Actively Recruiting
Optimizing Timing of Cesarean Delivery Consent on Labor and Delivery
Led by Duke University · Updated on 2026-04-23
200
Participants Needed
1
Research Sites
87 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Nationally, 32.1% of pregnant patients deliver via cesarean delivery, including both patients who undergo a planned cesarean delivery and patients who intend to undergo vaginal delivery and are recommended to deliver via cesarean delivery. The investigators aim to understand how to optimize the patient experience for patients who present to the hospital intending to deliver vaginally but are recommended to deliver via cesarean delivery (an unplanned cesarean delivery). Practices regarding timing of informed consent for possible cesarean delivery vary widely across hospitals in the United States; some institutions will consent every patient on admission to the hospital for possible cesarean delivery, whereas some institutions consent patients for possible cesarean delivery only if a patient's clinical course suggests cesarean delivery may be indicated. This study aims to determine optimal timing for consent for possible cesarean delivery by randomizing patients to either be consented for possible cesarean delivery on admission to the hospital or if it appears to be clinically indicated. This study will only assess altered timing of a surgical consent process and will not impact the clinical care participants receive. After delivery, participants will share their experiences with the consent process and with their overall childbirth experience.
CONDITIONS
Official Title
Optimizing Timing of Cesarean Delivery Consent on Labor and Delivery
Who Can Participate
Eligibility Criteria
You may qualify if you...
- 18 years of age or older
- Receiving prenatal care at Duke Perinatal Durham or Duke Women's Health Associates
- Between 34 weeks 0 days and 41 weeks 0 days of gestation
- Scheduled for induction of labor OR are eligible/intend to be scheduled for an induction of labor
You will not qualify if you...
- Trial of labor after cesarean delivery
- Multiple gestation
- Major fetal anomalies
- Presenting for induction of labor as a transfer from the antepartum inpatient service
- Non-English speaking
- Those who do not intend to labor
- Patients who are ineligible for vaginal delivery for other reasons, including fetal malpresentation or abnormal placentation
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Trial Site Locations
Total: 1 location
1
Duke University
Durham, North Carolina, United States, 27705
Actively Recruiting
Research Team
S
Sarahn Wheeler, MD, MHSc
CONTACT
K
Kelsey McNew, MD, PhD
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
HEALTH_SERVICES_RESEARCH
Number of Arms
2
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