Impact of Labor Pain Relief on Child Development
Official title: Impact of Maternal Neuraxial Labor Analgesia on Offspring Neurodevelopment. A Multicenter, Prospective, Longitudinal Cohort Study
Run by Peking University First Hospital · NCT04964206 · Data updated 2026-11-12
This study looks at whether using epidurals for pain relief during labor affects how children develop by the time they are two years old.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 35 Years |
| Sex | Women only |
| Enrollment | 4645 (estimated) |
| Sponsor | Peking University First Hospital Academic / other |
| Locations | 2 sites (Beijing, Beijing Municipality and 1 other locations) |
| Status | Recruiting |
| Started | October 14, 2022 |
| Main results expected | December 2026 |
| Study ends | December 2028 |
| Registry record updated | June 9, 2026 |
| Trial ID | NCT04964206 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are first-time mothers aged 18 to 35 with a term single cephalic pregnancy planning for vaginal delivery.
✕Probably not a fit
Patients with a history of psychiatric diseases or contraindications to epidural analgesia or vaginal delivery may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study investigates how maternal exposure to neuraxial labor analgesia, such as epidurals, affects the long-term neurodevelopment of children. It aims to determine if there is a correlation between the use of this pain relief method during labor and the risk of neurodevelopmental delays in offspring at 24 months of age. The study will compare outcomes between mothers who receive neuraxial analgesia and those who do not, while considering various maternal and neonatal health factors.
Why it matters
Potential benefit: If successful, this study could provide insights into the safest pain management options during labor that promote optimal neurodevelopment in children.
How similar studies have gone: While there have been studies on labor analgesia and maternal outcomes, the specific focus on long-term neurodevelopmental effects in offspring remains an area of ongoing investigation.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Primiparae between 18 and 35 years of age with term single cephalic pregnancy; 2. Undergo regular prenatal examination in the study centers; 3. Preparing to deliver vaginally. Exclusion Criteria: 1. History of psychiatric diseases (indicate those that are diagnosed before or during pregnancy by psychiatrists); 2. History of diseases involving the hypothalamic-pituitary-adrenal axis; 3. Presence of contraindications to epidural analgesia, which includes: (1) History of infectious disease of the central nervous system (poliomyelitis, cerebrospinal meningitis, encephalitis, etc.); (2) History of spinal or intra-spinal disease (trauma or surgery of spinal column, intra-spinal canal mass, etc.); (3) Systemic infection (sepsis); (4) Skin or soft tissue infection at the site of epidural puncture; (5) Coagulopathy. 4. Presence of contraindications to vaginal delivery; 5. Other reasons that are considered unsuitable for study participation.
Where it's running
-
Peking University First Hospital
Beijing, Beijing Municipality, China Recruiting -
Shenzhen Maternity and Child Healthcare Hospital
Shenzhen, Guangdong, China Recruiting
Study contacts
- Principal investigator: Dong-Xin Wang, MD,PHD — Peking University First Hospital
- Study coordinator: Dong-Xin Wang, MD,PHD
- Email: wangdongxin@hotmail.com
- Phone: 86-13910731903
Similar studies
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Dural Puncture Epidural (DPE) Technique in Labor Analgesia
This observational study at Ohio State tests whether the DPE method can reliably reveal CSF and improve epidural placement during labor without injecting medication.
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.