Pain, Pregnancy Related
Conditions
Brief summary
The Agency for Healthcare Research and Quality (AHRQ) defines a disparity as a difference or a gap that exist between two groups, which is both statistically significant, larger than 10%, and indicates poor quality for the minority (non-referent) group. Despite advances in public health initiatives and medicine, disparities in healthcare are persistent. For example, in the United States, maternal mortality ratio has doubled since 1987 to 2009 where African American women were 4 times as likely to die from childbirth. Although there was no observed racial disparity in maternal deaths at University of Alabama Birmingham, there is anecdotal experience that may suggest health disparities do exist on the labor floor when examining neuraxial utilization and effectiveness. This retrospective study will seek to examine the successful extension of labor analgesia for cesarean section as it relates to insurance status.
Interventions
OTHERRetrospective Electronic Medical Record Review
Patients will be assessed retrospectively for evidence of successful or failed epidural extension in the setting of need for cesarean section
Sponsors
University of Alabama at Birmingham
Study design
Observational model
CASE_CONTROL
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Pregnancy * Age \>/= age 18 years
Exclusion criteria
* Women less than age 18 will be excluded.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Successful extension of labor epidural catheter for cesarean section | from the time of admission to the time of delivery | labor epidural activation in the setting of cesarean section |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORPatrick Hussey, MD
University of Alabama at Birmingham
Outcome results
None listed