A labor guide to increase empowerment and agency during planned inductions
PEAICE: Patient Empowerment and Agency Through Intrapartum Counseling and Education: a Randomized Controlled Study
This trial will test whether giving first-time pregnant people an evidence-based labor guide at admission for a scheduled induction helps them feel more in control during labor.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 204 (estimated) |
| Ages | 18 Years to 50 Years |
| Sex | Female |
| Sponsor | Oregon Health and Science University Academic / other |
| Locations | 1 site (Portland, Oregon) |
| Trial ID | NCT06787521 on ClinicalTrials.gov |
What this trial studies
This single-blind randomized controlled trial assigns nulliparous people admitted for scheduled induction at OHSU to receive either an evidence-based labor guide at admission or standard in-person counseling about labor interventions. After delivery, participants will complete a survey about their perceived control and overall labor experience. Study staff will perform chart review to collect data on obstetric interventions, maternal outcomes, and neonatal outcomes. The trial will compare perceived control scores and intervention rates between the two groups.
Who should consider this trial
Good fit: Ideal candidates are English-speaking, nulliparous people with a singleton pregnancy at 36 weeks or later who are admitted to OHSU for a scheduled induction and can provide consent.
Not a fit: People with multiple gestation, major fetal anomalies, fetal demise, those undergoing termination, minors, decisionally-impaired adults, or non-English speakers are not eligible and would not benefit from this intervention.
Why it matters
Potential benefit: If successful, the guide could help first-time birthing people feel more informed and in control during labor, potentially reducing unnecessary interventions and improving satisfaction.
How similar studies have performed: Prior work on decision aids and labor education has shown mixed but sometimes positive effects on perceived control and satisfaction, though providing a written evidence-based guide at admission is relatively under-studied.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Nulliparous * Singleton pregnancy * English-speaking * Undergoing induction of labor for a medical or elective indication * Reached at least 36 weeks 0 days gestation * Willing and able to sign a consent form * Delivering at OHSU Exclusion Criteria: * Undergoing induction termination * Fetal complications such as multiple gestation, major fetal anomalies, fetal demise * Decisionally-impaired adults * Minors
Where this trial is running
Portland, Oregon
- Oregon Health and Science University — Portland, Oregon, United States (Recruiting)
Study contacts
- Principal investigator: Fei Cai, MD — Oregon Health and Science University
- Study coordinator: Women's Health Research Unit Department of Ob/Gyn
- Email: whru@ohsu.edu
- Phone: 503-494-3666
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.