Labor Pain
Conditions
Brief summary
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.
Detailed description
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: 1. Routine management-doctors and midwives will treat the participants the way they usually do regarding analgesia including frequent inquiries about wishes for analgesia. 2. Interventional management-participants will not be asked by the doctors and midwives about analgesia at all during labor but will be able to receive analgesia by a modality of choice at the timing of choice after being advised by the medical team. 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.
Interventions
BEHAVIORALRoutine pain management
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.
BEHAVIORALNo inquiry regarding analgesia
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.
Sponsors
Rambam Health Care Campus
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 44 Years
Healthy volunteers
No
Inclusion criteria
* Women planned for vaginal delivery.
Exclusion criteria
* Women planned for cesarean section. * Women with comorbidities related to pain that may exacerbate during labor.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual analogue scale at the time of epidural anesthesia | Up to 3 days from admission. | Visual analogue scale as reflected by the participant at the time of choice to receive epidural anesthesia. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Visual analogue scale at the time of first medical analgesia | Up to 3 days from admission. | Visual analogue scale as reflected by the participant at the time of choice to receive the first modality of analgesia. |
| Analgesia during labor | Up to 3 days from admission. | Which modalities of analgesia the participant took during labor |
| Cervical dilatation at the time of epidural anesthesia | Up to 3 days from admission. | Cervical dilatation at the time of choice to receive epidural anesthesia. |
Countries
Israel
Outcome results
None listed