Empowering Conversations About Anesthesia for Underserved Minorities
Delivering Empowering Conversations About Obstetric Regional Anesthesia for Underserved Minorities
This study is testing whether sharing information about anesthesia with underserved minority women during labor can help them feel more confident and satisfied with their care compared to white women who only get routine treatment.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 100 (estimated) |
| Ages | 18 Years and up |
| Sex | Female |
| Sponsor | Icahn School of Medicine at Mount Sinai Academic / other |
| Locations | 1 site (New York, New York) |
| Trial ID | NCT05260242 on ClinicalTrials.gov |
What this trial studies
This study aims to address racial and ethnic disparities in obstetric anesthesia care by sharing data with underserved minority groups admitted to the labor and delivery unit. Patients who identify as part of these groups will receive a disparities discussion alongside routine care, while a secondary group of self-identified white participants will receive routine care only. The goal is to reduce mistrust and misconceptions about obstetric anesthesia, improve health literacy, and enhance patient satisfaction through informed decision-making. Participants will complete an 18-point questionnaire to evaluate outcomes and satisfaction within 24 hours postpartum.
Who should consider this trial
Good fit: Ideal candidates include parturient patients aged 18 or older, with a singleton fetus of at least 37 weeks of gestation, presenting in labor and consenting to labor epidural placement.
Not a fit: Patients experiencing severe labor pain, those with coagulopathy or on anticoagulation medications, or those who do not consent to labor epidural placement may not benefit from this study.
Why it matters
Potential benefit: If successful, this approach could lead to improved patient outcomes and satisfaction among underserved minority groups in obstetric care.
How similar studies have performed: While addressing disparities in obstetric anesthesia is a recognized issue, this specific approach of empowering conversations is relatively novel and has not been extensively tested in prior studies.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Parturient patients being admitted to the labor and delivery unit at The Mount Sinai Hospital. * Patients of age 18 or greater with a singleton fetus of at least 37 weeks of gestation that present in spontaneous labor, for induction of labor, or augmentation of labor. * Patients in the first stage of labor and who have consented for placement of a labor epidural. Exclusion Criteria: * Patients who are in severe labor pain following verbal informed consent prohibiting them from participating in the discussion, * Patients who present with a coagulopathy or on anticoagulation medications that exclude them from receiving labor epidural analgesia, * Patients who do not consent to labor epidural placement, or if they are on a mid-wife service. * Patients that are converted to a cesarean delivery following trial of labor
Where this trial is running
New York, New York
- The Mount Sinai Hospital — New York, New York, United States (Recruiting)
Study contacts
- Principal investigator: Samuel DeMaria Jr., MD — Icahn School of Medicine at Mount Sinai
- Study coordinator: Samuel DeMaria Jr, MD
- Email: Samuel.Demariajr@mountsinai.org
- Phone: 212-241-7473
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.