Health Disparities on the Labor Floor

NCT ID: NCT04633824

Last Updated: 2025-04-24

Basic Information

• Recruitment Status: ACTIVE_NOT_RECRUITING
• Total Enrollment: 2500 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2021-02-01
• Study Completion Date: 2026-06-01

Brief Summary

The Agency for Healthcare Research and Quality (AHRQ) defines a disparity as a difference or a gap that exist between two groups, which is both statistically significant, larger than 10%, and indicates poor quality for the minority (non-referent) group. Despite advances in public health initiatives and medicine, disparities in healthcare are persistent. For example, in the United States, maternal mortality ratio has doubled since 1987 to 2009 where African American women were 4 times as likely to die from childbirth. Although there was no observed racial disparity in maternal deaths at University of Alabama Birmingham, there is anecdotal experience that may suggest health disparities do exist on the labor floor when examining neuraxial utilization and effectiveness. This retrospective study will seek to examine the successful extension of labor analgesia for cesarean section as it relates to insurance status.

Conditions

Pain; Pregnancy Related

Study Design

• Observational Model Type: CASE_CONTROL
• Study Time Perspective: RETROSPECTIVE

Study Groups

Patients with private insurance

Retrospective Electronic Medical Record Review

Intervention Type: OTHER

Patients will be assessed retrospectively for evidence of successful or failed epidural extension in the setting of need for cesarean section

Patients with public/self-payer insurance

Retrospective Electronic Medical Record Review

Intervention Type: OTHER

Patients will be assessed retrospectively for evidence of successful or failed epidural extension in the setting of need for cesarean section

Interventions

Retrospective Electronic Medical Record Review

Patients will be assessed retrospectively for evidence of successful or failed epidural extension in the setting of need for cesarean section

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Pregnancy
• Age >/= age 18 years

Exclusion Criteria

• Women less than age 18 will be excluded.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: No

Sponsors

University of Alabama at Birmingham

OTHER

Sponsor Role: lead

Responsible Party

Patrick T Hussey

Principal Investigator, Assistant Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Patrick Hussey, MD

Role: PRINCIPAL_INVESTIGATOR

University of Alabama at Birmingham

Locations

University of Alabama at Birmingham

Birmingham, Alabama, United States

Countries

United States

Other Identifiers

UAB

Identifier Type: OTHER

Identifier Source: secondary_id

IRB-300006294

Identifier Type: -

Identifier Source: org_study_id