Impact of Patient Choice for Epidural Potency on Maternal Satisfaction
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 150
- 试验地点
- 1
- 主要终点
- Maternal satisfaction with epidural analgesia
研究概览
简要总结
This clinical trial will compare two different approaches to epidural analgesia during labor to see which approach leads to higher patient satisfaction after delivery.
Primary aim: determine whether one approach produces greater postpartum maternal satisfaction.
Secondary aims: compare pain control and side effects.
Participants are people in labor who receive epidural analgesia. They will receive routine clinical epidural care and complete brief, in-hospital questionnaires about pain and satisfaction.
All care is provided by the clinical team and safety practices remain unchanged.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 50 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Planned vaginal delivery
- •Patient requesting epidural labor analgesia
- •Gestational age >34 weeks
排除标准
- •Any contraindication to neuraxial block
- •History of chronic pain, anxiety or depression
- •Intolerance or allergy to local anesthetic or opioids
- •Cesarean delivery within 2 hours of epidural initiation
研究组 & 干预措施
Choice
Participants will select a preferred epidural regimen, receive routine epidural care, and complete brief in-hospital questionnaires about pain and overall satisfaction.
干预措施: Patient-selected epidural management (Procedure)
No-choice
Participants will receive routine epidural care, and complete brief in-hospital questionnaires about pain and overall satisfaction.
干预措施: Standard epidural management (Procedure)
结局指标
主要结局
Maternal satisfaction with epidural analgesia
时间窗: 24 hours after delivery
Participant rating of overall satisfaction with pain care on a 5-point Likert scale (Describe your overall satisfaction with your epidural labor pain relief (Likert 1: very dissatisfied; 2: relatively dissatisfied; 3: fair; 4: relatively satisfied; 5: very satisfied)
次要结局
- Concordance among four maternal satisfaction instruments(24 hours after delivery)
- Concordance among intrapartum pain measurement methods(During labor, every one hour from epidural insertion until delivery)
研究者
Brendan Carvalho
Professor of Anesthesiology, Perioperative and Pain Medicine
Stanford University