Gender of Anesthesiologist and Time to Labor Epidural
Study Details
Study Description
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:
-
Is there a gender difference in time to applying EDA
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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
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
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.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Male anesthesiologist The anesthesiologist gender defined by first name |
Procedure: Epidural anesthesia
Regional anesthesia for labor pain
|
| Female anesthesiologist The anesthesiologist gender defined by first name |
Procedure: Epidural anesthesia
Regional anesthesia for labor pain
|
Outcome Measures
Primary Outcome Measures
- Time from request of epidural anesthesia to anesthesiologist arrival to labor department [1minute -24 hours]
The waiting time from midwife request of epidural anesthesia to anesthesiologist arrival
Secondary Outcome Measures
- Time from request to application of epidural anesthesia [1minute-24 hours]
The waiting time from midwife request of epidural anesthesia to anesthesiologist application of epidural anesthesia
Eligibility Criteria
Criteria
Inclusion Criteria:
- Registered maternal request of epidural/spinal anesthesia anesthesia
Exclusion Criteria:
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Not possible to determine gender by first name or by personal knowledge at participating site
-
Duplicates
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Misregistered time-points of EDA
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Not receiving EDA (even if the initial intention was to apply EDA)
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Uncertain which anesthesiologist that registered the time-point (more than one anesthesiologist involved in documentation or application)
-
None/ambiguous documentation of time-points
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Centralsjukhuset Kristianstad | Kristianstad | Sweden |
Sponsors and Collaborators
- Umeå University
Investigators
- Principal Investigator: Karl-Johan Lundström, MD,Ph.D, Umeå University
Study Documents (Full-Text)
None provided.More Information
Publications
- 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.
- 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.
- 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.
- TALW