Management of Indwelling Labor Epidural Catheters for Cesarean Delivery

January 16, 2026 updated by: Baylor Research Institute

Management of Indwelling Labor Epidural Catheters and Pain During Cesarean Delivery: a Prospective Single-center Patient-reported Outcome Study

This is a prospective observational study that will survey patients who had an indwelling labor epidural catheter and subsequently underwent cesarean delivery. We hypothesize that patients who had removal of indwelling labor epidural catheters and had a new neuraxial anesthetic technique attempted will have a lower incidence of self-reported pain during cesarean delivery compared to patients who had top up of their indwelling labor epidural catheters.

Study Overview

Status

Not yet recruiting

Conditions

Study Type

Observational

Enrollment (Estimated)

200

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult

Accepts Healthy Volunteers

Yes

Sampling Method

Non-Probability Sample

Study Population

Patients will be identified as potential study participants if they have a cesarean delivery at Baylor Scott & White Medical Center-Temple from January 1, 2026 through December 31, 2025.

Description

Inclusion Criteria:

  • ages 18-50 years
  • had cesarean delivery at Baylor Scott & White Medical Center from January 1, 2026 through December 31, 2026
  • Fluent in the English language (our catastrophizing survey is validated in English language only)
  • Can provide their own consent
  • Identifies as Black or African American only, Hispanic, or White or Caucasian only
  • had administration of local anesthetic through indwelling labor epidural or removal of indwelling labor epidural followed by single injection spinal or combined spinal epidural

Exclusion Criteria:

  • less than 18 years old, older than 50 years old
  • had cesarean delivery at Baylor Scott & White Medical Center before January 1, 2026 or after December 31, 2026
  • Employee of Baylor Scott & White Health labor and delivery unit
  • Student of a school that performs clinical rotations at Baylor Scott & White Medical Center-Temple
  • Incarcerated at the time of study enrollment
  • Underwent scheduled cesarean hysterectomy
  • Underwent cesarean delivery with general anesthesia as either the primary anesthetic technique or had conversion to general anesthesia because of failure of neuraxial anesthesia
  • Admitted to the intensive care unit immediately following cesarean delivery
  • Did not have intrathecal morphine or intrathecal fentanyl if receiving spinal anesthesia
  • Had anesthesia for an attempted external cephalic version within 24 hours of cesarean delivery

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
Cesarean delivery patients
Patients who had an indwelling labor epidural catheter and subsequently underwent cesarean delivery.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Pain during cesarean delivery
Time Frame: Patients will be asked this question once 24-72 hours after their cesarean delivery.
Patients will answer "yes" or "no" to whether they experienced pain during their cesarean delivery.
Patients will be asked this question once 24-72 hours after their cesarean delivery.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Baylor Research Institute

Investigators

  • Principal Investigator: Michael P Hofkamp, M.D., Baylor Scott & White Medical Center-Temple

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

January 1, 2026

Primary Completion (Estimated)

December 31, 2026

Study Completion (Estimated)

December 31, 2026

Study Registration Dates

First Submitted

January 2, 2026

First Submitted That Met QC Criteria

January 16, 2026

First Posted (Actual)

January 26, 2026

Study Record Updates

Last Update Posted (Actual)

January 26, 2026

Last Update Submitted That Met QC Criteria

January 16, 2026

Last Verified

December 1, 2025

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 025-604

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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