Digital Educational Resource for Labor Analgesia
(PrepDM Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests whether a new website, The Painless Push, helps pregnant individuals feel more prepared to make decisions about pain management during labor. It compares this resource to the current website used by patients at Mount Sinai. The trial seeks first-time mothers in their third trimester who are considering an epidural for childbirth. Participants must understand and communicate in English. As an unphased trial, it offers participants the chance to contribute to innovative resources that could enhance decision-making for future mothers.
Do I need to stop my current medications for this trial?
The trial information does not specify whether you need to stop taking your current medications.
What prior data suggests that this digital educational resource is safe for use in labor analgesia decision-making?
Research has shown that digital tools for managing pain, such as the Painless Push website, are generally safe. These tools provide information rather than medication, avoiding the side effects associated with drugs. They aim to help expectant mothers make informed choices about managing pain during labor.
Studies on non-drug pain management have found that educational tools effectively inform patients without causing harm. No reports indicate negative effects from using websites to learn about labor pain options. The goal is to empower mothers with knowledge, enabling better decision-making during labor.12345Why are researchers excited about this trial?
Researchers are excited about the Painless Push digital resource because it offers a novel way to educate expectant mothers about labor pain management, which is traditionally handled with medication like epidurals or other analgesics. Unlike these standard methods, which focus on physical pain relief, Painless Push provides a comprehensive educational approach that empowers women with knowledge and techniques to manage pain. This emphasis on education and self-empowerment could potentially enhance the birthing experience by reducing anxiety and increasing confidence during labor.
What evidence suggests that the Painless Push digital resource is effective for improving preparedness for shared decision-making in labor analgesia?
Research has shown that digital tools can help manage pain during labor, making the experience less painful and more satisfying. Studies have found that non-medication digital methods assist mothers in coping with labor pain and increase their satisfaction. In this trial, participants will use either the Mount Sinai Obstetric Anesthesia website or the Painless Push digital resource. The Painless Push resource educates mothers about their pain management options. Evidence suggests that well-informed mothers can make decisions that align with their personal values and build trust with healthcare providers. Overall, digital resources like Painless Push can be crucial in preparing for labor pain management.56789
Who Is on the Research Team?
Ronald George, MD
Principal Investigator
MOUNT SINAI HOSPITAL
Are You a Good Fit for This Trial?
This trial is for first-time pregnant individuals, at least 18 years old, in their third trimester (28+ weeks), with one baby, visiting Mount Sinai OB clinic, and considering an epidural for labor pain. People who don't speak English well or have sensory/cognitive/language barriers can't join.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Intervention
Participants access either the Painless Push digital resource or the Mount Sinai Obstetric Anesthesia website to improve preparedness for shared decision-making about labour analgesia
Follow-up
Participants complete the PrepDM score and additional questionnaire to assess readiness for informed and shared decision-making
What Are the Treatments Tested in This Trial?
Interventions
- Painless Push
Trial Overview
The study compares two online resources: 'The Painless Push' website versus the standard Mount Sinai Obstetric Anesthesia site. It looks at which better prepares expectant mothers to make informed decisions about pain relief during labor.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Comparator: The Painless Push digital resource educates mothers about ways to manage pain during labour.
Control group: website currently available to patients.
Find a Clinic Near You
Who Is Running the Clinical Trial?
Samuel Lunenfeld Research Institute, Mount Sinai Hospital
Lead Sponsor
Citations
Pain management during labor: use of intermittent drug ... - PMC
Our study demonstrated that epidural anesthesia with programmed intermittent epidural boluses by an automated device provides an effective and safe management ...
Types and Effectiveness of Digital Interventions for Labor ...
Overall, digital-based non-pharmacological interventions demonstrated consistent effectiveness in reducing labor pain, improving maternal labor ...
Pain Management in Labor
Results: Four major themes emerged: perceived effectiveness of pain management, satisfaction with care, challenges in pain management, and coping strategies.
A Systematic Review of Contemporary and Emerging ... - PMC
The primary outcomes of interest included the effectiveness of pain relief, maternal satisfaction, labor duration, mode of delivery, and ...
5.
nationalpartnership.org
nationalpartnership.org/childbirthconnection/giving-birth/labor-pain/research-evidence/Research and Evidence
Receiving continuous support during labor decreases the probability of using pain medication and increases the likelihood of satisfaction with the birth ...
Non-Pharmacological Pain Management in Labor - PMC - NIH
The present review aims to examine contemporary NPPM knowledge and application, discussing efficacy, advantages, limitations, and potential adverse effects.
7.
mayoclinic.org
mayoclinic.org/healthy-lifestyle/labor-and-delivery/in-depth/labor-and-delivery/art-20049326Labor and delivery: Pain medications
Many types of medications can ease pain during labor and delivery. Ideally, the drugs used are safe for mother and baby, don't interfere with labor and ...
Home - The Painless Push Pain Relief Options for Labor and ...
Painless Push Brochure · Information About Labor Epidurals: Your Questions Answered · Your Questions Answered: Alternatives to Epidural Pain Relief for Labor.
Digital Educational Resource for Labor Analgesia (PrepDM ...
Comparator: The Painless Push digital resource educates mothers about ways to manage pain during labour. Group II: Mount Sinai Obstetric ...
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