Anesthesia Clinical Practice During Labour Neuraxial Analgesia
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: No Interventions..
- Who it may be relevant to
- Registry conditions: Labor Analgesia. Basic parameters: No limits · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Canada
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Anesthesia Clinical Practice During Labour Neuraxial Analgesia: A Prospective Observational Study
Overview
The goal of this observational study is to evaluate the communication between the anesthesiologist and the patient prior the initiation and during the administration of the labor neuraxial analgesia. The investigators hypothesize that there will be differences among anesthesiologists during the informed consent process and communication during the procedure, specifically, how the anesthesiologists describe the technical aspects of the procedure, alternatives, risks, complications, and expected effects of labour neuraxial analgesia. The anesthesiologists will be observed during a routine labor neuraxial analgesia procedure for healthy uncomplicated patients.
Interventions
- Other No Interventions.
No interventions.
Primary outcome measures
- Informed consent [Time frame: From the first contact with the patient before labour neuraxial analgesia until the procedure is finished.]
Secondary outcome measures (5)
- Procedure description [Time frame: During the standard clinical consent process provided to patients prior to the administration of labour neuraxial anesthesia.]
- Additional labour analgesia options [Time frame: During the standard clinical consent process provided to patients prior to the administration of labour neuraxial analgesia.]
- Risks and complications [Time frame: During the standard clinical consent process provided to patients prior to the administration of labour neuraxial analgesia.]
- Anticipated effects [Time frame: During the standard clinical consent process provided to patients prior to the administration of labour neuraxial analgesia.]
- Patient information sheets [Time frame: During the standard clinical consent process provided to patients prior to the administration of labour neuraxial analgesia.]
Eligibility criteria
Inclusion criteria
- all obstetric anesthesiologists working in maternity unit
Exclusion criteria
- any comorbidity of the patient that would necessitate deviation from a routine practice for the initiation of labor neuraxial analgesia
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Observational model
- Cohort
Study locations
Canada · 1 center
- Department of Anesthesia at BC Women's Hospital, University of British Columbia. — Vancouver
Publications
- Yentis SM, Hartle AJ, Barker IR, Barker P, Bogod DG, Clutton-Brock TH, Ruck Keene A, Leifer S, Naughton A, Plunkett E. AAGBI: Consent for anaesthesia 2017: Association of Anaesthetists of Great Britain and Ireland. Anaesthesia. 2017 Jan;72(1):93-105. doi: 10.1111/anae.13762. PMID 27988961
- Tait AR, Teig MK, Voepel-Lewis T. Informed consent for anesthesia: a review of practice and strategies for optimizing the consent process. Can J Anaesth. 2014 Sep;61(9):832-42. doi: 10.1007/s12630-014-0188-8. Epub 2014 Jun 5. PMID 24898765
- Pattee C, Ballantyne M, Milne B. Epidural analgesia for labour and delivery: informed consent issues. Can J Anaesth. 1997 Sep;44(9):918-23. doi: 10.1007/BF03011961. PMID 9305553
- Anim-Somuah M, Smyth RM, Cyna AM, Cuthbert A. Epidural versus non-epidural or no analgesia for pain management in labour. Cochrane Database Syst Rev. 2018 May 21;5(5):CD000331. doi: 10.1002/14651858.CD000331.pub4. PMID 29781504
Identifiers
NCT: NCT07083167 · H24-03381 ACP-LNA