Clinical trial NCT05744570: Gender of Anesthesiologist and Time to Labor Epidural
Official title: The Influence of the Anesthesiologists' Gender on Time Delay for Labor Epidural Anesthesia
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Labor Pain
Keywords: labor pain
epidural anesthesia
time delay
Lead sponsor: Umeå University
Sponsor class: OTHER
First posted: 2023-02-27
Enrollment: 1200
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: All anesthesiologist applying epidurals for labor pain during study time frame

Brief summary: The goal of this retrospective cohort study is to learn about wether the gender of the anesthetist affects time to epidural anesthesia (EDA) for laboring women . The main questions it aims to answer are:

1. Is there a gender difference in time to applying EDA
2. What is the mean waiting for EDA in laboring women in Sweden

Participants (anesthesiologists) will be reviewed according to the time from when the midwife asks for EDA to anesthesiologist register that it was in place

Detailed description: In certain hospital in Sweden, a module on the most contemporary Obstetric chart system in Sweden allows for registration of time from request of EDA to applied EDA.Time of request is made by the midwife and the Tim of application is registered by the anesthesiologist. Not all hospitals makes these registrations, thus only (i)hospitals having this module and (ii) hospitals willing to participate will be included.

Eligibility criteria: Inclusion Criteria:

* Registered maternal request of epidural/spinal anesthesia anesthesia

Exclusion Criteria:

* Not possible to determine gender by first name or by personal knowledge at participating site
* Duplicates
* Misregistered time-points of EDA
* Not receiving EDA (even if the initial intention was to apply EDA)
* Uncertain which anesthesiologist that registered the time-point (more than one anesthesiologist involved in documentation or application)
* None/ambiguous documentation of time-points

Primary outcomes:
measure: Time from request of epidural anesthesia to anesthesiologist arrival to labor department
timeFrame: 1minute -24 hours
Secondary outcomes:
measure: Time from request to application of epidural anesthesia
timeFrame: 1minute-24 hours
Other outcomes:
Locations:
city: Kristianstad
country: Sweden
facility: Centralsjukhuset Kristianstad
Study officials:
affiliation: Umeå University
name: Karl-Johan Lundström, MD,Ph.D
role: PRINCIPAL_INVESTIGATOR
References:
citation: Jones L, Othman M, Dowswell T, Alfirevic Z, Gates S, Newburn M, Jordan S, Lavender T, Neilson JP. Pain management for women in labour: an overview of systematic reviews. Cochrane Database Syst Rev. 2012 Mar 14;2012(3):CD009234. doi: 10.1002/14651858.CD009234.pub2.
citation: Barker HM, Simmons SW, Hiscock RJ, Cyna AM, McDonald S. Time to get comfortable with a labour epidural. Anaesth Intensive Care. 2014 Jan;42(1):73-7. doi: 10.1177/0310057X1404200113.
citation: Yurashevich M, Carvalho B, Butwick AJ, Ando K, Flood PD. Determinants of women's dissatisfaction with anaesthesia care in labour and delivery. Anaesthesia. 2019 Sep;74(9):1112-1120. doi: 10.1111/anae.14756. Epub 2019 Jul 1.
citation: Melzack R. The myth of painless childbirth (the John J. Bonica lecture). Pain. 1984 Aug;19(4):321-337. doi: 10.1016/0304-3959(84)90079-4. No abstract available.