Implementation of a Disparities in Labor Outcomes Dashboard

NCT07756424 | Not Yet Recruiting

• 2 other identifiers: 858750R21HD114902-01A1
• Study Type: interventional
• Target: 2,300
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Labor Induction; Cesarean Birth

Keywords

labor induction; cesarean birth; maternal morbidity

Outcome Measures

Primary Outcomes (1)

• 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

  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 Outcomes (3)

• Cesarean delivery

  single time point, at the time of delivery

• Maternal morbidity

  from delivery until 30 days postpartum

• Time to delivery

  as time from start of induction to delivery in hours

Study Arms (2)

Pre period

NO INTERVENTION

Post period

OTHER

Other: Disparities in Labor Outcomes Dashboard

Interventions

Disparities in Labor Outcomes Dashboard OTHER

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.

Post period

Eligibility Criteria

• Sex: female
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

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

You may not qualify if:

• \- prior cesarean

Sponsors & Collaborators

• University of Pennsylvania: lead
• Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD): collaborator

Study Sites (1)

Hospital of the University of Pennsylvania; Pennsylvania Hospital

Philadelphia, Pennsylvania, 19107, United States

Location

Central Study Contacts

Rebecca Hamm, MD MSCE

CONTACT

2156626400; rebecca.feldmanhamm@pennmedicine.upenn.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SEQUENTIAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Difference-in-differences, neither site will have the intervention in the PRE period; one of two sites will have the intervention in the POST period

Study Record Dates

• First Submitted: July 21, 2026
• First Posted: August 10, 2026
• Study Start (Estimated): October 1, 2026
• Primary Completion (Estimated): July 1, 2027
• Study Completion (Estimated): July 1, 2027
• Last Updated: August 10, 2026

Record last verified: 2026-08

Locations

US (1)