Patient Empowerment and Agency Through Intrapartum Counseling and Education

PEAICE: Patient Empowerment and Agency Through Intrapartum Counseling and Education: a Randomized Controlled Study

A single-blind randomized controlled trial to study the effects of a labor guide on perceived control in labor. The experimental arm will receive an evidence-based labor guide at the time of admission for scheduled induction of labor. The control arm will receive the standard of care in-person counseling regarding options for labor interventions

Participants will be randomized to receive an evidence-based labor guide at the time of admission for scheduled induction of labor, or the standard of care. Following delivery, patients will be surveyed about their labor experience. Chart review will be done to collect data on obstetric interventions and outcomes and neonatal outcomes.

Inclusion Criteria:

• Nulliparous
• Singleton pregnancy
• English-speaking
• Undergoing induction of labor for a medical or elective indication
• Reached at least 36 weeks 0 days gestation
• Willing and able to sign a consent form
• Delivering at OHSU

Exclusion Criteria:

• Undergoing induction termination
• Fetal complications such as multiple gestation, major fetal anomalies, fetal demise
• Decisionally-impaired adults
• Minors