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NCT Number: NCT07756424

Implementation of a Disparities in Labor Outcomes Dashboard

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.

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Key information

Conditions

Labor Induction Cesarean Birth

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Hospital of the University of Pennsylvania; Pennsylvania Hospital

Philadelphia, Pennsylvania, 19107, United States

Location contact

Rebecca Hamm

CONTACT

[email protected]

215-662-6400

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • full term (greater than or equal to 37 weeks gestation)
  • singleton gestations
  • intact membranes
  • undergoing an induction of labor requiring cervical ripening

Exclusion criteria

  • prior cesarean

Treatment and study plan

Disparities in Labor Outcomes Dashboard

Other

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.

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

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

    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."

Secondary outcomes

  1. Cesarean delivery

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

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

  2. Maternal morbidity

    Time frame: from delivery until 30 days postpartum

    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

  3. Time to delivery

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

Study contacts

Contact information is provided by the study sponsor or research team.

Rebecca Hamm, MD MSCE

CONTACT

[email protected]

2156626400

Sponsors and collaborators

Lead sponsor

University of Pennsylvania

Other

Collaborators

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

Registry information

Important dates

Study start
2026
Primary completion
2027
Study completion
2027
First posted
Aug 10, 2026
Registry last updated
Aug 10, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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