Clinical trial NCT02862951: Sleep Efficiency and Quantification After Labor Epidural Analgesia
Official title: Sleep Efficiency and Quantification After Labor Epidural Analgesia
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Pregnancy
Keywords: pregnancy
Lead sponsor: University of Virginia
Sponsor class: OTHER
First posted: 2016-08-11
Enrollment: 36
Sex: FEMALE
Minimum age (years): 18
Maximum age (years): 50
Standard ages: ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Parturients admitted for induction of labor

-Term pregnancy (\>37 weeks gestational age)

Brief summary: 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: 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.

Eligibility criteria: 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.

Primary outcomes:
measure: amount of sleep as measured by actiwatch device in hours of sleep
timeFrame: after placement of epidural analgesia until delivery
Secondary outcomes:
measure: efficacy of sleep, automatically derived from the actiwatch device as restlessness during sleep
timeFrame: after placement of epidural analgesia until delivery
Other outcomes:
Locations:
city: Charlottesville
country: United States
facility: University of Virginia Health System
state: Virginia
Study officials:
affiliation: University of Virginia Dept of Anesthesiology
name: Tiouririne Mohamed, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Skowronski GA. Pain relief in childbirth: changing historical and feminist perspectives. Anaesth Intensive Care. 2015 Jul;43 Suppl:25-8. doi: 10.1177/0310057X150430S106.
citation: Hall WA, Stoll K, Hutton EK, Brown H. A prospective study of effects of psychological factors and sleep on obstetric interventions, mode of birth, and neonatal outcomes among low-risk British Columbian women. BMC Pregnancy Childbirth. 2012 Aug 3;12:78. doi: 10.1186/1471-2393-12-78.
citation: Wangel AM, Molin J, Ostman M, Jernstrom H. Emergency cesarean sections can be predicted by markers for stress, worry and sleep disturbances in first-time mothers. Acta Obstet Gynecol Scand. 2011 Mar;90(3):238-44. doi: 10.1111/j.1600-0412.2010.01056.x. Epub 2011 Feb 3.