Sleep Efficiency and Quantification After Labor Epidural Analgesia

Study Overview
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Brief Summary
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The specific aim is to attempt to quantify the amount and efficiency of sleep that parturients receive after placement of labor epidural analgesia.

Detailed Description
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The hypothesis is that the placement of labor epidural analgesia results in improved sleep efficiency and increased amount of sleep for parturients during their labor process as measured by an actigraph. An actigraph is a watch that monitors movement and allows for non-invasive determination of sleep-wake cycles. For this study, the Actiwatch 2 will be used due to departmental availability. For this study, 36 parturients will be enrolled that are coming in for induction of labor at term gestational age, regardless of whether they think they will desire epidural analgesia or not . These parturients will wear the Actiwatch from the beginning of induction of their labor until the delivery of their baby. Participants will be instructed to press a button on the watch to record the start and end times of when they are trying to sleep. The data will then be analyzed to determine the amount of time that participants were able to sleep after placement of an epidural catheter as well as their sleep efficiency, defined as the percentage of time spent sleeping during the time in which sleep is attempted.

Official Title
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Sleep Efficiency and Quantification After Labor Epidural Analgesia

Conditions
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Pregnancy

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Parturients admitted for induction of labor Term pregnancy (>37 weeks gestational age) Exclusion Criteria: Preterm pregnancy (< 37 weeks gestational age) Parturients not willing or not able to give informed consent Patients receiving magnesium treatment will be excluded.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Term pregnancy (>37 weeks gestation)<br>Term pregnancy (>37 weeks gestation) | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| amount of sleep as measured by actiwatch device in hours of sleep | Amount of sleep that parturients receive after placement of labor epidural analgesia. | after placement of epidural analgesia until delivery | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| efficacy of sleep, automatically derived from the actiwatch device as restlessness during sleep | Sleep efficiency is defined as the percentage of time spent sleeping during the time in which sleep is attempted. | after placement of epidural analgesia until delivery | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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pregnancy