Anxiety, Pain
Conditions
Brief summary
Given the high prevalence of neuraxial analgesia use during labor and the anxiety associated with these procedures, a method to decrease this anxiety could benefit millions of laboring women each year. Mindfulness practice has been used by many groups to decrease anxiety during pregnancy with optimistic results. However, there has been no major study evaluating the role of mindfulness interventions on anxiety associated with neuraxial placement. The purpose of our study is to address this gap in knowledge.
Detailed description
The primary objective of this study is to evaluate the effects of a brief mindful meditation intervention on anxiety and satisfaction regarding epidural catheter placement for laboring parturients.The investigators hypothesize that a brief mindful meditation intervention, consisting of a 10 minute auditory instructional practice, implemented before epidural catheter placement will: 1. Decrease anxiety 2. Increase satisfaction compared to a neutral 10 minute auditory recording control, in participants undergoing labor epidural catheter placement. The secondary objective of this study is to evaluate whether anesthesia providers experience a difference in satisfaction with labor epidural catheter placement in participants who listen to a brief mindful meditation intervention prior to epidural catheter placement. The investigators hypothesize that anesthesia providers placing labor epidural catheters in patients who listen to a brief mindful meditation intervention prior to labor epidural catheter placement will: 1\. Experience an increase in satisfaction with labor epidural catheter placement.
Interventions
OTHER10 minute mindful meditation recording
10 minute mindful meditation recording
Sponsors
Brigham and Women's Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
TRIPLE (Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 45 Years
Healthy volunteers
Yes
Inclusion criteria
* Patients are eligible for enrollment if they are greater than 18 years of age, admitted for vaginal delivery, anticipating epidural analgesia, and report a numerical pain scale rating of 3 or less at the time of enrollment.
Exclusion criteria
* Do not speak English or admitted for cesarean delivery will be excluded from the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Anxiety level after epidural catheter placement | Measure 1 time, 10 minutes after epidural catheter placement | Level of anxiety on a numerical rating scale |
| Pain level after epidural catheter placement | Measure 1 time, 10 minutes after epidural catheter placement | Level of pain on a numerical rating scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Provider satisfaction level after epidural catheter placement | Measure 1 time, 10 minutes after epidural catheter placement | Anesthesia provider placing the epidural catheter satisfaction with placement conditions on a numerical rating scale |
Countries
United States
Outcome results
None listed