Sleep duration during labour after epidural analgesia at night Pregnancy and Childbirth
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. 18 years old and above 2. Nulliparous (no prior pregnancy >22 weeks) 3. Singleton pregnancy 4. 37 weeks of gestation and above 5. Epidural analgesia sited from 1800H to 0600H 6. Cervical dilatation less than 6 cm 7. Normal fetal heart rate tracing
Exclusion criteria
Exclusion criteria: 1. Need for frequent monitoring 2. Known sleep disorders 3. Major hearing (using hearing aids) or visual impairment (refractive errors acceptable) 4. Gross fetal anomalies 5. Intrauterine fetal death
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Sleep duration measured using actigraphy data assessed after delivery | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Intervention to delivery interval as recorded from the patient’s electronic medical record after delivery 2. Maternal satisfaction with sleep during labour measured using a 0-10 numerical rating scale after delivery 3. Mode of delivery from patient’s electronic medical record after delivery 4. Indication for operative delivery (Caesarean and instrumental vaginal delivery) from patient’s electronic medical record after delivery 5. Perineal condition from patient’s electronic medical record after delivery 6. Estimated delivery blood loss from patient’s electronic medical record after delivery 7. Birth weight from patient’s electronic medical record after delivery 8. Apgar score at 1 and 5 minutes from offspring’s electronic medical record after delivery 9. Umbilical cord artery blood pH and BE from offspring’s electronic medical record after delivery 10. Neonatal admission from offspring’s electronic medical record after delivery 11. Indication for neonatal admission from offspring’s electronic medical record after delivery | — |
Countries
Malaysia