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NCT Number: NCT07414407

Impact of Patient Choice for Epidural Potency on Maternal Satisfaction

This clinical trial will compare two different approaches to epidural analgesia during labor to see which approach leads to higher patient satisfaction after delivery.

Primary aim: determine whether one approach produces greater postpartum maternal satisfaction.

Secondary aims: compare pain control and side effects.

Participants are people in labor who receive epidural analgesia. They will receive routine clinical epidural care and complete brief, in-hospital questionnaires about pain and satisfaction.

All care is provided by the clinical team and safety practices remain unchanged.

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Key information

Conditions

Epidural Analgesia, Obstetric Maternal Satisfaction

Age range

18 year–50 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Planned vaginal delivery
  • Patient requesting epidural labor analgesia
  • Gestational age >34 weeks

Exclusion criteria

  • Any contraindication to neuraxial block
  • History of chronic pain, anxiety or depression
  • Intolerance or allergy to local anesthetic or opioids
  • Cesarean delivery within 2 hours of epidural initiation

Treatment and study plan

Patient-selected epidural management

Procedure

Choice of epidural regimen

Standard epidural management

Procedure

Hospital's usual epidural regimen

Primary outcomes

  1. Maternal satisfaction with epidural analgesia

    Time frame: 24 hours after delivery

    Participant rating of overall satisfaction with pain care on a 5-point Likert scale (Describe your overall satisfaction with your epidural labor pain relief (Likert 1: very dissatisfied; 2: relatively dissatisfied; 3: fair; 4: relatively satisfied; 5: very satisfied)

Secondary outcomes

  1. Concordance among four maternal satisfaction instruments

    Time frame: 24 hours after delivery

    Correlation coefficient between four validated satisfaction instruments : (1) Single-item overall satisfaction (Likert 1-5), (2) Single-item willingness to have the same epidural again (6-point agreement: Disagree very much -> Agree very much), (3) Self-reported percent satisfaction (0-100%), and (4) Birth Satisfaction Scale-Revised (BSS-R) total score (scored per BSS-R guidelines).

  2. Concordance among intrapartum pain measurement methods

    Time frame: During labor, every one hour from epidural insertion until delivery

    Statistical agreement between intrapartum pain measures: the 11-point Numeric Rating Scale (NRS; 0 = no pain, 10 = worst pain), the 11-point NRS coping ability (0 = totally unable to cope, 10 = totally able to cope), and a target pain measure.

Study contacts

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

Study Team

CONTACT

[email protected]

(650) 723-5403

Sponsors and collaborators

Lead sponsor

Stanford University

Other

Registry information

Important dates

Study start
2026
Primary completion
2030
Study completion
2030
First posted
Feb 17, 2026
Registry last updated
Feb 17, 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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