Impact of Patient Choice for Epidural Potency on Maternal Satisfaction
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: Patient-selected epidural management, Standard epidural management.
- Who it may be relevant to
- Registry conditions: Epidural Analgesia, Obstetric, Maternal Satisfaction. Basic parameters: 18 years — 50 years · Female.
- 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
- United States
- 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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Overview
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.
Interventions
- Procedure Patient-selected epidural management
Choice of epidural regimen - Procedure Standard epidural management
Hospital's usual epidural regimen
Primary outcome measures
- Maternal satisfaction with epidural analgesia [Time frame: 24 hours after delivery]
Secondary outcome measures (2)
- Concordance among four maternal satisfaction instruments [Time frame: 24 hours after delivery]
- Concordance among intrapartum pain measurement methods [Time frame: During labor, every one hour from epidural insertion until delivery]
Eligibility criteria
Inclusion criteria
- Planned vaginal delivery
- Patient requesting epidural labor analgesia
- Gestational age >34 weeks
Exclusion criteria
- 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
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Triple blind
- Primary purpose
- Treatment
Study locations
United States · 1 center
- Lucile Packard Children's Hospital — Palo Alto
Identifiers
NCT: NCT07414407 · IRB-84223