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The specific aim is to attempt to quantify the amount and efficiency of sleep that parturients receive after placement of labor epidural analgesia.
The hypothesis is that the placement of labor epidural analgesia results in improved sleep efficiency and increased amount of sleep for parturients during their labor process as measured by an actigraph. An actigraph is a watch that monitors movement and allows for non-invasive determination of sleep-wake cycles. For this study, the Actiwatch 2 will be used due to departmental availability. For this study, 36 parturients will be enrolled that are coming in for induction of labor at term gestational age, regardless of whether they think they will desire epidural analgesia or not . These parturients will wear the Actiwatch from the beginning of induction of their labor until the delivery of their baby. Participants will be instructed to press a button on the watch to record the start and end times of when they are trying to sleep. The data will then be analyzed to determine the amount of time that participants were able to sleep after placement of an epidural catheter as well as their sleep efficiency, defined as the percentage of time spent sleeping during the time in which sleep is attempted.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Term pregnancy (>37 weeks gestation) | Term pregnancy (>37 weeks gestation) |
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| Measure | Description | Time Frame |
|---|---|---|
| amount of sleep as measured by actiwatch device in hours of sleep | Amount of sleep that parturients receive after placement of labor epidural analgesia. | after placement of epidural analgesia until delivery |
| Measure | Description | Time Frame |
|---|---|---|
| efficacy of sleep, automatically derived from the actiwatch device as restlessness during sleep | Sleep efficiency is defined as the percentage of time spent sleeping during the time in which sleep is attempted. | after placement of epidural analgesia until delivery |
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Inclusion Criteria:
Exclusion Criteria:
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Parturients admitted for induction of labor
-Term pregnancy (>37 weeks gestational age)
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| Name | Affiliation | Role |
|---|---|---|
| Tiouririne Mohamed, MD | University of Virginia Dept of Anesthesiology | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Virginia Health System | Charlottesville | Virginia | 22908 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26126073 | Background | Skowronski GA. Pain relief in childbirth: changing historical and feminist perspectives. Anaesth Intensive Care. 2015 Jul;43 Suppl:25-8. doi: 10.1177/0310057X150430S106. | |
| 22862846 | Background | Hall WA, Stoll K, Hutton EK, Brown H. A prospective study of effects of psychological factors and sleep on obstetric interventions, mode of birth, and neonatal outcomes among low-risk British Columbian women. BMC Pregnancy Childbirth. 2012 Aug 3;12:78. doi: 10.1186/1471-2393-12-78. |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | May 18, 2022 | |
| Reset | Feb 21, 2023 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| May 18, 2022 | Feb 21, 2023 |
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| 21306317 | Background | Wangel AM, Molin J, Ostman M, Jernstrom H. Emergency cesarean sections can be predicted by markers for stress, worry and sleep disturbances in first-time mothers. Acta Obstet Gynecol Scand. 2011 Mar;90(3):238-44. doi: 10.1111/j.1600-0412.2010.01056.x. Epub 2011 Feb 3. |