Evaluation of the Impact of Ambulatory Epidural on Maternal Satisfaction During Delivery and Postpartum

Last updated: August 9, 2024
Sponsor: Centre Hospitalier Régional Metz-Thionville
Overall Status: Active - Recruiting

Phase

N/A

Condition

Labor/delivery

Treatment

QEVA questionnaire

Clinical Study ID

NCT06550570
2024-02Obs-CHRMT
  • Ages > 18
  • Female

Study Summary

Childbirth is a special event for women. Maternal satisfaction regarding childbirth is quite important, that is why this factor has to be taken into account. A bad experience related to childbirth could lead to serious psychological and organic consequences such as postpartum depression, mother-baby bond deterioration and chronic pelvic pain. Childbirth image changed over the years to the extent that an increasingly physiological process keeping analgesia and safety is more and more desired. In this perspective, this study aims to investigate an approach so-called ambulatory epidural. Indeed, only a few studies have been conducted and the ones published in 1990s did not involve the current recommended pharmacological protocols.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Women older than 18 years old

  • with Physiological pregnancy (fetus cephalic position, normal fetal heart rate,spontaneous work between 37 and 41 SA)

  • Having benefited from epidural, usual or ambulatory depending on the study period

  • who speeks and understand French

  • who signed a free and informed consent form

Exclusion

Exclusion Criteria:

  • Hearing or comprehension impairment

  • Twin pregnancies

  • Scarred uterus

  • Fetus in non cephalic position

  • Imminent delivery

  • Women under protective supervision (guardianship, curatorship)

  • Women bereaved of a spouse or child during pregnancy

  • Hospitalization of child in neonatology after delivery

  • Women hospitalized in critical care units after childbirth

Study Design

Total Participants: 500
Treatment Group(s): 1
Primary Treatment: QEVA questionnaire
Phase:
Study Start date:
July 23, 2024
Estimated Completion Date:
August 23, 2025

Study Description

This is a multi-centre prospective observational analytical before/after-type study.

Practice changes are planned in concerned departments, in particular regarding usual patient care. This observational study aims to quantify the impact of practice changes on patient experience using a Childbirth Assessment Questionnaire (QEVA). During the "before" period, patients will receive a conventional epidural while the others, during the "after" period, will receive an ambulatory epidural. The women involved into this study must fill the QEVA form 2 days after giving birth (at the maternity) then 4 weeks after giving birth in order to get a feedback related to postpartum feelings (phone call).

Connect with a study center

  • CHR Metz Thionville Hopital Femme Mère Enfant

    Metz, 57085
    France

    Active - Recruiting

  • CHR Metz-Thionville Hopital Mère Enfant

    Thionville, 57100
    France

    Active - Recruiting

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.