Implementation of a Disparities in Labor Outcomes Dashboard

August 6, 2026 updated by: University of Pennsylvania
This proposal will determine if a Disparities in Labor Outcomes dashboard can be used as an implementation strategy to increase compliance to an evidence-based set of interventions for labor induction in a two-site difference-in-differences study design.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Estimated)

2300

Phase

  • Not Applicable

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

Study Locations

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

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Description

Inclusion criteria:

  • full term (greater than or equal to 37 weeks gestation)
  • singleton gestations
  • intact membranes
  • undergoing an induction of labor requiring cervical ripening

Exclusion criteria:

- prior cesarean

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

  • Primary Purpose: Health Services Research
  • Allocation: Non-Randomized
  • Interventional Model: Sequential Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
No Intervention: Pre period
Other: Post period
Other: Disparities in Labor Outcomes Dashboard
This Dashboard, a method of audit and feedback, will detail use of evidence-based practices and clinical outcomes on labor and delivery as attributed to individual clinicians on labor and delivery, stratified by race and ethnicity.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Fidelity to a labor induction protocol recommendation to perform all cervical exams performed in latent labor were performed less than or equal to 4.5 hours apart
Time Frame: from first cervical exam after admission for labor induction until the patient's cervical exam reaches 6cm dilation
Reported as binary - compliant or noncompliant; Time between cervical exams from first exam at admission for labor induction to reaching 6cm dilation will be calculated. If any time between exams is >=4.5 hours, the outcome will be considered "non-compliant". If all are <4.5 hours, the outcome will be "compliant."
from first cervical exam after admission for labor induction until the patient's cervical exam reaches 6cm dilation

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Cesarean delivery
Time Frame: single time point, at the time of delivery
Reported as binary (yes cesarean or no cesarean); mode of delivery (cesarean or vaginal) will be determined at the time of delivery
single time point, at the time of delivery
Maternal morbidity
Time Frame: from delivery until 30 days postpartum
greater than or equal to 1 of the following: endometritis, postpartum hemorrhage, blood transfusion, wound infection, venous thromboembolism, hysterectomy, intensive care unit admission, readmission within 30 days, and death
from delivery until 30 days postpartum
Time to delivery
Time Frame: as time from start of induction to delivery in hours
as time from start of induction to delivery in hours

Collaborators and Investigators

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

Sponsor

University of Pennsylvania

Collaborators

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

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)

October 1, 2026

Primary Completion (Estimated)

July 1, 2027

Study Completion (Estimated)

July 1, 2027

Study Registration Dates

First Submitted

July 21, 2026

First Submitted That Met QC Criteria

August 6, 2026

First Posted (Actual)

August 10, 2026

Study Record Updates

Last Update Posted (Actual)

August 10, 2026

Last Update Submitted That Met QC Criteria

August 6, 2026

Last Verified

August 1, 2026

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • 858750
  • R21HD114902-01A1 (U.S. NIH Grant/Contract)

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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