
• Last Update Posted: 2024-11-18
• Primary Completion: 2025-04-01
• Study Completion: 2025-05-01

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: Female
• Target Recruitment: 2500

Inclusion Criteria

• Pregnancy
• Age >/= age 18 years

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Exclusion Criteria

• Women less than age 18 will be excluded.

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Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Patients with private insurance	Retrospective Electronic Medical Record Review	-
Patients with public/self-payer insurance	Retrospective Electronic Medical Record Review	-

Primary Outcome Measures

Name	Time	Method
Successful extension of labor epidural catheter for cesarean section	from the time of admission to the time of delivery	labor epidural activation in the setting of cesarean section

Trial Locations

Locations (1)

University of Alabama at Birmingham; 🇺🇸 Birmingham, Alabama, United States