Given the high prevalence of neuraxial analgesia use during labor and the anxiety associated with these procedures, a method to decrease this anxiety could benefit millions of laboring women each year. Mindfulness practice has been used by many groups to decrease anxiety during pregnancy with optimistic results. However, there has been no major study evaluating the role of mindfulness interventions on anxiety associated with neuraxial placement. The purpose of our study is to address this gap in knowledge.
The primary objective of this study is to evaluate the effects of a brief mindful meditation intervention on anxiety and satisfaction regarding epidural catheter placement for laboring parturients.The investigators hypothesize that a brief mindful meditation intervention, consisting of a 10 minute auditory instructional practice, implemented before epidural catheter placement will: 1. Decrease anxiety 2. Increase satisfaction compared to a neutral 10 minute auditory recording control, in participants undergoing labor epidural catheter placement. The secondary objective of this study is to evaluate whether anesthesia providers experience a difference in satisfaction with labor epidural catheter placement in participants who listen to a brief mindful meditation intervention prior to epidural catheter placement. The investigators hypothesize that anesthesia providers placing labor epidural catheters in patients who listen to a brief mindful meditation intervention prior to labor epidural catheter placement will: 1\. Experience an increase in satisfaction with labor epidural catheter placement.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
TRIPLE
Enrollment
100
10 minute mindful meditation recording
Brigham and Women's Hospital
Boston, Massachusetts, United States
Anxiety level after epidural catheter placement
Level of anxiety on a numerical rating scale
Time frame: Measure 1 time, 10 minutes after epidural catheter placement
Pain level after epidural catheter placement
Level of pain on a numerical rating scale
Time frame: Measure 1 time, 10 minutes after epidural catheter placement
Provider satisfaction level after epidural catheter placement
Anesthesia provider placing the epidural catheter satisfaction with placement conditions on a numerical rating scale
Time frame: Measure 1 time, 10 minutes after epidural catheter placement
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