Health TrialsbyHealthPanel

Implementation of a Disparities in Labor Outcomes Dashboard

ConditionsLabor InductionCesarean Birth
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
AgeNot listed
SponsorUniversity of Pennsylvania

About this trial

This proposal will determine if a Disparities in Labor Outcomes dashboard can be used as an implementation strategy to increase compliance to an evidence-based set of interventions for labor induction in a two-site difference-in-differences study design.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

full term (greater than or equal to 37 weeks gestation)

singleton gestations

intact membranes

undergoing an induction of labor requiring cervical ripening

Disqualifiers

None

Trial design

Design model

Sequential

Treatments tested in this trial

  • Disparities in Labor Outcomes Dashboard

    Other intervention

    This Dashboard, a method of audit and feedback, will detail use of evidence-based practices and clinical outcomes on labor and delivery as attributed to individual clinicians on labor and delivery, stratified by race and ethnicity.

Treatment groups

2,300 Participants
are divided into 2 treatment groups
Group A: Pre periodNo intervention 0 interventions
Group B: Post periodOther 1 intervention

Trial outcomes

Primary outcomes

1

Fidelity to a labor induction protocol recommendation to perform all cervical exams performed in latent labor were performed less than or equal to 4.5 hours apart

Reported as binary - compliant or noncompliant; Time between cervical exams from first exam at admission for labor induction to reaching 6cm dilation will be calculated. If any time between exams is \>=4.5 hours, the outcome will be considered "non-compliant". If all are \<4.5 hours, the outcome will be "compliant."

Time frame
from first cervical exam after admission for labor induction until the patient's cervical exam reaches 6cm dilation

Secondary outcomes

1

Cesarean delivery

Reported as binary (yes cesarean or no cesarean); mode of delivery (cesarean or vaginal) will be determined at the time of delivery

Time frame
single time point, at the time of delivery
2

Maternal morbidity

greater than or equal to 1 of the following: endometritis, postpartum hemorrhage, blood transfusion, wound infection, venous thromboembolism, hysterectomy, intensive care unit admission, readmission within 30 days, and death

Time frame
from delivery until 30 days postpartum
3

Time to delivery

Time frame
as time from start of induction to delivery in hours

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

University of Pennsylvania

Lead sponsor

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Collaborator

Source ClinicalTrials.gov

This trial is not recruiting at the moment. You can still explore other options: