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In the current study the investigators wish to evaluate the effect the doctors and midwives in the delivery room have on the timing and modality of analgesia chosen by the participants. The participants will be randomly divided into 2 groups. Both groups will be advised of the different modalities of analgesia available during labor. One group will be managed in the delivery room the same as if not part of the study, meaning the doctors and midwives will treat the participants the way they usually do regarding analgesia. The second group of participants will not be asked by the doctors and midwives about analgesia at all but will be able to receive analgesia by a modality of choice at the timing of choice.
After explaining to the participants the study and having signed a confirmed consent, participants will receive an extensive explanation regarding the different modalities of analgesia available during labor. After the explanations the participants will be randomly divided into 2 groups:
After delivery, participants will fill a questionnaire regarding the experience of labor in general and the relevance of analgesia during labor including the effect the medical team may have had on decision making during labor.
Medical information regarding visual analogue scale (VAS), analgesia modality, cervical conditions, parity etc. will be extracted from patients' electronic files.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Labor+routine pain management | Active Comparator | Women that will be treated by the medical team in the delivery room as if not part of a study regarding pain management. |
|
| Labor+experimental pain management | Active Comparator | Women that will not be asked at all by the medical team in the delivery room regarding analgesia during labor but will be able to receive analgesia at wish at the time of choice. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Routine pain management | Behavioral | Women that will be asked according to the routine management regarding pain management during labor, meaning frequent inquiries regarding the woman's wishes to receive analgesia by the medical team. |
| Measure | Description | Time Frame |
|---|---|---|
| Visual analogue scale at the time of epidural anesthesia | Visual analogue scale as reflected by the participant at the time of choice to receive epidural anesthesia. | Up to 3 days from admission. |
| Measure | Description | Time Frame |
|---|---|---|
| Visual analogue scale at the time of first medical analgesia | Visual analogue scale as reflected by the participant at the time of choice to receive the first modality of analgesia. | Up to 3 days from admission. |
| Analgesia during labor |
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Inclusion Criteria:
Exclusion Criteria:
Female
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| Name | Affiliation | Role |
|---|---|---|
| Roy Lauterbach, MD | Rambam Health Care Campus | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rambam health care campus | Haifa | Israel |
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| ID | Term |
|---|---|
| D048949 | Labor Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| No inquiry regarding analgesia | Behavioral | women will not be asked about analgesia during labor by the medical team, but will be able to receive the modality of choice at the time of choice. |
|
Which modalities of analgesia the participant took during labor
| Up to 3 days from admission. |
| Cervical dilatation at the time of epidural anesthesia | Cervical dilatation at the time of choice to receive epidural anesthesia. | Up to 3 days from admission. |