Gender of Anesthesiologist and Time to Labor Epidural

Labor Pain Clinical Trial

Official title:

The Influence of the Anesthesiologists' Gender on Time Delay for Labor Epidural Anesthesia

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05744570
• Other study ID #: TALW
• Status: Recruiting
• Start date: January 1, 2023
• Est. completion date: September 1, 2023

Study information

• Verified date: February 2023
• Source: Umeå University
• Contact: Karl-Johan Lundström, MD, Ph.D
• Phone: +4663153000
• Email: karl-johan.lundstrom[@]umu.se
• Is FDA regulated: No
• Study type: Observational [Patient Registry]

Clinical Trial Summary

The goal of this retrospective cohort study is to learn about wether the gender of the anesthetist affects time to epidural anesthesia (EDA) for laboring women . The main questions it aims to answer are:

1. Is there a gender difference in time to applying EDA

2. What is the mean waiting for EDA in laboring women in Sweden

Participants (anesthesiologists) will be reviewed according to the time from when the midwife asks for EDA to anesthesiologist register that it was in place

Description:

In certain hospital in Sweden, a module on the most contemporary Obstetric chart system in Sweden allows for registration of time from request of EDA to applied EDA.Time of request is made by the midwife and the Tim of application is registered by the anesthesiologist. Not all hospitals makes these registrations, thus only (i)hospitals having this module and (ii) hospitals willing to participate will be included.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 1200
• Est. completion date: September 1, 2023
• Est. primary completion date: June 1, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Registered maternal request of epidural/spinal anesthesia anesthesia

Exclusion Criteria:

• Not possible to determine gender by first name or by personal knowledge at participating site

• Duplicates

• Misregistered time-points of EDA

• Not receiving EDA (even if the initial intention was to apply EDA)

• Uncertain which anesthesiologist that registered the time-point (more than one anesthesiologist involved in documentation or application)

• None/ambiguous documentation of time-points

Related Conditions & MeSH terms

• Labor Pain

Intervention

Procedure:
• Epidural anesthesia
Regional anesthesia for labor pain

Locations

Country	Name	City	State
Sweden	Centralsjukhuset Kristianstad	Kristianstad

Sponsors (1)

Lead Sponsor	Collaborator
Umeå University

Country where clinical trial is conducted

Sweden, 

References & Publications (4)

Barker HM, Simmons SW, Hiscock RJ, Cyna AM, McDonald S. Time to get comfortable with a labour epidural. Anaesth Intensive Care. 2014 Jan;42(1):73-7. doi: 10.1177/0310057X1404200113. — View Citation

Jones L, Othman M, Dowswell T, Alfirevic Z, Gates S, Newburn M, Jordan S, Lavender T, Neilson JP. Pain management for women in labour: an overview of systematic reviews. Cochrane Database Syst Rev. 2012 Mar 14;2012(3):CD009234. doi: 10.1002/14651858.CD009234.pub2. — View Citation

Melzack R. The myth of painless childbirth (the John J. Bonica lecture). Pain. 1984 Aug;19(4):321-337. doi: 10.1016/0304-3959(84)90079-4. No abstract available. — View Citation

Yurashevich M, Carvalho B, Butwick AJ, Ando K, Flood PD. Determinants of women's dissatisfaction with anaesthesia care in labour and delivery. Anaesthesia. 2019 Sep;74(9):1112-1120. doi: 10.1111/anae.14756. Epub 2019 Jul 1. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Time from request of epidural anesthesia to anesthesiologist arrival to labor department	The waiting time from midwife request of epidural anesthesia to anesthesiologist arrival	1minute -24 hours
Secondary	Time from request to application of epidural anesthesia	The waiting time from midwife request of epidural anesthesia to anesthesiologist application of epidural anesthesia	1minute-24 hours