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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:
Participants (anesthesiologists) will be reviewed according to the time from when the midwife asks for EDA to anesthesiologist register that it was in place
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Male anesthesiologist | The anesthesiologist gender defined by first name |
| |
| Female anesthesiologist | The anesthesiologist gender defined by first name |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Epidural anesthesia | Procedure | Regional anesthesia for labor pain |
|
| Measure | Description | Time Frame |
|---|---|---|
| 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 |
| Measure | Description | Time Frame |
|---|---|---|
| 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 |
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Inclusion Criteria:
Exclusion Criteria:
Gender defined by first name
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All anesthesiologist applying epidurals for labor pain during study time frame
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Karl-Johan Lundström, MD, Ph.D | Contact | +4663153000 | karl-johan.lundstrom@umu.se | |
| Karl-Johan Lundström, MD, Ph.D | Contact | karl_johan@hotmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Karl-Johan Lundström, MD,Ph.D | Umeå University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centralsjukhuset Kristianstad | Recruiting | Kristianstad | Sweden |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22419342 | Background | 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. | |
| 24494256 | Background | 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. |
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Anonymized data can be obtained where no individual could be identified
After study completion
If appropriate authorities approve of data sharing (Ethical Approval Authority and Swedish Authority for Privacy Protection) data can be accessed
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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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| ID | Term |
|---|---|
| D000767 | Anesthesia, Epidural |
| ID | Term |
|---|---|
| D000765 | Anesthesia, Conduction |
| D000758 | Anesthesia |
| D000760 | Anesthesia and Analgesia |
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| 31264207 | Background | 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. |
| 6384895 | Result | 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. |